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CASE MANAGEMENT TRAINING PACKAGE




                 Module 6.
Gathering information on a social case and
   organising it into a well-structured
          social personal dossier
The definition of social need

Case management starts from
a particular definition of social need:
it can be said that a social need exists
when a person or a family doesn‟t have a strong enough
network to cope in an adequate way with the tasks which
a certain society expects them to perform.
The awareness that a social need exists can be shared
or not between the person/family in need (client) and
his/her social and institutional network.

All this has been explored in depth in module
four of this training, which analytically
discussed the case of Judith.

                 Case Management – module 6 – slide 2
Three different degrees of social need


1. No social need exists, but it is very likely
   that it will occur in the future; we can do
   something to prevent this eventuality.
2. A social need already exists, and it is likely
   that, as a result, other more serious social
   needs will arise in the future; we have to
   remove the present need, in order to
   prevent other needs arising.
3. A chronic social need exists and we cannot
   overcome it: nevertheless, we have to
   prevent further related problems.

                Case Management – module 6 – slide 3
The evaluation of social needs from the
       perspective of Case Management

“Evaluate” does not mean “judge”, but “give value”;
so, when we make a social evaluation, we do not
concentrate only on the social needs (that is, only
on the personal and social weaknesses) of some
person or family, but also (and firstly) on their
social resources.
Through the application of the methodologies of
Case Management and networking, we can help the
person or the family to “give value” to themselves
and to their social resources.


                 Case Management – module 6 – slide 4
Four kinds of social assessment



1. Social assessment as risk assessment: the findings of the
   assessment are addressed in order to prevent a social risk;
2. Social assessment as needs assessment: the findings of the
   assessment are addressed to provide the social services which
   could improve the life quality of a person or family;
3. Social assessment as gate-keeping: the findings of the
   assessment are addressed to decide if an entitlement to
   defined social service provision exists or not;
4. Social assessment as “agency assessment”, or assessment of
   “the ability to act” of the person or family and their social
   network: this is the proper social evaluation, used in case
   management methodology.



                     Case Management – module 6 – slide 5
The social needs evaluation in the perspective of
 the three previous kinds of social assessment

 •   Lack or inadequacy of financial income;
 •   Lack or inadequacy of a home;
 •   Inadequate parental care;
 •   Lack of work;
 •   Social exclusion;
 •   Health problems;
 •   Violence within the family;
 •   Drugs and alcohol abuse;
 •   Conflict with the law;
 •   Cultural and educational frailty;
 •   No self-sufficiency, or a disability;
 •   Irregular school attendance;
 •   …
                    Case Management – module 6 – slide 6
The social needs evaluation in the perspective
      of Case Management (agency assessment)
    The „agency assessment‟ implies a shared analysis (reflecting the perception
    of both the assessor and the assessed) of the following life tasks:

•      Being self sufficient in daily personal tasks: having the physical skills for taking
       care of themselves; having the psychological skills for taking care of
       themselves; feeling an adequate sense of self-esteem; and so on.
•      Gaining an income: looking for and keeping a job; having competencies and skills;
       having an education; showing social abilities; having the skills for managing an
       income; and so on.
•      Obtaining and managing a house: buying or obtaining an adequate place to live;
       dealing with its maintenance and cleanliness; and so on.
•      Dealing with own health: having a sensible lifestyle; healing themselves when ill;
       and so on.
•      Bringing up own children: providing their maintenance; taking care of their
       education and health; building a secure life environment for them; ensuring
       appropriate affective relationships; and so on.
•      Socializing with other members of the community: having a satisfying social
       network; having a good relationship with the neighbours; having a good
       relationship with the local institutions; and so on.
•      Living in a united family: having a good relationship with a partner, in particular
       sharing with him/her the daily tasks with regard to home management and
       childcare; and so on


                               Case Management – module 6 – slide 7
Who is involved in the social needs
         evaluation and solution?

    In the “risk assessment”, “needs assessment”, and
     “gate keeping” only the practitioners are involved, and
     their opinion and work are indisputable;
    In the “agency assessment” (Case Management
     perspective) instead:

   Acknowledgment of the social need is shared between the
    client, his/her network (informal and formal)
    and the Case Manager;
   The client and his/her social network are involved in the
    evaluation;
   The client and his/her social network must have a role in
    the problem resolution.


                   Case Management – module 6 – slide 8
An essential tool for the case analysis:
          the Social Dossier




           Case Management – module 6 – slide 9
The structure – in the Case Management
      perspective – of the Social Dossier

   The dossier is divided into two parts: the first gathers
    information not only about the beneficiary, but also about
    his/her social network, environment, community resources;
   The second part covers the social project shared within
    the coping network, and some assessment guidelines to
    explore the personal and social resources of the
    beneficiary, using the areas framework of ICF-WHO:
    physical health; affection; carrying out of everyday
    activities; education; social contacts; free time and fun;
    work; expression of one’s own sexuality;
   The next sheet summarizes the actions
    to be undertaken.




                   Case Management – module 6 – slide 10
The compilation – in the Case Management
       perspective – of the Social Dossier

    The compilation of the dossier has to be realized by all
     the members of the coping network; at least, the
     gathering of information must be made and discussed
     together (and then the practical compilation is delegated to
     CM ), and a language must be used that is understandable
     by everyone;
    The compilation is always a work-in-progress, because not
     only is the information compiled step by step, but also the
     social project changes continuously,
     and its recording in the dossier helps the
     network towards a real shared description
     of the project itself.




                    Case Management – module 6 – slide 11
The use – in the Case Management perspective
           – of the Social Dossier

   The dossier is a tool available for all the members of the
    coping network, both informal and formal;
   Confidential information can be kept in a separate folder;
   In any case, it is important to remind the members of the
    network that they have to respect the privacy of the
    people involved, and it is not permitted to share the
    information contained in the dossier with people outside the
    network.




                   Case Management – module 6 – slide 12
Another essential tool for Case Managers:
       the map of social resources




            Case Management – module 6 – slide 13
Cooperation agreement
                                     (yes/no, terms)
Resources map for Case Management




                                     Timeframe/availability
                                     Type of service (daily
                                     care/professional
                                     consultations/ public-




                                                                Case Management – module 6 – slide 14
                                     private/pay-free of
                                     charge)
                                     Contact person details
                                            Location
                                         Name of the
                                         service/person
                                    Area of Service
                                    (health/education/social
                                    protection benefits/child
                                    protection/admin
                                    services)

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Integrated Social Services: Reaching the Most Vulnerable. Training package for case managers

  • 1. CASE MANAGEMENT TRAINING PACKAGE Module 6. Gathering information on a social case and organising it into a well-structured social personal dossier
  • 2. The definition of social need Case management starts from a particular definition of social need: it can be said that a social need exists when a person or a family doesn‟t have a strong enough network to cope in an adequate way with the tasks which a certain society expects them to perform. The awareness that a social need exists can be shared or not between the person/family in need (client) and his/her social and institutional network. All this has been explored in depth in module four of this training, which analytically discussed the case of Judith. Case Management – module 6 – slide 2
  • 3. Three different degrees of social need 1. No social need exists, but it is very likely that it will occur in the future; we can do something to prevent this eventuality. 2. A social need already exists, and it is likely that, as a result, other more serious social needs will arise in the future; we have to remove the present need, in order to prevent other needs arising. 3. A chronic social need exists and we cannot overcome it: nevertheless, we have to prevent further related problems. Case Management – module 6 – slide 3
  • 4. The evaluation of social needs from the perspective of Case Management “Evaluate” does not mean “judge”, but “give value”; so, when we make a social evaluation, we do not concentrate only on the social needs (that is, only on the personal and social weaknesses) of some person or family, but also (and firstly) on their social resources. Through the application of the methodologies of Case Management and networking, we can help the person or the family to “give value” to themselves and to their social resources. Case Management – module 6 – slide 4
  • 5. Four kinds of social assessment 1. Social assessment as risk assessment: the findings of the assessment are addressed in order to prevent a social risk; 2. Social assessment as needs assessment: the findings of the assessment are addressed to provide the social services which could improve the life quality of a person or family; 3. Social assessment as gate-keeping: the findings of the assessment are addressed to decide if an entitlement to defined social service provision exists or not; 4. Social assessment as “agency assessment”, or assessment of “the ability to act” of the person or family and their social network: this is the proper social evaluation, used in case management methodology. Case Management – module 6 – slide 5
  • 6. The social needs evaluation in the perspective of the three previous kinds of social assessment • Lack or inadequacy of financial income; • Lack or inadequacy of a home; • Inadequate parental care; • Lack of work; • Social exclusion; • Health problems; • Violence within the family; • Drugs and alcohol abuse; • Conflict with the law; • Cultural and educational frailty; • No self-sufficiency, or a disability; • Irregular school attendance; • … Case Management – module 6 – slide 6
  • 7. The social needs evaluation in the perspective of Case Management (agency assessment) The „agency assessment‟ implies a shared analysis (reflecting the perception of both the assessor and the assessed) of the following life tasks: • Being self sufficient in daily personal tasks: having the physical skills for taking care of themselves; having the psychological skills for taking care of themselves; feeling an adequate sense of self-esteem; and so on. • Gaining an income: looking for and keeping a job; having competencies and skills; having an education; showing social abilities; having the skills for managing an income; and so on. • Obtaining and managing a house: buying or obtaining an adequate place to live; dealing with its maintenance and cleanliness; and so on. • Dealing with own health: having a sensible lifestyle; healing themselves when ill; and so on. • Bringing up own children: providing their maintenance; taking care of their education and health; building a secure life environment for them; ensuring appropriate affective relationships; and so on. • Socializing with other members of the community: having a satisfying social network; having a good relationship with the neighbours; having a good relationship with the local institutions; and so on. • Living in a united family: having a good relationship with a partner, in particular sharing with him/her the daily tasks with regard to home management and childcare; and so on Case Management – module 6 – slide 7
  • 8. Who is involved in the social needs evaluation and solution?  In the “risk assessment”, “needs assessment”, and “gate keeping” only the practitioners are involved, and their opinion and work are indisputable;  In the “agency assessment” (Case Management perspective) instead:  Acknowledgment of the social need is shared between the client, his/her network (informal and formal) and the Case Manager;  The client and his/her social network are involved in the evaluation;  The client and his/her social network must have a role in the problem resolution. Case Management – module 6 – slide 8
  • 9. An essential tool for the case analysis: the Social Dossier Case Management – module 6 – slide 9
  • 10. The structure – in the Case Management perspective – of the Social Dossier  The dossier is divided into two parts: the first gathers information not only about the beneficiary, but also about his/her social network, environment, community resources;  The second part covers the social project shared within the coping network, and some assessment guidelines to explore the personal and social resources of the beneficiary, using the areas framework of ICF-WHO: physical health; affection; carrying out of everyday activities; education; social contacts; free time and fun; work; expression of one’s own sexuality;  The next sheet summarizes the actions to be undertaken. Case Management – module 6 – slide 10
  • 11. The compilation – in the Case Management perspective – of the Social Dossier  The compilation of the dossier has to be realized by all the members of the coping network; at least, the gathering of information must be made and discussed together (and then the practical compilation is delegated to CM ), and a language must be used that is understandable by everyone;  The compilation is always a work-in-progress, because not only is the information compiled step by step, but also the social project changes continuously, and its recording in the dossier helps the network towards a real shared description of the project itself. Case Management – module 6 – slide 11
  • 12. The use – in the Case Management perspective – of the Social Dossier  The dossier is a tool available for all the members of the coping network, both informal and formal;  Confidential information can be kept in a separate folder;  In any case, it is important to remind the members of the network that they have to respect the privacy of the people involved, and it is not permitted to share the information contained in the dossier with people outside the network. Case Management – module 6 – slide 12
  • 13. Another essential tool for Case Managers: the map of social resources Case Management – module 6 – slide 13
  • 14. Cooperation agreement (yes/no, terms) Resources map for Case Management Timeframe/availability Type of service (daily care/professional consultations/ public- Case Management – module 6 – slide 14 private/pay-free of charge) Contact person details Location Name of the service/person Area of Service (health/education/social protection benefits/child protection/admin services)