Case Management Framework - Aboriginal Focus Case Study Assessment Answer

Internal Code: 1AHABI

Aboriginal Focus Case Study Assessment Answer

Assignment Task: Specialist Homelessness and Domestic and Aboriginal Family Violence Services (SHS) Homelessness Strategy Division, Housing SA, Department for Communities and Social Inclusion July 2013. Aboriginal Focus Case Study -  An elderly grandmother presents at 4pm on Friday afternoon. She has with her three young children all of whom look under the age of 10 years. All four look tired although two of the children appear restless and fidgety. They indicate that they are Aboriginal. The grandmother greets you at the front desk and says that they need a house in your local area. Engagement is the key focus, as well as understanding the presenting needs and safety issues. An overview of the approach could be as follows: • Engage the client warmly and ask if she would like to speak with an Aboriginal worker • Offer drinks for the children and grandmother and invite them to a private space for further engagement, ensuring they feel comfortable • Introduce yourself as the worker and explain that you are keen to help. Give a brief overview of your organisation’s privacy guidelines and your role. Identify that, as closing time is 5pm, you are keen to hear about her immediate safety needs and gain an understanding about what has led to her seeking housing assistance today. Ensure another worker is available if necessary, particularly if your discussion extends beyond 5pm to help ensure your/others safety. In your discussion talk with the grandmother about her other immediate needs, including the children’s. Assess the children’s well-being through discussions with the grandmother and observations of the children. • Talk with the grandmother about what immediate options she may have available, such as friends and family, while you work towards a longer term housing option. • Explain what you can do to assist immediately and discuss the idea of case management as an option for ongoing assistance around longer term needs • Secure their immediate safety and accommodation for the weekend and discuss your re-engagement plan for Monday. Ensure you have contact details and provide grandmother with information on services she can contact over the weekend. Where possible, provide some practical assistance such as food. • Introduce her to an alternative worker at your service so that there is always someone she can make contact with that she knows. • Reassure the grandmother that you will be the point of contact for her on Monday and be clear about where that engagement will take place. Assessment -  In your follow up engagement with the grandmother on Monday discuss the idea of assessing life domains and explain the purposes for this. Talk with her about the length of time this may take and have a plan around what the children might do during this assessment discussion. For example, you may choose to go to a playground where you can watch the children whilst also engaging privately with the grandmother. Start your assessment conversation with what the priority is for the grandmother (ie housing) and work through all other life domain areas. Be comprehensive in your assessment but respect privacy if the grandmother is reluctant to be open about an issue. Suggest that some issues can be returned to at a later time. If concerns are raised by the grandmother that are outside your area of expertise (eg one child may have ADHD), talk about the option of other services being involved to help assess the situation. Talk about cultural needs, such as family and discuss about how you can support the grandmother to achieve her goals in this area. Take time to talk with the children about their wishes and seek additional supports in assessing the children with the grandmother’s agreement, such as a specialist children’s worker. Be an active listener, hearing what is said and not said and observe body language. Address any immediate safety concerns that arise during the discussion as a priority. During the discussion note areas of strength you recognise. This can be as simple as giving recognition for the strength the grandmother has shown in asking for assistance, and having good insights into her current situation. Ask her about other services that may be currently (or have historically been) involved and get written permission for contacting them. Explain why this is beneficial. Talk about next steps and how the grandmother will be involved in every aspect of the case management process. Provide reassurance of your role and the importance you place on successful outcomes for her and the children. Case planning -  When you next meet with the grandmother bring a template of a case plan to show how case planning discussions come together. Make sure you have done some research on various services and supports that you think will be helpful in this process, based on the assessment stage. Talk together about goals that need to be achieved in each life domain area. Work out which ones are the priorities and apply realistic time frames for their achievement. Break down goals into specific tasks and identify which ones the client will be responsible for, and which ones will be done with supports. Identify which services will be required to achieve goals and recognise that timeframes may change dependent on agency availability. Discuss a case plan for each child or consider allocating a children’s specific case manager. Talk about this option with the grandmother and as much as possible be the one to identify a children’s worker or make recommendations as to the type of worker who would be best suited to engage. At all times work in close partnership with the children’s worker, as well as the grandmother and children. Once a draft case plan has been put together, let the grandmother know that you will type it up formally and provide her with a copy of at least the action plan section. Let her know that you will review this regularly to monitor progress or adjust it if circumstances change. Implementation of case plan - Proactively make regular contact with the grandmother and children to reassure them of your ongoing involvement. Include the grandmother and children in tasks to be completed as much as possible. Where an appointment has been made (eg with a school), visit or contact the grandmother the day before to ensure she is ready for the appointment and reflect together on its importance. Advocate for other agency involvement as required and convene a case conference as frequently as necessary to bring all agencies together and ensure strong partnerships exist across services. Maintain regular contact with each support worker involved. Continue to build a rapport with the grandmother and children and encourage their feedback and input into the process. Ensure the priorities are understood by all involved. Reassure the grandmother of your commitment to the case plan and to supporting her in achieving the goals set. Monitoring - Take time to review the case plan with the grandmother and children on a regular basis. Recognise progress that has been made and acknowledge the efforts of the family’s contribution. Encourage the grandmother to make contact if circumstances change or different priorities arise. Identify areas where the grandmother has demonstrated an increase in personal capacity, for example undertaking a new task she has not done before or building personal confidence in contacting an agency. Take time to adjust or change aspects of the case plan where priorities or required actions change.

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