Case management

1. THE HELPING RELATIONSHIP
AND
CASE MANAGEMENT

2. START
WHERE THE CLIENT IS

3. THE CLIENT- WORKER RELATIONSHIP
• a professional relationship established for
the purpose of attaining objectives of
helping.
• The relationships must be guided toward
positive and constructive directions within
the context of objectivity and professional
values in order to promote the client’s
inner security, self-dignity and sense of
trust.

4.  Since the
relationship is
established with a
professional
purpose, the worker
recognizes the
importance and
dynamic
involvement of
SELF and of
“professional use of
SELF”.
 Self-awareness is
the person’s
ability to perceive
realistically his
response to other
persons in
particular
situations and to
understand others
reactions and
views on him.
SELF- AWARENESS

5. 3 COMPONENTS OF HELPING RELATIONSHIP
 REALITY
This is the realistic and objective
perception of existing conditions or situations.
A person who has a perception of reality is
the one who recognizes his problem situation
and accepts this situation, then does
something about it. The person who is able to
see his situation realistically is usually the
type of person who is motivated and willing to
cope with his problem situation for problem-
solving.

6. 3 COMPONENTS OF HELPING RELATIONSHIP
 TRANSFERENCE
are the client’s displacement
on the worker of particular
feelings and attitudes he
originally experiences toward his
family members or people he is
close to
This is unconscious and not

7. 3 COMPONENTS OF HELPING RELATIONSHIP
 COUNTER- TRANSFERENCE
It is the carrying-over of the
worker’s particular feelings and
reactions to a person in the
worker’s past and projecting
them on the client.

8. What is a case?
 A case is a person in a situation in
need of, asking for or seeking help.
(a client)

9. WHAT IS MANAGEMENT?
 This is how the service providers
enable the client perform specific
tasks or activities and use the agency
and other resources to reach the
desired results in a systematic way.

10. What is Case Management?
 Is an interactive process in which
the client and worker(s) consciously
work together and resolve the
problem.

11. Rationale of Case Management:
The process that enable the persons
(worker/client) mobilize resources
(internal/external) to achieve a desired
outcome.

12. FUNCTION OF CASE MANAGEMENT:
 To help restore,
enhance, modify and
maintain the social
functioning of the client, to
help him/her move beyond
survival level by enabling him/her through the
provision of opportunities that will help him/her
create conditions for change.

13. OTHER DEFINITIONS OF CASE
MANAGEMENT:
 Paras (1982) referred to case management as a
system of intervention that entails administrative
and managerial skills for maintaining the helping
relationship and dealing with the ongoing work with
the client.
 Both Marasigan and Mendoza (1994) referred to
case management as the basic helping process.

14.  Case Management (as referred to by Social
Work authorities) as both a skill in social
intervention and as an approach to service
delivery.
 De Guzman ( 1992 ) included it among the
social worker's skills in the delivery of services.
She also referred to it as an approach to service
delivery that attempts to ensure that social
welfare clients with complex multiple problems
and disability receive all the services they need
in a timely and appropriate fashion.

15. O’Connor (1988) presented case management as
“systematic arrangements (among)… formal and
informal community resources necessary for
implementation of case management practice.
 This entails an integration of services which
harmonizes the functions of various levels of
professionals to maximize their contribution to the
case management process”

16. Case management is:
It is a boundary-spanning approach in that,
instead of providing a specific direct service,
it utilizes case managers who link the client
to the maze of direct service providers
(Allen Rubin, Encyclopedia of Social Worker, 18th
Edition, NASW, pg. 212)

17.  Case management is mutually interactive
process in which a social worker / helping
profession and the client help together in a
problem-solving situation.
The worker takes responsibility for an
“organized arrangement” of services to heal,
rehabilitate, care for or seek change for person
with personal, social physical or mental problem.
(Philippine Encyclopedia of Social Work(2000
Edition)

18. CASE MANAGEMENT:
STREET EDUCATION PROGRAM
 is the process of helping the child/client to
improve his/her functioning and achieve his life
goals through intervening in the interaction
between the child and his environment and
mobilizing of internal and external resources.
 The process is goal directed, based on sound
diagnostic assessment and based on an
established client-worker relationship.

19. DEFINITION OF CASE MANAGEMENT –
BASED FROM PANGARAP EXPERIENCE:
 Is a system of interventions and mutually
interactive process in which a multi-
disciplinary team and a client work together in
a problem solving situation.
 It is a strategy to achieve positive outcomes
through empowerment of the child,
coordination of sustained services, shared
information and advocacy.

20. PRINCIPLES IN CASE MANAGEMENT
1. Trust is central to the process.
 This is where the quality or
depth of the case worker
depends upon.
 Without trust from the client
to the worker and vice-versa,
not much will be achieved.

21. 2. Confidentiality
 An assurance with the client
will help gain further trust of
the client.
 If there is a need to share information with
other agencies or workers, the client must
be informed about it and assure the client
that it is necessary to help him / her.

22. 3. Self-determination
 An overriding principle in
any CM process.
This is based on the
belief that every person
has the right to make his
or her own choices and
decisions.
 In the case of children, the family or
caregiver or the SW has to take the
responsibility.

23. 4. Non-judgmental attitude
 Maintain an attitude of
objectivity and respect
of client’s values and
choices in life.
 CM / SW present alternatives and discuss
their consequence/s in order for the client to
make an informed decision. Worker should
not impose her own values to the clients.

24. GUIDING PRINCIPLES FOR OPTIMAL
DELIVERY OF SERVICES FOR CHILDREN
1. Effective and efficient case management
must ensure that the services are delivered
in a coordinated and therapeutic manner.
2. There should be a clearly defined case
manager.
3. Child and responsible family members given
opportunity to participate in assessment as
well as planning and delivery of services.

25. 4. Assessment should serve as guide to an
individualized plan of services.
5. There should be a comprehensive
spectrum of services.
6. Services should be integrated and
provided within the most normative
environment that is clinically appropriate.
7. There should be an early identification
and prompt intervention.

26. 8. Services should allow the child and his family
to move through the system of services
according to their changing needs, including a
smooth transition to the adult service system.
9. Rights of the children should be protected,
effective advocacy efforts for children and
adolescents should be promoted
10. Appropriate services regardless of sex,
economic status, religion or other
characteristics.
* Based from recommendations of Dr. Cornelio Banaag in his
study on Resiliency

27. FIGURE 1. CASE MANAGEMENT PROCESS
9. After-Care Program
7. Evaluation
• Appraisal of the targets, strategies and
treatment process
8. Termination or Follow-up
• Completion of the process after both child and
service provider have agreed that they have
attained their goals or follow-up of the case if
goals are not yet achieved or there are new
goals
6. Case Review
• Review of all data gathered, the child’s
relationship with service provider and
redefinition of the current problem.
2. Data Gathering
• Pertinent data are gathered in order to
better understand the child’s situation,
strengths and limitations
3. Diagnostic Assessment
• Professional evaluation of the service
provider based on information gathered
4. Planning the Intervention
• Identifying the targets
 Of the child
 And of the service provider as well as
treatment strategies
5. Implementation of Plan
• Application of appropriate intervention /s
and strategies as earlier planned.
1. Problem Identification/Intake
 The reasons for help
seeking are identified and serve as the
initial guide in the helping process