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Case management plan

Student name: Ji Wei Student ID: JIW08253139

Holmesglen Institute of TAFE

Case Management Plan

Subject: Develop, Facilitate & Monitor all Aspects of Case Management

Case management plan

Student name: Ji Wei Student ID: JIW08253139

Report for: Sheryl Brett

Report by: Ji Wei

Student ID: JIW08253139

Due date: 07/09/2009

Table of contents
1.

The introduction of the

case1
2.

The contents of the portfolio.. 1

3.

Role and responsibility of the client. ..2

4.

Role of the worker. 2

5.

Role of other workers and services....

Case management plan

Student name: Ji Wei Student ID: JIW08253139

..2
6.

The process the case management plan.. 3

7.

Implementation process.. .3

8.

Monitoring and evaluation system.. ..3

9.

Agenda for case management meeting.. ...4

1. introduction
Hope House is an organization that providing services for disability people,
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Case management plan

Student name: Ji Wei Student ID: JIW08253139

its target group is the people between 18 and 40 with disability. Its services include: Carer Activity and relationship for disability Assistant treatment for disability Mental health for disability Building life plan for people with disability Sue Jackson: is a 22 year old girl, she is paralyzed from waist after a car accident, and there is also other problems with her, for example, emotional lability, relationship with family, memory, physical health and so on. Angie: is the manager of the Hope House, and she is also the manager for the case management plan for Sue.
2.

The contents of the portfolio


The role and responsibility of the client The role of the key worker The role of other workers and services The process of the case management plan Entry screening The information form for Sue The notes written by the manager for Sue The basic service Sue needs Assessment The health condition form, health behavior form, psychosocial form The functional assessment summary The notes written by the manager for Sue The consent form and the referral form Planning The needs for Sue are: carer, physical treatment, mental treatment, alcohol, relationship. The referral services for Sue The goals for Sue The process and time for Sue Carer---Baptcare organization Physiotherapy---Brighton Bay organization Psychologist---MBS organization Alcohol---EDAS organization Relationship---Wavlink organization The policy and procedure The notes written by the manager for Sue( include the steps) Direct service Carer---Baptcare organization Physiotherapy---Brighton Bay organization
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Case management plan

Student name: Ji Wei Student ID: JIW08253139

Psychologist---MBS organization Alcohol---EDAS organization Relationship---Wavlink organization The notes written by the manager for Coordination Care coordination plan form The process of coordinating The services The workers Target date The notes written by the manager for Monitoring and review The date for reviewing Rewrite the action plan if need Feedback The notes written by the manager for Exit planning The time case closed Make the policy and procedure The notes written by the manager for Evaluation Feedback Evaluation form The notes written by the manager for

Sue

Sue

Sue

Sue

Sue

The role and responsibility of the client


1. The client should give true information to the workers who provide services. 2. The client should obey the consent 3. The client can discuss with the manager about the service he/she needs 4. Demonstrate respect to the case worker regardless of their culture or

background
5. To participate in the decision and actions that effect their lives 6. To take responsibility for agreed actions 7. To behave in a manner which does not pose any real or perceived physical

or emotional threat to the case worker other staff or client


8. To provide relevant information to assist in their case plan 9. To assume responsibility for the outcome of the decision they make.

Case management plan

Student name: Ji Wei Student ID: JIW08253139

The role of workers


1. The workers shall regard all information concerning client disclosed in the

course of practice as confidential.


2. The workers should be accountability to the client in preserving their dignity

and autonomy.
3. The workers has an obligation to treat client with respect

The role of the clients family member


1. The family member of the client should cooperate with the worker. 2. The family member should be respect to the worker.

The role of psychologist and service


1. The psychologist should be on time 2. The psychologist should provide service at the clients home 3. The psychologist can take the client out of home when the GP agrees with

that.
4. The psychologist should have a discussion with the clients GP when is

necessary.
5. The psychologist should be cooperated with other workers.

The role of carer and service


1. The carer should be live at the clients home 2. The carer should be cooperate with other workers during the clients

treatment process
3. The carer should report to related workers about the clients information

The role of G.P


1. The GP should be cooperated with other workers.
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Case management plan

Student name: Ji Wei Student ID: JIW08253139

2. The GP should provide the information other workers need

session

Monitoring and reviewing form for client

Client name:_____________
Time of monitoring: Type of review: Telephone: Content of review: Visit: interviewer:

Case management plan

Student name: Ji Wei Student ID: JIW08253139

1. Does the clients emotion always lability?

None

sometime

always

2. is the clients memory improved?

Little

A little

much

3. What about the clients speaking expressional ability?

4. How about the clients psysical health?

No pain

A little pain

always pain

very pain

5. Does the client stop drinking alcohol?

Yes

no

reduce

6. What about the relationship between the client and other people?

Improve a little

much

good

very good

7. How about the clients skills for living?

Meeting Agenda
Team: workers provide services for Sue Date: 16/09/2009 Case manager: Angie. V Purpose: good treatment for the client issue Start/end time: 9:00-10:00 Location: campus w1.2.30 Waverley

Case management plan

Student name: Ji Wei Student ID: JIW08253139

Agenda Items
1 Prior to the meeting A. Review attachments and agenda information prior to meeting 2 Welcome A. B. 3
A.

As neede d 10 minut es 30 minut es

Introductions Review todays agenda Clients information and basic case--manager

Presentation

B.

The treatment plan for the client---related services

C. D.

Carer agencys report---Suki Lee Psychologist agencys report---Sandika

E. GP---Joyce
F.

Physiotherapy agencys report---Lynn 5 minut es

4 5

The common policy , procedure and agreement Meeting over

Bibliography
1.

Class notes, Sheryl Bretts lesson, Holmesglen Institute of Tafe, 2009.

2.

Welfare document, all students, Tafe VC, Holmesglen Institute of Tafe, 2009.

3.

http://www.Wavlink.org.au
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Case management plan

Student name: Ji Wei Student ID: JIW08253139

4. http://www.launceston.tas.gov.au/index.php/view-councilagendas-iwantto-795
5. 6.

http://doe.sd.gov/oess/cans/docs/other/monitoringrvwform.doc Brighton Melbourne bay physiotherapy massage therapy Brighton

7.

M B S agency

8. Baptcare agency 9. EDAS agency

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