The Key Aspects in Clinical Case Management

Exposé (Elaboration) , 2018 , 5 Pages , Note: 1.2

Médecine - Environnement hospitalier, médecine clinique

Clinical case management is an integral component of healthcare through which appropriate intervention strategies are executed to address health problems among different patients. However, Kanter defines case management in relation to two different settings. Foremost, he defines case management from the perspective of social work where in the ordinary social work precepts it involves an array of environmental interventions.

In this scenario, it entails the provision of support services to people with chronic medical conditions, substance abuse and mental illnesses. The second setting is the healthcare where case management entails the monitoring of medical services. On the other hand, case management in mental health entails providing support to people with social or health needs including housing and mental disorders.

According to Kanter, it is worth understanding the key aspects of case management including human resource issues and intervention models in order to respond appropriately to the needs of different clients. In light of Kanter’s article, this paper will provide a critical analysis of the key aspects in clinical case management.

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ning, advocacy, assessment, linking, and monitoring, in order to ensure that the service system

operates efficiently for successful outcomes. It is reported that this report acknowledged the role

of case managers in ensuring a continuous relationships with clients exist to avert the predispos-

ing factors that lead to a crisis. However, the model presented through this report propagated the

issue of segregating case management from clinical services, an incident that Kanter (2010)

views as an accidental misconception that has persisted into modern case management practice.

He also cites the same problem with the British service system where social workers provid-

ed interventions on the basis of environment. Kanter reiterates that the individuals, as well as

families in crisis require the integration of psychological and environmental interventions

(Kanter, 2000). He asserts that this concept has been in existence for nearly a century, an aspect

that required focus by all stakeholders in crisis intervention through an integrated approach. This

is evidenced by his remarks that "the concept of integrating environmental and psychological

interventions when assisting individuals and families with a wide array of difficulties is nearly a

century old" (Kanter, 2010 p. 8).

By 1970, the concept of integrating psychological and environmental interventions received

negative responses from social workers. Instead of integrating the two aspects into a comprehen-

sive intervention approach, there was an unprecedented divergence in professionalism leading to

the emergence of two different forms of professionals; those interested in the environmental do-

main and the other groups pursuing the psychological domain. This led to the abandonment of

the integrative perspective of social casework and exclusion from the social work profession.

However, the significance of integrating environmental and psychological perspectives resur-

faced in 1980s leading to the current clinical case management model that encompasses both the

environmental and psychological intervention approaches.

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In light of Kanter's discussion, it is clear that environmental and social resources serve as

some of the key components of in the case management knowledge base. Ordinarily, case man-

agement approaches require extensive information on different aspects regarding the client.

Therefore, case managers should possess substantial knowledge on environmental and social

resources.

On environmental resources, case managers are required to understand such issues as social

security programs related to disability. For instance, managers dealing with unemployment cases

are supposed to have an advanced knowledge on the appropriate incentives. It is also worth un-

derstanding the disincentives related to employment. As such, it is essential for case managers

dealing with unemployed clients who intent to resume working should understand the available

environmental resources.

On the other hand, knowledge on social resources plays significant roles in ensuring case

management approaches generate successful outcomes. This aspect, as Kanter (2010) observes,

identifies clinical case management approach as a different model compared to the strengths

model (Rapp & Goscha, 2006). In clinical case management, case managers are expected to have

an advanced understanding on client's deficits, a different situation from what happens in

strengths model where managers do not possess adequate knowledge on social resources

(Floersch, 2002). Through understanding the social resources, case managers are able to make

informed decisions regarding ways of addressing deficits. For instance, managers can consider

adopting learning theory for clients who lack social skills or ego psychology for clients with

temper episodes.

The key practical issue in case management is separating psychological intervention from

case management. As it has been suggested, case management is expected to focus on the envi-

• Université: Egerton University
• Note: 1.2
• Auteur: Patrick Kimuyu (Auteur)
• Année de publication: 2018
• Pages: 5
• N° de catalogue: V388516
• ISBN (ebook): 9783668623569
• ISBN (Livre): 9783668623576
• Langue: anglais
• mots-clé: aspects, clinical, case, management