72 Questions
What is the main issue with the term 'client' according to the text?
It implies that clients have different feelings, aspirations, and struggles from those who serve them
What do most 'clients' struggle with according to the text?
Attitudes that infantilize them or relegate them to subhuman status
What are many service users resentful of, according to the text?
Being left out of policy and program discussions
Why do some service users embrace dependency according to the text?
As a way to cope, sinking into a well of learned helplessness
What is the key concern regarding how 'clients' are treated, as mentioned in the text?
Being left out of policy and program discussions
What is the overall feeling expressed by many service users, based on the text?
Feeling marginalized and segregated from others
What potential impact can the inability to arrive on time have on a professional's practice?
It can hinder the professional from fully engaging with clients
Why is it important for professionals to be observant about the values of older adults?
To understand what makes older adults comfortable or uncomfortable
Why should professionals respect the time of their clients?
To reciprocate the respect expected from clients
What does the text suggest about professionals who have difficulty arriving on time?
They can present other, more lethal challenges for those with whom they work
What is emphasized in the text about professionals who personally believe being on time isn't important?
Arriving late for appointments, meetings, or events sends a negative signal
What is the suggested impact of professionals who have difficulty arriving on time?
They may face challenges in engaging fully with their clients
What is one of the main concerns raised about professionals in the service system?
They abuse their power and make harmful decisions
What is an example of professionals abusing their power mentioned in the text?
Conducting unnecessary skin grafts on inmates at Holmesburg Prison
What did Rae Unzicker's treatise address?
The negative impacts of the system intended to serve individuals with psychiatric disabilities
What do disability rights advocates demand regarding aversive procedures?
The immediate elimination of painful and aversive procedures for behavior modification
What was the position statement issued by the American Association on Intellectual and Developmental Disabilities (AAIDD) about?
Condemning inhumane forms of aversive procedures as a means of behavior support
What do the disability organizations call for in their letter regarding aversive procedures?
An end to the use of electric shock, seclusion, unnecessary restraint, and food deprivation for behavior modification
What does the position statement by the American Association on Intellectual and Developmental Disabilities (AAIDD) articulate?
'Important values and principles' and a challenge to promote non-aversive alternatives to address severe behavioral disorders
What is one of the main concerns about professionals' decision-making despite regulatory agencies and certifying bodies' oversight?
'Physical and chemical restraints' being widely used despite regulations
What is emphasized about the use of seclusion, physical restraint, and isolation in 'most highly monitored and ethical practices'?
'Ethical practices' would find it both unnecessary to use these aversive methods
What is condemned by the American Association on Intellectual and Developmental Disabilities (AAIDD) according to the text?
'Inhumane forms of aversive procedures' as a means of behavior support
What is the main point made by the position statement issued by the American Association on Intellectual and Developmental Disabilities (AAIDD)?
Promoting research activities leading to identification, testing, implementation, and dissemination of non-aversive alternatives to address severe behavioral disorders'
According to the passage, what has been a serious problem for any person with a disability?
Institutionalization
Who echoed the feelings of many others when speaking of how institutions have caused some professionals to lose their humanity and sense of compassion?
Patricia Deegan
What type of service provision has been described as 'a hospital without walls'?
Assertive community treatment
What is the Pygmalion effect often used to describe?
How others live up or down to our expectations of them
What do some professionals suggest when someone's goals are deemed 'unrealistic'?
That the individual should pursue different goals
What is the opposite of practicing in an empowering way, according to the passage?
Treating people as children who need to be protected
Who have reported being harshly judged by some professionals?
Women in domestic violence situations
According to the passage, what do service users often say they feel when working with case managers?
Coerced by case managers to make decisions
What is a sign of overinvolvement for a professional?
All of the above
What behavior may signal that a professional needs to pay more attention to their own life?
Telling, not listening and becoming overinvolved
What does the saying in social work imply about a professional's involvement in helping someone?
If a professional is working harder at helping someone than they are working at helping themselves, they are overinvolved
Why did one woman fire her case manager?
The case manager was late three times and cited personal problems
What is a common complaint from older adults about professionals?
Professionals treating them with disrespect by showing up late and calling them by their first names
What can cause older people to feel disrespected and powerless according to the text?
Negative stereotypes held by case managers
What is reflective of society at large according to the text?
Case managers holding negative stereotypes about older people
What behavior can interfere with relationship building according to the text?
'Attitude' displayed by workers towards their clients
'Attitude' in workers, sitting in judgement of service users without understanding their situations, is part of a larger problem. What problem is this behavior indicative of?
'Attitude' in workers not listening to service users and making no effort to understand another's perspective
'Professional enmeshment' refers to what extreme behavior exhibited by some case managers?
Having very weak boundaries and being unable to differentiate between their own lives and those of the people they work with
What does 'attitude' in workers judging themselves too harshly signify according to the text?
The professionals are self-critical because they believe they are not doing a good job unless they get their clients to change according to their standards.
What was one of the key roles of social workers during the settlement house days in New York and Chicago?
Guiding families into existing private and public support networks
What did social workers do when resources were not readily available during the settlement house days?
Helped mobilize their communities for social action
What is the historical significance of case management practice according to the text?
It has a long and rich history dating back to the settlement house days
What did social workers do during the settlement house days when existing private and public support networks were meager?
Guided families needing help into those networks
What was the primary way in which social workers assisted families during the settlement house days?
Guiding them into existing private and public support networks
What did social workers do when resources were not available during the settlement house days?
Helped mobilize their communities for social action
Where do professional social workers receive their case management training?
In schools of social work and nursing schools
According to the Case Management Society of America, what do case managers empower people to do?
Understand and access quality, and efficient health care
What type of professionals may act as case managers in the legal profession?
Legal aid and nonsocial work staff
What does the National Academy of Certified Case Managers aim to assure?
Competence in the performance of case management functions
What are the voluntary guidelines issued by the Case Management Society of America used for?
Providing guidance for various disciplines functioning as case managers
What does the National Association of Case Management provide for case managers?
Opportunities for professional growth and educational meetings
What is the main focus of case management, as described in the passage?
Coordinating and linking components of a service delivery system
According to the National Association of Social Workers (NASW), what is case management?
A function designed to arrange for and sequence needed services for a client or client family
What is the essential and often conflicting purpose of case management, as mentioned in the passage?
Improving the quality of care to vulnerable populations
What is one of the key roles of case managers, as discussed in the passage?
Becoming experts on community resources
According to Dinerman (1992), how is case management defined?
An ongoing process that consists of assessment, planning, locating supports, monitoring, and follow-along
What is the bio-psycho-social model that underlies social work case management practice, as stated in the passage?
Addressing strengths and challenges in systems impacting various populations
What is the purpose of the 2010 revisions mentioned in the text?
To expand interdisciplinary collaboration in care planning
What certification and credentialing program for case management administrators is mentioned in the text?
The Commission for Case Management Certification (CCMC)
In 2016, which organizations announced an expanded collaboration to meet the growing demand for case management practitioners in the healthcare arena?
CCMC and NASW
What certification levels does NASW offer for case managers?
Certified social work case manager and advanced social work case manager
What does the Center for Case Management have a certification and credentialing program for?
Case management administrators
What aim does case management serve according to the text?
To connect a fragmented set of services and assure quality, cost-effective, and accountable services
What distinguishes case management from managed care?
Case management focuses on linking clients to services, while managed care aims to reduce costs by discouraging unnecessary or expensive services.
What is the primary method of financing mental health and substance abuse services in the country?
Health maintenance organizations
What distinguishes case management models that are client-driven from those that are provider-driven?
Client-driven models include active client engagement, while provider-driven models are focused on utilizing community resources.
What is the difference between generalist or foundation practice and case management?
Generalist practice involves extensive assessments and intervention plans, while case management emphasizes termination when clients reach their goals.
What sets case managers apart from generalist practitioners and groupworkers?
Case managers link clients to agencies, social service organizations, and community organizations.
What is the primary objective of managed care programs?
To discourage unnecessary or expensive services by influencing or limiting the provider and predetermining their payment.
Study Notes
Concerns with the Term 'Client'
- The main issue with the term 'client' is that it can imply dependency and a lack of autonomy.
- Many 'clients' struggle with feelings of resentment and powerlessness.
Professionalism and Empowerment
- Service users often feel disrespected and powerless when professionals fail to respect their time.
- Professionals who have difficulty arriving on time can damage their practice and undermine the trust of their clients.
- It is essential for professionals to be observant about the values of older adults and to respect their autonomy.
- Professionals who personally believe being on time isn't important are often seen as unprofessional.
Abuse of Power and Aversive Procedures
- One of the main concerns raised about professionals in the service system is the abuse of power.
- Professionals have been known to use aversive procedures, which are widely condemned.
- The American Association on Intellectual and Developmental Disabilities (AAIDD) has issued a position statement condemning the use of aversive procedures.
- Disability organizations demand an end to the use of aversive procedures.
Professional Decision-Making
- One of the main concerns about professionals' decision-making is that they often make decisions without consulting their clients.
- Despite regulatory agencies and certifying bodies' oversight, professionals may still make decisions that are not in the best interest of their clients.
History of Case Management
- The historical significance of case management practice dates back to the settlement house days in New York and Chicago.
- Social workers played a key role in supporting families during the settlement house days.
- Case management has its roots in social work practice.
Case Management Today
- According to the Case Management Society of America, case managers empower people to take control of their lives.
- Case managers work with clients to identify and achieve their goals.
- The National Association of Social Workers (NASW) defines case management as a process that aims to improve the well-being of individuals.
- The primary focus of case management is to empower individuals to take control of their lives.
Certification and Training
- Professional social workers receive their case management training through various programs.
- The National Academy of Certified Case Managers aims to assure the competency of case managers.
- The Case Management Society of America issues voluntary guidelines for case management practice.
- The National Association of Case Management provides resources and support for case managers.
Test your knowledge on case management from an empowerment perspective based on the content from the book 'Case Management from an Empowerment Perspective, Fourth Edition: A Guide for Health and Human Services Professionals'. This quiz is created from Humber and covers key concepts and principles relevant to health and human services professionals.
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