Fundamentals for Practice with High Risk Populations

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ISBN: 9780534558666 | 0534558666
Cover: Paperback
Copyright: 9/27/2002

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Summers' new text examines all the particular issues and specific concerns that should be understood and addressed for each high-risk population. The text indicates what warning signs to look for, what questions to ask, and what potential problems may arise. While it primarily functions as a companion text to Summers' FUNDAMENTALS OF CASE MANAGEMENT PRACTICE, which covers the basics of case management, this new text presents the basic steps in practice, dealing with specific high-risk populations. It also offers a greater focus on intake and monitoring. Although Summers' two books are related, this book can also be used on its own or as a supplement to other, more theoretical texts. The text is also an ideal reference for students working with specific populations.

At Risk

(8)

Introduction

(1)

Defining At Risk

(1)

Who Decides

(1)

Making the Decision

(1)

Determining the Intervention

(2)

Primary Prevention

(1)

Secondary and Tertiary Prevention

(1)

Case Management with High-Risk Populations

(1)

It Is Not Always Easy

(1)

Conclusion

(1)

Exercises

(2)

Writing a Social History

(12)

Introduction

(1)

What Is a Social History

(1)

Layout of the Social History

(1)

How to Ask What You Need to Know

(6)

A History of the Problem

(1)

Background Information About the Person

(4)

Impressions and Recommendations

(1)

Capturing the Details

(1)

Sample Social History

(3)

Social Histories in Other Settings

(1)

Limited Time for Intake

(1)

Who Took the Social History

(1)

Exercises

(1)

Case Management with Children and Their Families

(58)

Introduction

(1)

Special Considerations

(2)

The Ecological Model

(1)

The Child's Point of View

(1)

Respect

(1)

Prevention

(1)

Vulnerability

(1)

Child and Adolescent Service System Program or Systems of Care

(4)

Cross-Systems Collaboration

(1)

For Communities

(1)

CASSP Is Becoming the Norm

(1)

CASSP Core Values

(1)

Cultural Competence

(1)

Different Cultural Expectations

(1)

Assisting Families to Negotiate the Dominant Culture

(1)

Finding Strengths in the Culture

(1)

Stereotyping and Racism

(1)

Child Development

(3)

Social Development

(1)

Cognitive and Language Development

(1)

Emotional Development

(1)

Physical Development

(1)

Mandated Reporter

(2)

Other Legal and Ethical Considerations

(1)

Involving the Family

(3)

Barriers to Good Planning for Children

(1)

What Case Managers Can Do

(1)

Children's Mental Health

(9)

Attention Deficit/Hyperactivity Disorder (ADHD)

(2)

Oppositional Defiant Disorder (ODD)

(1)

Conduct Disorder

(1)

Separation Anxiety Disorder

(1)

Depression

(1)

Bipolar Disorder

(1)

Generalized Anxiety Disorder

(1)

Social Phobia

(1)

Posttraumatic Stress Disorder

(1)

Divorce Reactions

(3)

Eating Disorders

(1)

Assessment

(2)

Strengths-Based Assessments

(1)

Communication

(1)

Recognition of Problems

(1)

The Mental Status Examination

(1)

Summary

(1)

Medications and Treatments

(2)

Medications

(1)

ADHD

(1)

Depression

(1)

Other Disorders

(1)

Support Groups

(1)

Services

(11)

Case Management

(2)

Wrap-Around Services

(2)

Planning and Case Management

(1)

Case Management and Advocacy

(1)

Case Management with Older Children

(3)

Outpatient Treatment

(1)

Community-Based Interventions

(1)

Partial Hospitalization/Day Treatment

(1)

Residential Treatment Centers (RTCs)

(1)

Inpatient Treatment

(1)

Crisis Services

(1)

Other Services Using Children's Case Managers

(2)

Child Welfare

(1)

Juvenile Justice Systems

(1)

Doing Your Assessment and Following Your Client

(1)

Exercises

(6)

Form: Intake Form for Children and Adolescents

(10)

Case Management for Survivors of Rape and Domestic Violence

(68)

Introduction

(2)

Special Considerations for Working with Victims of Rape and Domestic Violence

(1)

If You Are Male

(1)

Interchangeable Terms

(1)

Other Forms of Domestic Violence

(1)

The Victim as ``She''

(1)

Organizations That Serve Women

(1)

Background

(1)

Working in Women's Programs

(2)

Your Role

(1)

Confidentiality

(1)

Statistics and Prevalence

(1)

Rape

(1)

Domestic Violence

(1)

Batterers and Rapists

(1)

Victims

(1)

Reluctance to Seek Help

(1)

What Is Domestic Violence?

(3)

Types of Abuse

(1)

Other Aspects of Domestic Violence

(2)

Leaving an Abusive Relationship

(2)

The Leaving Process

(1)

Barriers to Leaving

(2)

Stalking

(1)

Safety Planning

(3)

Documentation

(1)

Reasons Not to Require a Safety Plan

(1)

Individualize the Safety Plan

(1)

Safety at the Hospital

(1)

Assessing Lethality

(1)

Batterer Programs

(1)

Planning to Leave

(1)

Children and Domestic Violence

(1)

Leaving, Visitation, and Support

(1)

Protection from Abuse Orders (PFAs)

(1)

Housing

100

(1)

Addressing the Needs of Diverse Populations

101

(4)

Rural Communities

101

(1)

Gay and Lesbian Communities

101

(1)

Domestic Violence in Later Life

102

(1)

Violence Against Latinas

103

(1)

Teen Dating and Violence

104

(1)

What Is Rape?

105

(1)

Child Sexual Abuse

105

(9)

Risk Factors

105

(1)

Signs of Child Sexual Abuse

106

(1)

Characteristics of Child Sexual Assault

106

(5)

What Children Need to Be Told

111

(1)

Trauma of Child Sexual Abuse

112

(1)

Child Sexual Abuse Accommodation Syndrome

113

(1)

Working with Nonoffending Parents

113

(1)

Sexual Assault: The Issues

114

(1)

Rebalancing Power

114

(1)

Clarifying Blame, Guilt, and Responsibility

114

(1)

Establishing Self-Identity and Bodily Integrity

114

(1)

Defining One's Own Sexuality

115

(1)

Tolerating Diverse Feelings

115

(1)

General Information About Crisis Intervention

115

(3)

Make Accurate Observations

117

(1)

Remove the Client If Useful

117

(1)

The Client Interview

117

(1)

Hot Line Skills

118

(2)

Crank Calls

119

(1)

Responding to a Rape or Domestic Violence Crisis

120

(4)

At the Scene

120

(1)

At the Hospital

120

(1)

Female Victims

121

(1)

Male Victims

122

(1)

Elderly Rape Victims

122

(1)

Victims Who Use Drugs and Alcohol

123

(1)

Victims with Mental Disabilities

123

(1)

Common Concerns

124

(3)

Embarrassment

124

(1)

Who Will Have to Know?

124

(1)

How to Pay for Medical Care

125

(1)

Whether to Prosecute

125

(1)

Shock and Bitter Hatred

126

(1)

Issues Regarding HIV for Victims of Rape

126

(1)

Ongoing Criminal Investigations

127

(1)

DSM-IV-TR Stress Disorders

128

(1)

Differences in Domestic Violence

129

(1)

Common Effects of Rape and Abuse

129

(1)

Disorganization Phase

129

(1)

Reorganization Phase

130

(1)

Doing Your Assessment and Following Your Client

130

(1)

Exercises

131

(6)

Form: Intake Form---Domestic Violence and Rape Crisis

137

(4)

Form: Personal Safety Plan

141

(6)

Case Management in the Field of Drug and Alcohol Dependence

147

(52)

Introduction

147

(1)

Special Considerations

148

(1)

Focus on Alcoholism

148

(1)

Focus on Psychological Dynamics

148

(1)

Psychological Treatment of Alcoholism and Addiction

149

(1)

Addiction as a Disturbance of Self

149

(1)

Producing the High

150

(1)

Graded Depression of Synaptic Transmission---An Important Definition

150

(1)

Pharmacology

150

(1)

Initial Response

150

(1)

Continued Drinking

150

(1)

Addiction

150

(1)

Metabolism of Alcohol

150

(1)

Metabolism in the Liver

150

(1)

Heavy Alcohol Use

151

(1)

Tolerance

151

(1)

Elimination

151

(1)

Tolerance, Dependence, and Withdrawal

151

(1)

Tolerance

151

(1)

Psychological Dependence

151

(1)

Physiological Dependence

151

(1)

Withdrawal

152

(1)

Withdrawal: A Closer Look

152

(1)

Withdrawal Stage One

152

(1)

Withdrawal Stage Two

152

(1)

Withdrawal Stage Three

152

(1)

Detoxification

153

(1)

Detoxification Dangers

153

(1)

Medical Complications of Alcohol

153

(3)

Blood

153

(1)

Liver

153

(1)

Digestive System

154

(1)

Skeletal Muscles

154

(1)

Skin and Hair

154

(1)

Heart

154

(1)

Sleep

155

(1)

Reproductive System

155

(1)

The Fetus

155

(1)

Brain and Nervous System

155

(1)

Assessment and Intake

156

(3)

Promoting a Trusting Relationship

156

(1)

Medical Problems or Instability

156

(3)

Client Education

159

(1)

Toxicology Screening

159

(1)

Treatment Goals for Clients

159

(2)

Level of Care

161

(1)

Outpatient Treatment

161

(5)

Core Components of Intensive Outpatient Services

161

(4)

Optimal Elements of Intensive Outpatient Services

165

(1)

Enhancing Intensive Outpatient Services

166

(1)

Education Plays an Important Role

166

(2)

Retention and Problems of Relapse

168

(1)

The Challenge

168

(1)

Factors Contributing to Dropout from the Treatment Program

168

(1)

Clinical Response to Problems of Retention and Relapse

168

(1)

Schizophrenia and Substance Abuse

169

(1)

Alcohol-Induced Depression and Anxiety

170

(1)

Depression

170

(1)

Anxiety

170

(1)

Other Clinical Challenges

170

(4)

Doing Your Assessment and Following Your Client

174

(1)

Exercises

174

(7)

Form: Evaluation for Drug and Alcohol Services

181

(18)

Case Management with Individuals with Mental Illness

199

(60)

Introduction

199

(2)

Special Considerations

201

(3)

Addressing Brain Disorders, Not Emotional Problems

201

(1)

What You Are Likely to See

201

(1)

Taking Things Personally

201

(1)

National Alliance for the Mentally Ill (NAMI)

202

(1)

DSM-IV TR

202

(1)

Stigma

203

(1)

Mental Health and the Media

203

(1)

Background

204

(1)

Myths

205

(2)

Ways of Viewing Mental Illness

207

(1)

Mood Disorders

208

(5)

Major Depressive Episode

208

(1)

Older People and Depression

208

(1)

Causes

209

(1)

Course and Symptoms

209

(1)

Depression and Other People

210

(1)

Bipolar Disorders

211

(1)

What Is Mania?

211

(2)

Suicide

213

(2)

If Your Client Has Considered Suicide

213

(1)

Look at the Social History

213

(1)

What Did You Observe?

214

(1)

An Ironic Fact About Suicide

215

(1)

Grief

215

(1)

Anxiety

215

(3)

Adjustment Disorder

218

(1)

Schizophrenia

219

(8)

Causes

219

(1)

Course and Symptoms

220

(2)

Case Management and Prevention of Relapse

222

(1)

Lifestyle

222

(1)

Environment

223

(1)

Diagnosis of Schizophrenia Using the DSM-IV-TR

224

(2)

Other Psychotic Disorders

226

(1)

The Mental Status Examination (MSE)

227

(1)

Families

227

(4)

Family Embarrassment

228

(1)

How Case Managers Hurt Families

228

(2)

How Case Managers Help Families

230

(1)

The Older Client

231

(1)

Medications and Treatments

231

(5)

Depression

232

(1)

Bipolar Disorder

232

(1)

Anxiety

233

(1)

Schizophrenia

234

(1)

Tardive Dyskinesia

235

(1)

Services

236

(4)

Involuntary Commitment

236

(1)

Voluntary Commitment

237

(1)

Hospitalization

237

(1)

Step-Down Units

237

(1)

Personal Care Homes

237

(1)

Partial Hospitalization

237

(1)

Recreational Programs

238

(1)

Drop-in Centers

238

(1)

Outpatient Treatment

238

(1)

Case Management Services

239

(1)

Crisis Services

239

(1)

Doing Your Assessment and Following Your Client

240

(1)

Exercises

240

(9)

Form: Evaluation for Mental Health Services

249

(10)

Case Management and Mental Retardation

259

(52)

Introduction

259

(1)

Special Considerations

260

(1)

Terms and Expressions

260

(1)

Things to Think About

260

(1)

The Need to Control

261

(1)

What Is Intelligence?

261

(1)

What Is Mental Retardation?

262

(1)

Characteristics of Mental Retardation

262

(1)

Brain Injury

262

(1)

Who Are Those with Mental Retardation?

262

(1)

Diagnosing Mental Retardation

263

(1)

Awareness of a Problem

263

(1)

Testing to Confirm

263

(1)

Assessment of Adaptive Skills

263

(1)

Documenting a Full Assessment

264

(2)

Intellectual Functioning and Adaptive Skills

264

(1)

Psychological and Motivational Considerations

265

(1)

Etiology Considerations

265

(1)

Environmental Considerations

265

(1)

Developing the Plan for Services and Supports

266

(1)

Person-Centered Planning

267

(1)

Problems with Person-Centered Planning

267

(1)

Mental Age

268

(1)

Mental Retardation and Cognition

268

(2)

Visual Learning

268

(1)

Suggestibility

269

(1)

Passivity Rather Than Strategizing

269

(1)

Difficulty with Foresight and Planning

269

(1)

Concreteness and Rigidity

270

(1)

Speed of Thinking

270

(1)

Limited Creativity and Imagination

270

(1)

Mental Retardation and Adaptive Functioning

270

(2)

The Need for Services

271

(1)

What to Expect

271

(1)

Preschool Adaptive Functioning

272

(2)

Motor Development

272

(1)

Language Development

273

(1)

Self-Help

273

(1)

Cognition

273

(1)

Social Skills

274

(1)

School-Age Adaptive Functioning

274

(1)

Loosening Ties to Family

274

(1)

Preparing to Work

275

(1)

Adulthood Adaptive Functioning

275

(3)

Unsupervised Living

275

(1)

Reproduction

276

(1)

Employment

276

(1)

Social Roles

277

(1)

Community Adjustment

277

(1)

Growing Older

278

(1)

Living Arrangements

278

(1)

Financial Arrangements

279

(1)

Mental Retardation and the Family

279

(2)

Initial Impact

279

(1)

Early Intervention Programs

280

(1)

Continuing Impact

280

(1)

Family Ability to Cope

280

(1)

Planning for Growing Older

281

(1)

Case Managers and Judgment

281

(1)

Causes of Mental Retardation

281

(7)

Biological Origins: Genes and Chromosomes

281

(3)

Nongenetic Biological Contributors

284

(2)

Psychological Contributors

286

(1)

Conditions Commonly Seen with Mental Retardation

287

(1)

Prevention

288

(1)

Services for Individuals with Developmental Disabilities

289

(4)

Diagnostic Services

289

(1)

Employment Support

289

(1)

Educational Services---Preschool

289

(1)

Educational Services---School-Age Children

290

(1)

Recreational Services

291

(1)

Family Support Services

292

(1)

Residential Options

292

(1)

Behavioral Services

292

(1)

Doing Your Assessment and Following Your Client

293

(18)

Exercises

294

(7)

Form: Intake and Assessment Form for Consumers with Mental Retardation

301

(6)

Form: Service Planning

307

(4)

Case Management with Older People

311

(64)

Introduction

311

(1)

Special Considerations

312

(1)

Myths

313

(1)

Senility

313

(1)

Tranquility

314

(1)

Productivity

314

(1)

Resistance

314

(1)

Gender and Growing Older

314

(1)

A Common Mistake About Chronological Age

314

(1)

Emotional Well-Being and Growing Older

315

(1)

A Healthy Old Age

316

(1)

Sense of Purpose

316

(1)

Good Planning

316

(1)

Support

316

(1)

Experimenting

316

(1)

Faith

317

(1)

Cheerfulness

317

(1)

Importance of the History and Assessment

317

(1)

The Social History

317

(4)

Medical History and Current Medical Status

321

(1)

Cognitive History and Current Cognitive Status

322

(1)

Assessment for Cognitive Disorders

322

(7)

Important Points to Cover

322

(1)

When the Family Gives the History

323

(1)

Documentation

324

(1)

Delirium

324

(3)

Dementia

327

(2)

Depression and Growing Older

329

(1)

Assessment and Support for the Caregiver

329

(2)

Elder Abuse

331

(2)

Why Does It Happen?

331

(1)

Defining Elder Abuse

331

(1)

Reporting Elder Abuse

332

(1)

Clues

332

(1)

Case Managers' Helpful Interventions

333

(3)

Helping Families Cope with Dementia

333

(1)

Helping Clients Cope with Grief

333

(1)

Helping Clients Cope with Guilt

334

(1)

Life Review

335

(1)

Leaving a Legacy

335

(1)

Providing Opportunities for the Elder to Function

335

(1)

Pets

336

(1)

Common Services Available for Older Persons

336

(3)

In-Home Care

336

(1)

Visiting Nurse Association

336

(1)

Homemaker Services

336

(1)

Meals-on-Wheels

337

(1)

Senior Centers

337

(1)

Transportation

337

(1)

Low-Income Plans and Senior Discounts

337

(1)

Adult Day Care

337

(1)

Lifeline

337

(1)

Personal Care Home

338

(1)

Assisted Living

338

(1)

Domiciliary Care

338

(1)

Nursing Home

338

(1)

Palliative Care

338

(1)

Protective Services

338

(1)

Doing Your Assessment and Following Your Client

339

(1)

Exercises

339

(8)

Form: Assessment for Senior Citizens

347

(26)

Form: Placement Assessment Tool

373

(2)

Abbreviations and Definitions

375

(2)

References

377

(3)

Index

380

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Fundamentals for Practice with High Risk Populations

Summary

Table of Contents

Supplemental Materials