Case Six Elena is a 32-year-old client you are seeing for case management. She frequently

Case Six Elena is a 32-year-old client you are seeing for case management. She frequently misses her appointments, and at other times shows up without an appointment, often in crisis. Elena discloses that she grew up in a household with a violent father who frequently assaulted her mother, her siblings and herself. Although now estranged from her father, the impact of his violence presents itself on a daily basis as Teresa struggles to cope with the trauma she experienced. Elena left school early, has few marketable skills and has never been able to hold a job for more than three months. Elena receives $606 per month from Ontario Works and has no money left for food or other essentials at the end of the month. She is currently in a relationship with a man whom you suspect may be violent 1)Is a risk assessment needed here? Explain your answer. 2)What case management interventions could you be used to improve Elena’s situation. In other words, list 3-4 case management roles that can be employed to help client in this case scenario. Explain your answer with examples. Case Five Your client Nisha has contacted you in a distressed state, stating that she believes everyone is watching her and that “everyone” is speaking about her. Nisha has contacted her mother for support, but as seems to be the normal response to Nisha, her mother has put the phone down and refuses to help. You are aware that Nisha has a pattern of engaging in self-injurious behaviour when she has an incident with her mother. You decide to visit Nisha for a home visit. You see a notice of eviction on her coffee table. She repeatedly states ” “I feel out of control” “nothing makes sense” “I am scared” “what does it mean?” 1)What needs should be prioritized in this case scenario? Explain your answer. 2) Describe two strategies that can be used to de-escalate the situation with Nisha. 3) what do you think might be helpful to Nisha. Case Four Amir is a 47-year-old single man who says that his substance dependence and his depression both emerged in his late teens. He says that he started to use drugs to “feel better” when his episodes of depression made it hard for him to interact with his peers. He also states his use in substances are a natural part of his low mood. Additionally, Amir has struggled to maintain a consistent income over the years as he found his “lack of motivation” impacted his work performance. He has seen different doctors and social service workers but he has not responded well to referrals, and is concerned that he is labelled as “hard to serve” Yet, Amir comes to see his new worker saying he is committed to making changes and has been feeling especially motivated after reconnecting with his son. In your first meeting with him he speaks about his interests and his hopes for a new career in web design. 1)Apply one of the case management models covered in week one and explain why the selected model fits this case. Example how the principals of the model fit well with this case. 2) Provide 3 examples from the model you chose that can be applied to direct work with this client? 3) Provide 2 examples that reflect the roles of case manager in this case scenario. Case Three Angela is a 22 year old new immigrant to Canada from China. In the initial meeting, it is observed that Angela seems nervous and does not make eye contact. She has been living in Canada for 6 months and her English is limited. She informs her worker that she came to the meeting after being referred by her doctor butt does not understand what a social service worker does. She describes missing home and feeling “lost”. 1)What strategies can be used to engage Angela in service. Provide at least 2 or 3 explicit examples. 2)How can case mangers practice allyship? Provide an example. 3) Drawing on course concepts explain how cultural safety and/or cultural humility can be utilized in direct client work with Angela. Case Two Mia is a 29 year old female who presents with intense feelings of anxiety. She stated that she feels nervous all the time. She is currently taking medication to manage her anxiety however finds that it is no longer working. Further, Mia has been struggling to pay for rent in her apartment and has been out of work for two years. She has run out of savings and has no source of income. She has considered going back to school but finds the process overwhelming. Mia reports that she feels isolated and does not see her quality of life improving. Mia has tried speaking to her doctor but finds he does not listen. 1) State two SMART case management goals for Mia. 2) Drawing on the traditional OR empowerment-oriented case management principals covered in the course; select three principals and explain how all these three principals can be applied to this case scenario. Aside from your explanation of how these three principals can be applied please provide examples to support your answers. Case One: Jeremy is a 67-year-old man whose wife has encouraged him to seek professional support. He has no prior history with service providers and no mental health diagnosis. However, his alcohol use has recently been getting in the way of his marriage and interfering with his newly retired life. He describes drinking in increasing amounts over the last year, currently consuming approximately a six-pack of beer per day. He notes that this amount “doesn’t give me the same buzz as it used to.” He denies ever experiencing “the shakes” or any other withdrawal symptoms if he skips a day of drinking. Jeremy comments that his wife is his biggest motivation to decrease his alcohol use. She tells him that he gets argumentative and irritable when he drinks, though he does not always remember these incidents. He has also fallen while intoxicated twice, causing bruises both times and hitting his head on one of the occasions. You meet with Jeremy for the first time. He expresses his reluctance to engage in service as he is worried about potential stigma. 1)Based on this case WHAT stage do you think Jeremy is in as it relates to the stages of change model and WHY? 2) How can a harm reduction model be applied to this case? In other words, what harm reduction principals or strategies can be used here3) Provide 2 examples of harm reduction strategies/ or principals you would implement when planning for service with Jeremy.

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