Questions and Answers of Fundamentals Case Management

A worker has listened to a young mother talk about how she dropped out of school and got pregnant and has no skills. Finally the worker interrupts to ask, “Did you have to get pregnant? Didn’t
Client (talking loudly, and banging his fist on the desk): I have a beef to pick with you! You tell me I’m a mental case and then give me medicine that makes me feel like a nut case.
Client (barging past the receptionist to the worker’s office, obviously angry): My kids and I are hungry! Know what that means to be hungry? We’re hungry and you . . . worker:Above are some
Client (looking at the worker cynically): So you say the agency is understaffed. Really? Understaffed? Who are all these young girls running around here doing nothing? Is it too much to ask that I
Client (Sits down unsmiling, looking past the worker): I am just furious. I’m tired of trying to get into group on the phone. I talk to someone who says there is an opening for me. That’s
Christy has a diagnosis of schizophrenia. She believes, when she is ill, that she is related to the president of the United States and she has made her way to Washington on several occasions. Both
You have been called to an elderly woman’s home. The family is upset that she is refusing to leave the home for an evaluation at the hospital even though she can no longer walk, is incontinent, and
The woman tells you why she is not going to the hospital. “I don’t want to,” she says, “Why should I? I’m an old lady. I’ve lived a full life. I want to die right here. Harry [her
You are quite concerned about this woman being at home alone. As you sit there, you can see how extremely frail and weak she is. After a while, you express a very gentle I-message or concern that you
In response, the woman answers, “You know, I never said I wouldn’t go anywhere! I just said I wouldn’t go to that godforsaken hospital where Harry died.” Write an opening sentence that shows
In response, the man looks away, and then slowly begins to talk about the kids in the neighborhood. He says they make fun of him and try to stop him when he walks home at night. “I get sort of sick
You are quite concerned about the stress of this situation for him, knowing stress can trigger a relapse. You are not clear what else he does during the day or what friends and family he might have
The man tells you that he is enrolled in Goodwill during the day and that he has been taking the bus on his own to the center where he works in the retail shop. “When I have to take the bus, I
You still want to determine if this man has any supports other than Goodwill. Ask him an open question about that?Above the instructions for each question based on the communication skills you have
In response, the man answers, “My family got funny on me years ago. I have a sister. She lives in Lemoyne, and she always has me come over at Christmas. She is the only one that bothers with me.
The man continues, “But I have this friend from Goodwill Paul. He told me I could come to his house if things get bad. He didn’t want me to stay in the alley like I did.” Respond to the content
The man goes on to say, “Yeah, Paul is a real good friend. The other day when I ran out of Geodon, he lent me some of his until I got my prescription filled down at the county.” You are concerned
The man says, “Well Cindy, down at Paul’s apartment building, she works for the county, and she got upset too, like you. She said Paul ran out of his stuff too soon to get a refill, and they had
Now that you know what supports are in place, you need to know what he thinks about finding another place to live. Ask the man an open question to learn what ideas he has about finding another place,
The man answers by saying, “Well, I was thinking I could get into the program Paul is in. It’s part of Goodwill. They told me I was doing good and didn’t need to be in that apartment building,
He seems relieved and you tell him you will check into his moving and get back to him in the next few days. Then you summarize what took place in the interview today. What is your transition summary
Mrs. Sylvestri is worried about her son, Manuel. She tells you that he seems to have trouble concentrating in school and that the teachers have told her he is “a daydreamer.” He is falling
Mrs. Sylvestri seems grateful for your understanding and goes on to say that Manuel saw the newscast of the accident at a friend’s house. “He was over there playing about the time the news came
She tells you he was a good father and a good provider, that Manuel is their only son, and that they were unable to have other children. They came together from Puerto Rico 9 years ago and worked
Mrs. Sylvestri asks you if you can help with Manny. She tells you what a “good kid” he is and how much he helps around the house. “He has cousins, all his uncles and aunts, they live in
Mrs. Sylvestri responds with the fact that the school wants him tested for attention deficit disorder, but she does not think he is “mental or anything.” Instead, she believes he is grieving and
She looks interested. “Are there other kids, that many other kids who have problems like Manny? So sad to think. What do they do there?” You describe the group sessions and the activities they
You know that there are also services for parents who are widowed and feel Mrs. Sylvestri might benefit from these. You ask permission to share what you know with her.Above the instructions for each
Mrs. Sylvestri tells you she would like to get started with the programs at Arbor House. After you make an appointment for her to be seen for the first visit there on Tuesday evening and you give her
When Mrs. Sylvestri says she would like to just start with Arbor House you give a transition summary before you terminate the session. Demonstrate how you do your transition summary.Above the
Kevin comes in asking for help. He had been addicted to pain medication in the past and went through a period of rehabilitation, NA meetings, and abstinence from pain medication. Today he tells you
Kevin tells you he does not think he will ever be able to stop using drugs and says, “I never should have come in here. It’s a waste of your time. I’m a loser, at least in this life, and
In order to help Kevin think about how his life would be without using medications in this way you ask him to put aside his worries about changing and tell you what some advantages there are to not
Kevin tells you how much more productive he was when he was not taking pain medications and how he has been off work for a week now because of the surgery. “I have the time to be off and at first I
He agrees that there are two sides to his drug use. He likes the way it makes him feel, but it makes him a less responsible person and he regrets that. You, however, want to focus on the time he has
Kevin talks about how he threw himself into his work, took two college courses to augment his skills at work, and managed to work up to crew chief. As he talks about what he accomplished he looks
Kevin smiles and nods. You then ask him to tell you about the strengths he used in order to get to that point. What are his personal strengths and characteristics that helped him achieve this?
It seems to you that Kevin would like to find a way back to abstinence and become productive again. You give a reflective response.
Kevin agrees so you continue by asking him if he would be willing to make a small commitment to get started. You want to know what he sees as the first step he might take. Demonstrate your request
Kevin says he would be willing to get his medications and leave them with the agency and try withdrawing on his own for a few days and then return to work. Once a good plan about how to do this is
Ask your partner at the end of the dialogue how your responses felt to him. Did he feel reassured, understood, supported? Did your partner feel genuine interest and concern on your part?Try this
Next, reverse roles, letting your partner be the worker while you take the role of the client. Again, record the conversation and go over the recording together, looking for ways to improve your
Give your partner feedback about how her responses felt to you.Try this exercise as often as you need to in order to become more proficient in communication skills. Find a partner with whom to
Using the blank form in the Appendix C titled “New Referral or Inquiry,” develop a client intake. You may use any problem that would ordinarily come to the attention of a social service agency.
Using the blank form in the Appendix C titled “New Referral or Inquiry,” develop a client intake for a child, a person under 16 years of age. In this case, a parent or guardian would be calling
Using the blank form in the Appendix C titled “New Referral or Inquiry,” develop a client intake for an older person, a person over 80 years of age. In this case, a child or close friend or
On a single sheet of paper, write a note on how Kate appears to you from the social history (see Figure 16.3 in this chapter). What are your impressions of her? What do you think she would be likely
Write up a social history of Carlos using the presenting problem paragraph provided in this chapter to begin the history. Invent other information as needed. This will give you practice in organizing
Take a social history from a friend or classmate. Be sure to explain that the person does not have to answer any question that is uncomfortable and that the person can make up information to fill in
Using one of the blank assessment or evaluation forms found in the back of each chapter in the companion textbook, Fundamentals for Practice with High Risk Populations (Summers, 2002) or on-line at
Using the assessment form for children found in the back of Chapter 3 on children in the companion textbook, Fundamentals for Practice with High Risk Populations (Summers, 2002) or on-line at
Using the assessment form at the end of Chapter 8 on older people found in the companion textbook, Fundamentals for Practice with High Risk Populations (Summers, 2002) or on-line at CengageBrain,
At this point, you need to create a file on the people you are seeing as clients. Create a separate file folder for each client you intend to follow throughout the remainder of the course. Place the
It seems to you that Jim is having trouble in school. The teacher reports that Jim can read and speak well but has trouble writing out his thoughts in a coherent and organized manner. What chapter
A man comes in and indicates he is suffering from depression. He tells you he has felt this way for several months. He appears to have a flat affect, some tearfulness, and tells you he is not
A woman has breast cancer and reports being depressed since the diagnosis was first given. She has stopped going to choir practice, let her garden go to weeds, and is no longer interested in her book
Marie has been concerned for months that she is very ill with a serious illness. When you ask her about her medical symptoms that lead her to think this, she is very vague. Sometimes she has a
Catherine reports binge eating and self-induced vomiting in order to avoid gaining weight. “I just eat,” she tells you. “I feel better when I am eating. The more I eat the better I feel until I
Milton and his wife are separating and he is worried she will ultimately sue for divorce. He is here today to see what options he has for marriage counseling and issues regarding his children going
Among other things Henry says at night he gets “terrible sensations in my legs.” He goes on, “I have to move my legs to make it stop but then it starts again in a few minutes. It is getting to
Ray has been using amphetamines for several years now, but the actual usage has increased in the last 9 months. He claims he wants to control the use. “I don’t really want to quit, but I would
Scott is 16 and was referred by the school. His mother who comes with him describes him as irritable and angry. Scott sits sullenly and listens to her. The school report states that he refuses to
You are working in a drug rehab unit of the local hospital. Pearl has come in to detox after prolonged use of fentanyl and the unit physician has ordered an opioid antagonist, naltrexone. At present
Angela has brought her 84-year-old mother in for evaluation. Her mother sits quietly but appears to be paying no attention to the conversation going on between you and Angela. Angela reports that her
The chart on Mr. Kling reads that he has conceptual disorganization. What was the psychologist referring to?See if you can fill in the blanks for each of these questions. This exercise is simply to
In a staff meeting, the psychologist and the case manager discuss the fact that Mrs. Purdy seems to have racing thoughts. They are talking about what?See if you can fill in the blanks for each of
Mr. Garrison is withdrawing from alcohol and he sees green bugs on the wall and is afraid of them. We call this a ________.See if you can fill in the blanks for each of these questions. This exercise
The neurologist’s report comes for Mr. Engler. The diagnosis is Broca’s aphasia. What does that mean?See if you can fill in the blanks for each of these questions. This exercise is simply to
When the psychiatrist saw Mrs. Nguyen, he said her mood was euthymic. He meant ____________.See if you can fill in the blanks for each of these questions. This exercise is simply to acquaint you with
Mr. Kissel’s speech is described as impoverished. That means his speech is____________.See if you can fill in the blanks for each of these questions. This exercise is simply to acquaint you with
Another term for severe restlessness is ____________.See if you can fill in the blanks for each of these questions. This exercise is simply to acquaint you with words you might encounter in the
Another way to describe a broad range of moods is ________.See if you can fill in the blanks for each of these questions. This exercise is simply to acquaint you with words you might encounter in the
When Dr. McCoy said Mr. Perkins used neologisms, Dr. McCoy was referring to __________.See if you can fill in the blanks for each of these questions. This exercise is simply to acquaint you with
Mrs. Dell has been on antipsychotic mediation for some time, and now she shows signs of tardive dyskenesia. That means she _______________.See if you can fill in the blanks for each of these
When Mrs. Jones was described by the psychologist as seductive, he meant that Mrs. Jones was___________.See if you can fill in the blanks for each of these questions. This exercise is simply to
The chart says that during the interview with Mr. Landon at the prison, where he was being held after being arrested for drug possession, Mr. Landon’s speech was guarded. That means his speech was
Bill has been on medication for schizophrenia for over 30 years. Today you notice he shuffles as he walks and grimaces with his mouth and tongue. You suspect he has developed _________.See if you can
When the ambulance crew called in about 93-year-old Mr. Keller, they said they were bringing him into the hospital, but he was oriented ×3. They meant __________.See if you can fill in the blanks
Mrs. Harris complained of trouble falling asleep. In the chart, this was written as ____________.See if you can fill in the blanks for each of these questions. This exercise is simply to acquaint you
When Alice stops taking her medication she tends to believe she can fly. We call this a __________.See if you can fill in the blanks for each of these questions. This exercise is simply to acquaint
Discussing Mr. Rodriquez’s delusions with you, the psychiatrist remarks that Mr. Rodriquez has thought withdrawal. The psychiatrist means __________.See if you can fill in the blanks for each of
The psychologist is describing his interview with Mrs. Carter. “She tends to perseverate,” he noted. He means that Mrs. Carter ___________.See if you can fill in the blanks for each of these
Mr. Trong has been depressed ever since he came to this country from Vietnam. Lately the depression has worsened. Today his therapist calls from the International Center asking if you can arrange
When Mr. Cruz talks about the accident, he tells you he feels detached from himself. Another word for that feeling is ________.See if you can fill in the blanks for each of these questions. This
When the ambulance arrived the student had had so much to drink that they noted he was experiencing obtundation. They meant ___________.See if you can fill in the blanks for each of these questions.
The chart tells you that after the accident Mr. Cruz had retrograde amnesia for a while. That means he ________.See if you can fill in the blanks for each of these questions. This exercise is simply
The record that comes from the hospital on Ms. James states that she suffered from terminal insomnia during her stay there. That means that she __________.See if you can fill in the blanks for each
After the stroke, Mr. Torres was described as having Wernicke’s aphasia. That means___________.See if you can fill in the blanks for each of these questions. This exercise is simply to acquaint you
During the interview, Miss Bell constantly pulled her gloves on and off, on and off, in a ritualistic fashion. One word for this kind of behavior is ___________.See if you can fill in the blanks for
Miss Bell was asked to interpret several proverbs to test her ___________.See if you can fill in the blanks for each of these questions. This exercise is simply to acquaint you with words you might
Mr. Lincoln was seen with his wife for marital difficulties the couple was having. He said that he personally had no problems at home and that if his wife said there were problems at home, these were
The family doctor of Mrs. Fong calls to arrange for an appointment. She believes Mrs. Fong is depressed and “is showing strong neurovegetative signs of depression.” What does the family doctor
When you interview Mr. Marks, you notice that the sound of a word seems to trigger a new line of thought for him. You call this _____________.See if you can fill in the blanks for each of these
Miss Aller is homeless and mentally ill. The mission calls to say that Miss Aller believes that her thoughts are being taken out of her head and broadcast so that others know what she is thinking.
Using the blank form in Appendix C entitled “Request/Release of Information,” send for information relevant to planning for one of the cases you are developing. Choose the information for which
Using the blank form in Appendix C entitled “Request/Release of Information,” send for information relevant to planning for the child’s case you are developing. Choose the information for which
Using the blank form in Appendix C entitled “Request/Release of Information,” send for information relevant to planning for an older person’s case you are developing. Choose the information for
Place your completed release forms into the appropriate clients’ charts. They should be placed under the long assessment forms in the charts. If there is more than one form, staple them together.
Using one of the blank “Treatment or Service Plan” forms found in the back of your book, develop a plan that addresses the immediate or most important needs of the client you are following. Look
Using one of the blank “Treatment or Goal Plan” forms found in the back of your book, develop a plan that addresses the immediate or most important needs of the child you are following. Look at

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