Page 8 - The Client Volume 2

THE CLIENT VOLUME II PAGE 8
KNOWLEDGE SHARING

Motivational Interviewing continued

In the MI process, case managers utilise several tools to engage clients. These tools include
Enhancing Self-Efficacy
worksheets, icebreakers and activities. Worksheets, in particular, have assisted clients in
exploring and resolving ambivalence, assessing their readiness for change, creating and
Throughout the session, the Case identifying the steps to SMART goals and revising action plans. Case Managers have used
Manager reinforces the client’s these tools to strengthen the delivery of positive values and practices to clients by
belief in their ability to change reinforcing the lessons delivered.
and overcome obstacles.
Acknowledging past successes Despite its benefits, implementing MI in the current case management approach used by
and strengths, the Case Manager the Ministry has many challenges. These challenges mainly surround the capacity of the
engenders confidence. targeted children to receive the intervention. Cognitive and learning challenges impede the
Case Manager's effectiveness in transferring information to the clients. Case Managers
Setting Goals and Action Plans
comment that clients have difficulty understanding concepts in lessons being delivered,
and they often must “dumb down” the material to provide the information. In addition,
The Case Manager collaborates Case Managers are unable to use tools such as worksheets or activity sheets with clients
with the client to set realistic, who have learning disabilities as they are unable to understand or absorb the material.
achievable goals and develop a
personalised action plan. Another significant challenge to delivering MI is the necessity for case managers to
Together, they identify specific provide the service to clients' parents. This puts an additional strain on the workload of the
steps the client can take to Case Manager but becomes inevitable due to the need to provide the service to the parents
reduce their maladaptive to effect change. Without this intervention, many parents would be uncooperative and
behaviours and enhance their unresponsive.
well-being. The Case Manager
offers ongoing support and Motivational interviewing holds promise as a valuable approach to violence risk reduction,
encouragement, emphasising offering a collaborative, empathetic alternative to traditional intervention strategies. By
that change is a gradual process addressing motivational factors underlying violent behaviour and enhancing individuals'
that requires patience and motivation for change, MI can complement existing prevention efforts and contribute to
perseverance.
more effective and sustainable outcomes.

Termination in Ethical and legal obligations underscore the termination process. The process
should be managed to ensure that at no point the client or their family feels
Case Management “abandoned”. Termination is a systematic procedure triggered by the
attainment of goals, the elapsed timeframe for collaboration, or
Ann-Marie Brown client-related issues. Reasons for termination include successful goal
Case Management Technical Coordinator achievement, client empowerment, referral to a more suitable caseworker,
Ministry of Labour and Social Security impasse, non-compliance, client migration/relocation, hospitalization,
institutionalization, or inability to locate the client. In keeping with ethical
Termination in case management refers to considerations, if a client does not sufficiently achieve his/her goals at the
discontinuing the client-worker end of the agreed engagement period, he/she is re-contracted for an
relationship, usually on mutual grounds, additional period, usually three months. It's crucial to highlight that the
once the client has transitioned to a higher client is not left alone during this process. The support and reassurance
level of functioning or has reached the provided by the caseworker and the system ensure that the client feels secure
agency’s minimum functioning standards. and understood.
The case management model practised by
the Ministry of Labour and Social Security The MLSS is fully cognizant that termination is not merely an endpoint;
(MLSS) introduces awareness of and rather, it is intricately woven into the evaluation phase of the case
discussions of the termination process in management process. The evaluation focuses on assessing the client's
the initial stages of client-case worker achievements in alignment with the goals outlined in the treatment plan and
engagement. The client's appreciation and examines the impact of the accomplishments on the client's well-being.
understanding of the termination process Essential to the evaluation phase is adequate notice to the client and
are critical to the success of case obtaining acknowledgement and agreement from the client or significant
management. As a result, termination is others regarding the termination of the case. It is imperative to prepare the
introduced during the assessment phase. client for termination through advance notice and consistent reminders. As
This is to ensure that the client the client acquires new skills and experiences empowerment, their reliance
understands the time-bound nature of the on case management diminishes, which results in a transition toward
intervention and that there is an self-directed independence. At this point, the engagement of the client is
anticipated end date. Discussions are concluded through a process that formalizes the cessation of the case
facilitated before the client gives management relationship between the client and the caseworker. The client
'Informed Consent’ to engage in the case attends a face-to-face session where a termination report is reviewed by both
management process. Additionally, caseworker and client. The report outlines the client’s presenting conditions
potential issues leading to automatic at the commencement of treatment, the needs that were identified, the
termination, such as non-compliance or treatment plan, the goals attained, challenges, and the client’s feedback on
refusal of treatment, are discussed in the the case management experience. The caseworker and client discuss the next
early stages. steps for the client in an atmosphere of empathy and encouragement on the
part of the caseworker. At the end of the session both client and caseworker
sign the termination report.