The Key Aspects in Clinical Case Management

Presentation (Elaboration), 2018
5 Pages, Grade: 1.2


ning, advocacy, assessment, linking, and monitoring, in order to ensure that the service system
operates efficiently for successful outcomes. It is reported that this report acknowledged the role
of case managers in ensuring a continuous relationships with clients exist to avert the predispos-
ing factors that lead to a crisis. However, the model presented through this report propagated the
issue of segregating case management from clinical services, an incident that Kanter (2010)
views as an accidental misconception that has persisted into modern case management practice.
He also cites the same problem with the British service system where social workers provid-
ed interventions on the basis of environment. Kanter reiterates that the individuals, as well as
families in crisis require the integration of psychological and environmental interventions
(Kanter, 2000). He asserts that this concept has been in existence for nearly a century, an aspect
that required focus by all stakeholders in crisis intervention through an integrated approach. This
is evidenced by his remarks that "the concept of integrating environmental and psychological
interventions when assisting individuals and families with a wide array of difficulties is nearly a
century old" (Kanter, 2010 p. 8).
By 1970, the concept of integrating psychological and environmental interventions received
negative responses from social workers. Instead of integrating the two aspects into a comprehen-
sive intervention approach, there was an unprecedented divergence in professionalism leading to
the emergence of two different forms of professionals; those interested in the environmental do-
main and the other groups pursuing the psychological domain. This led to the abandonment of
the integrative perspective of social casework and exclusion from the social work profession.
However, the significance of integrating environmental and psychological perspectives resur-
faced in 1980s leading to the current clinical case management model that encompasses both the
environmental and psychological intervention approaches.

In light of Kanter's discussion, it is clear that environmental and social resources serve as
some of the key components of in the case management knowledge base. Ordinarily, case man-
agement approaches require extensive information on different aspects regarding the client.
Therefore, case managers should possess substantial knowledge on environmental and social
On environmental resources, case managers are required to understand such issues as social
security programs related to disability. For instance, managers dealing with unemployment cases
are supposed to have an advanced knowledge on the appropriate incentives. It is also worth un-
derstanding the disincentives related to employment. As such, it is essential for case managers
dealing with unemployed clients who intent to resume working should understand the available
environmental resources.
On the other hand, knowledge on social resources plays significant roles in ensuring case
management approaches generate successful outcomes. This aspect, as Kanter (2010) observes,
identifies clinical case management approach as a different model compared to the strengths
model (Rapp & Goscha, 2006). In clinical case management, case managers are expected to have
an advanced understanding on client's deficits, a different situation from what happens in
strengths model where managers do not possess adequate knowledge on social resources
(Floersch, 2002). Through understanding the social resources, case managers are able to make
informed decisions regarding ways of addressing deficits. For instance, managers can consider
adopting learning theory for clients who lack social skills or ego psychology for clients with
temper episodes.
The key practical issue in case management is separating psychological intervention from
case management. As it has been suggested, case management is expected to focus on the envi-
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The Key Aspects in Clinical Case Management
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aspects, clinical, case, management
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Patrick Kimuyu (Author), 2018, The Key Aspects in Clinical Case Management, Munich, GRIN Verlag,


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