Fundamentals of Case Management Practice: Skills for the Human Services 5th Edition Solution Manual

Name: Fundamentals of Case Management Practice: Skills for the Human Services 5th Edition Solution Manual
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Fundamentals of Case Management Practice: Skills for the Human Services 5th Edition Solution Manual makes textbook problem-solving simple, with detailed answers that make learning fun.

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Exercises for Chapter 1
Exercises
These exercises can also be filled out online at CengageBrain.com.
Exercises I: Case Management
Instructions: In each of the following situations, develop a tentative plan for the client. List the
various services you believe each person needs initially. Include in your plan for each client both
formal and generic services, and where appropriate, use social supports and support groups.
Suggest other services the person might use later once the case is stabilized. Think about how
you can involve others close to the person and how you will involve the client in planning.
1. You are called by the daughter of an elderly woman who lives alone. The daughter lives
in another city and is concerned because her mother does not drive and has seemed
unhappy and listless on the phone. The daughter expresses concern that her mother seems
lonely and is perhaps depressed. The daughter does not know her mother’s neighbors and
calls you instead at the Office of Aging. She has told her mother she is going to call your
agency for help, and the mother had no objection to that.
2. A man with an intellectual disability lives alone with his widowed mother. She has fallen
and broken her hip and will be at the rehabilitation hospital for about 6 weeks. He cannot
stay alone. He has a job at Goodwill Industries. County transportation takes him there
every morning at 8:30 A.M. and brings him home at 5:00 P.M.
3. A woman and her two children are waiting to receive their welfare check. They came to
your state from another to escape an abusive husband and father. The woman is frail and

appears sick. They have no place to go and have not eaten in several days. The children
smell as if they need a bath and are listless.
4. A mother of two preteens has brought her son in for services. The woman is a widow.
She confides that she has been having trouble controlling the boy, who is the oldest, and
that the girl is disgusted with her brother’s behavior and does not want to be involved in
helping him. Lately the boy has become involved with teens his age and older. They have
been drinking and coming home when they feel like it. The mother allowed them to
smoke pot in the garage in hopes that she could keep the boy at home, but now she feels
that backfired. The boy makes it clear that he thinks coming for help is ridiculous and
says the one thing he will not do is give up his friends.
5. A man has been referred by his family physician for help. The man seems extremely
inebriated. His wife brings him in and says she is worried that he may go into delirium
tremens if he withdraws from alcohol too quickly. His family physician did not see him
but sent the couple straight to your office.
6. A father brings in his 14-year-old daughter who is running the streets, refusing to listen,
and failing in school. He is at his wits’ end, saying he must work and cannot be home
when the girl returns from school. Her mother died 4 years ago, and the trouble started
when the daughter was about 12. The father feels that he and his daughter have a difficult
time communicating with one another.
7. A police officer asks you to come to the home of an older man he has been concerned
about for several weeks now. The man is delighted to see you and tells you that he is
having pains in his legs and is unable to walk. During your visit, he asks you to get things
for him that are nearby, but obviously it is too painful for him to get up. He says he does

not go to the kitchen often to prepare meals, but the police officer has stopped by several
times with sandwiches, and Mrs. Jones from up the street, an old friend of the man’s late
wife, has brought a casserole on occasion. He is adamant that he wants to stay in his
home as long as he can.
8. A woman comes in complaining of depression. She says it started when her husband left
with a younger woman and she has not been “right since.” She reports having difficulty
falling asleep and complains of no appetite. She says she has missed more than 3 weeks
of work since he left last month. There are no children, but she tells you she has
neglected the dog and cannot remember if she fed him last night or not. She appears
listless and very sad, weeping off and on during the interview.
9. A man in his 60s comes in on the recommendation of his doctor. He had a back injury
some years ago and was placed on codeine at the time. After the back injury, other things
went wrong. The plant where he worked closed down and his mother died. He found
himself feeling very alone and uncertain about finances. “It was then that I started to
drink too,” he tells you. When you ask what he means by “too,” he says his doctor
believes he has become addicted to codeine. “I don’t know,” he says. “I’ve gotten to the
point that I can’t get through a day without a lot of help.”
10. A single mother brings her 12-year-old son in because they are “not getting along.” She
reports that he does not listen and comes and goes as he pleases. His homework has fallen
off and his grades have slipped, but he is still doing well in math and likes his math
teacher. The boy’s father was killed in a railroad accident 2 years ago. The mother tells
you that the boy and his father enjoyed a close and warm relationship, and that she has
felt her influence on him slipping away since the accident.

11. A woman comes to your agency on a referral by the courts after she was arrested for
selling various prescription medications on the street. She tells you she currently has
some amphetamines, Xanax, and a popular addictive pain medication in her bag. The
court is ordering her to show within the next week that she has enrolled in a program that
will get her help with her own addiction to some of the medications she sells. “I have
regular customers,” she tells you. “And they are going to crap when I stop coming
around.” Asked where she gets her medications, she smiles mysteriously and says, “The
police are looking into that—you don’t need to.” She denies she is addicted to anything,
but court records, including an evaluation by a psychologist, which she has brought with
her, indicate that she is addicted to several different medications.
12. A woman who was recently placed in the community after 3 years in a state mental
hospital is having trouble adjusting to the living arrangement made for her by the
hospital. She is not going out and does not participate in any activities. She is friendly
when you talk to her and seems glad to have your company, but she does not seem to
know how to take care of the details of everyday living. She has a roommate who is more
competent and independent. The two get along well.
13. A woman with two small children is referred to you because she recently lost her
apartment. She has a meager income from a part-time job as a clerk in a convenience
store and was unable to pay the rent and take care of other bills. She seems unaware that
she might be eligible for financial assistance. She is not sure where her children’s father
is at the moment. All her belongings are packed in five bulging garbage bags. She and her
children seem malnourished and thin.

14. A man comes in who was referred by his job for possible crack use. The man admits he
uses crack, but rarely and certainly not to the extent that it would interfere with his work.
He will be given 4 weeks off if he enrolls in a legitimate program for detoxification. He
seems reluctant and torn. Eventually, he agrees to work with you on a plan.
15. An older woman comes to you for help after a particularly abusive incident with her
husband. She admits that she is becoming increasingly afraid of him. She has no friends
and no job, “because he wouldn’t let me out of the house—or out of his sight.” She has a
number of old bruises and lost two teeth in this last incident. She is asking for help and
says, “I don’t know. I really fear for my life. It’s just gotten out of hand and I don’t know
where it will end.”

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Exercises II: Decide on the Best Course of Action
Instructions: Sit with a small group of other students and decide how you will handle each
situation. There are many areas both ethically and legally that are not clear, so the discussion you
have with your colleagues about these cases is much like a discussion you might have in a real
agency. There are no “correct answers.”
1. You are the case manager for a man who has only recently had a first manic episode. He
had submitted to treatment, responded well, and returned to work. However, he is
currently experiencing another episode, and this one seems more severe. He is not
sleeping or eating, is sending cryptic messages on the Internet, and believes everything he
reads there is directed at him. He believes the government is “monitoring” him, and that
he has an important job lined up with a record company in New York. You have
determined that he is not leaving his house, and that he is preoccupied with what is
happening on message boards and chat rooms on the Internet. You have checked in with
him several times by phone. Each time he assures you that he is fine and does not need
help.
What is the best course of action? Do you risk seeking an involuntary commitment,
knowing that he seems just well enough to convince the emergency room physician he is
not in need of hospitalization? Will this alienate him and make it impossible for you to
work with him? Do you wait for things to get worse? If so, is there a chance he may leave
the house and get into trouble? What might happen if you wait it out?
2. A 72-year-old woman on your caseload has been in mental health services for a number
of years, ever since the year after she graduated from college. She has had severe
episodes of schizophrenia over the years with countless hospitalizations and prescriptions

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for numerous antipsychotics and antidepressants. All her life she has been a client of
social services and hotlines, reaching out frequently for any support she could get. She
has always been very dependent on her case managers, calling them often for support.
When support was withdrawn, as it often was when workers tried to get her to be more
independent, the woman would deteriorate.
Sometime after she turned 60, these severe, acute episodes diminished, and she has been
living in comfortable subsidized living arrangements for senior citizens. As she has
grown older she has developed breathing problems that will eventually take her life. In an
effort to be helpful and without your knowledge, her family doctor referred her to hospice
for support. In his view she was facing the end of her life. Hospice entered the picture
with considerable support, seeing her often, providing meals and companionship. This
level of attention met the woman’s needs for support and she became extremely
dependent on the hospice workers. She seemed happier and began to participate more in
the group activities at the apartment building where she lived. This level of support is
more than you could give and you have been relieved that she is doing so well with the
hospice workers. However, hospice has decided to withdraw their services. The woman’s
death does not appear to be imminent. In fact she appears to be improving slightly. The
woman has called you, her case manager, in a complete panic at the prospect of losing
this support. She is not eating and is distraught.
What are the ramifications here? What does continued hospice support mean for hospice,
which relies on public and charitable funding? What are the consequences if the services
are withdrawn for this woman and for you? Are there solutions to this problem? Are there
ethical considerations here?

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Exercises for Chapter 2
Exercises
These exercises can also be filled out online at CengageBrain.com.
Exercises I: Ethics
Instructions: The hypothetical practice situations that follow are designed to stimulate
thinking and discussion on the issue of confidentiality. Each situation is followed by a
multiple-choice list of possible responses you might make. Choose the responses that you
consider the best. In some cases you might want to use more than one of the responses listed.
Others may choose a different answer. Discuss with your fellow students the different
possibilities and what might present the best outcome for the client.
1. Paula is a 17-year-old client in the daytime partial hospitalization program. Her mother
phoned and requested to know Paula’s psychiatric diagnosis so that she could inform the
family’s physician who is treating Paula for diabetes. You should:
a. Advise the mother of the diagnosis and the name of the psychiatrist who made the
diagnosis.
b. Call the family physician directly and advise him of the diagnosis.
c. Ask Paula to sign a release of information form giving consent for the physician and
the mother to be advised of her diagnosis.
d. Refuse to release the information at all.
2. Kelly requests a copy of his current treatment plan. You should:
a.

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c. Discuss the treatment plan with Kelly and then see that he has a copy.
d. Refer Kelly to the attending psychiatric physician.
3. A 13-year-old boy requests that his school counselor be sent a copy of his initial
interview and discharge summary. He signs a release of information form, documenting
his written consent for the information to be transmitted. You should:
a. Forward the material to the school counselor.
b. Give the information to the boy who can deliver it to the school counselor.
c. Have the medical records department forward the information to the school counselor.
d. Refuse to release the information until a parent cosigns the release of information
form.
4. In the case above you would
a. Release the complete chart
b. Release just the discharge summary
c. Release only those portions of the discharge summary that the school needs for their
work with the boy and not release the initial intake summary as it contains
information that is no longer relevant but taken out of context could be damaging to
the boy’s family

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she wants to take all the pills. You feel there is a substantial risk that Mary might follow
through on her threat. You should:
a. Contact the Polyclinic orthopedic staff who are currently seeing Mary in the
outpatient clinic.
b. Maintain frequent contact with Mary, but respect her wishes to keep her suicide plans
confidential.
c. After discussing with Mary what you are about to do, contact crisis intervention.
d. Advise the city police department of Mary’s suicide plans.
6. Bill Jones is a client who has been in alcohol treatment programs at your facility. He is
currently depressed about his pending divorce and present marital separation. He has
signed a release of information form for you to share information with his priest, who is
counseling Bill about his religious conflicts regarding the divorce. A man calls you
claiming to be Bill’s priest and requesting information on Bill’s current state of mind.
You have never actually spoken with Bill’s priest, and you think this might actually be
Bill’s wife’s attorney calling. You should:
a. Give no information on the phone until you have verified the identity of the caller.
b. Refer the caller to Bill, but send the information to the person at the address on the
release form Bill signed.
c. Insist upon meeting with the priest in person.
d.

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