Exam3 HUS1001 Chp 10-13

Assertive Community Treatment, the strengths model, and the brokerage model are

approaches to Case Management.

Problems of personal dissatisfaction are

appropriate for human service workers to address

Miller and Rollnick define motivation

as a state of readiness to change

During crisis a person looks

for ways to reduce discomfort

Although some individuals can withstand more stress than others,

all individuals have their breaking point.

Providing a setting for the client to ventilate feelings, discuss problems, examine approaches, receive feedback, receive support, and obtain resources is

an effective crisis intervention.

The case management treatment approach was applied to HIV/AIDS management not long after

1981

There are four basic ways to gather assessment information this includes:

Ask the client, ask someone who knows the person, observe the client in their natural setting, observe the person in certain standard test situations

Case management was designated

an essential within the federal Community Support Program (CSP) in 1978.

The multi-problem person is less likely to benefit from crisis intervention without

additional support systems to deal with longer-standing problems

The "stages of change" model, as developed by Prochaska and Di Clemente, lists five stages of change

They include Contemplation, Action, Preparation, Maintenance, and Precontemplation.

Being distressed by their behavior and thinking about changing it is

a characteristic of people in the Contemplation stage of change.

The Program in Assertive Community Treatment or ACT case management requires

a client to staff ratio of 10 to 1.

The High-Intensity Case Management model includes

case loads being shared across clinicians rather that individually assigned; there is twenty-four hour availability for crisis intervention by someone who knows the client fairly well; most services are provided in community settings rather than in the clinician's office.

According to Prochaska and DiClemente

change is a process defined by stages.

The cause of the crisis state is the

client's perception of an event that's so stressful it interferes with his coping patterns

In times of crisis, crisis decompensation is a

common occurrence.

No matter when the breaking point

common signs of crisis appear in all people.

Crisis prone is

crisis behavior occurring under low stress precipitators

Bottoming out refers to the end of

decompensation when the person hits his lowest ebbs and begins crisis resolution

During crisis a person is

especially sensitive to his or her own inability to cope

Problem identification helps

expedite linkages with service agencies

The fundamental idea of the "Strengths Model" of case management is to

focus on the client's strengths and less on their deficits.

In major disasters most people

have crisis symptoms

Assessment is concerned with

identifying the nature and severity of maladaptive behavior.

The primary goal of crisis intervention is to

increase coping skills

Changing problem behaviors can be difficult for some individuals when the

individual is ambivalent about the behavior; when the individual sees positive benefit to the behavior; and when the individual may be unaware they have a problem.

Assessment includes

input, preparation, output, and processing of steps.

The interviewer should be

interested and accepting of the patient to help the patient talk freely.

The dominant case management model in social welfare programs like TANF (Transitional Aid to Needy Families)

is the brokerage model

Engagement is

is the first and perhaps most critical task in clinical case management.

When not in crisis, most individuals

maintain at some adjustment level whose effectiveness varies only slightly

The principles and practices of motivational interviewing

most closely resemble Rogers' Client-Centered therapy.

Miller and Rollnick say that the most important factor in changing problem behavior is

motivation

The goal of the first contact in crisis intervention is to

obtain a commitment from the client to seek help

Skilled interviewing is

probably most heavily influenced by the interviewer's relationship with the client.

The Brokerage model focuses on

problem identification, plan development, and brokerage to services that will help a client solve their identified problems.

From a Motivational Interviewing perspective, all of the following strategies would increase a person's motivation to change

raising awareness, developing discrepancy, and increasing self-efficacy.

Successful crisis resolution requires

seeking and accepting help with tasks and feelings from personal and institutional resources.

We call a person crisis prone when they

seem to have one crisis after another.

The belief in one's abilities is best described

self-efficacy, as defined for motivational interviewing.

A crisis is

self-limiting

Brokering is

specifying services, defining the goals of services, and linking the consumer to services.

A worker's style of interaction with a client has an impact on

the change process

According to Miller and Rollnick,

there are three elements that are critical for motivation to arise. They are importance, confidence, and readiness.

Triage means

to sort out problems

Three important issues in human services case management are

unrealistic expectation, advocacy versus social control, and human resource development.

It is possible for some people to change problem behaviors

without formal help.