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What is your understanding of case management? Show how a case management approach has shaped your work with offenders (either and individual or group) through discussion of one or more pieces of work you have been involved in.

Extracts from this document...

Introduction

Part 1 What is your understanding of case management? Show how a case management approach has shaped your work with offenders (either and individual or group) through discussion of one or more pieces of work you have been involved in. This essay will discuss my understanding of case management as a result of theoretical literature available at this time and personal experience. I will discuss definitions of case management and the differing models they can assume. How a case management approach has shaped my work with offenders by comparing and contrasting interventions available and identifying the structure of case management from referral to evaluation. In doing this I will discuss the developments within the context of What Works and Evidence Based Practice. By using local developments within the geographical area in which I work, I will critically analyse this approach and its effectiveness. From the literature I have read it is clearly apparent that there are several models of case management and a general agreement that various models have similar components Huxley [1993]. Moxley [1989] defines case management as: ' a client-level strategy for promoting the coordination of human services, opportunities and benefits. The major outcomes of case management are...the integration of services...and achieving continuity of care [p.11]'. Whilst there exist a wide miscellany of models within the context of human service agencies, the term 'case management' is used to describe a variety of models, each with there own emphasis and focus dependant upon their service goals. Therefore within the framework of case management, there is a need for clear expression of purpose Holt [2002] The case management model was developed and originated in North America and is still instrumental in the delivery of health and social care. Research from the USA, UK and Australia identifies case management as an effective way of delivering services to long-term care groups. Case management and care management developed in the UK in the 1980's, and was an effective in implementing major policy change such as, the mental health reforms and the onset of the notion of care in the community Huxley [1993]. ...read more.

Middle

Risk management of offenders is instrumental in the Merseyside / DeMontford case management model in line with the national agenda. The assessment of risk at the pre-sentence report stage is a major influencing factor in case management, however this will be covered in depth in part two of this assignment. As such I will focus on the case management model I am using with an offender, to example the above model of what is seen as good practice within case management. I am currently working in a pre and post release division of the National Probation Service and am supervising offender 'A' on a six-month licence, he has a past history of violence, sexual assault, black mail, drink driving plus lesser offences ranging over a twenty year period. He is 48 years old and states he is gay and is HIV positive, 'A's presenting problems or issues relating to his offending are connected to his abuse of alcohol which acts as a disinhibitor and he states is as a result of bereavement. Assessment As stated above the referral stage of the process will be discussed latter, as such I will discuss the assessment methods I have used to assist in preparing a supervision plan for 'A'. James Maguire suggests that we have moved on from simply asking 'what works' we should now be asking 'what works when, where and with whom Maguire [2002]. As no OASys assessment existed for 'A' my first priority was to assess his needs and those of the public who have a right to be protected, in doing this risk scores were calculated and used to help provide an accurate evaluation of 'A' and to identify static and dynamic factors which may influence future offending. Maguire's view that assessment needs to be tailored to meet the individual need was apparent in this case, having complex and multi faceted issues which need to be addressed in order to prevent recidivism by 'A'. ...read more.

Conclusion

In the week of writing this essay he has been arrested for false imprisonment and indecent assault with the charges delayed whilst the police decide whether or not to bring the charges. Whilst I believe 'A' has benefited from the cognitive work and has been able to use some of the problem solving techniques, 'A' however believes his progress to be much further on than do I. In asking him what he believed has helped, from a case management perspective he informed me he thinks more about the consequences but still finds it hard not to drink and once drinking falls into old habits. Throughout this period of supervision I have asked 'A' if he thinks it has helped him, if there was something, which might have benefited him if done differently, if he felt the contact to be to intrusive as it was kept at weekly appointments for the full period of the licence. Surprisingly 'A's answer to all of the above questions were he was happy with the work done and the level of contact, as he stated it helped him to focus and prevented him from drinking when he new he had an appointment. In conclusion and as a foot note to the above regardless of the work done with 'A' he latter when on to lose his accommodation as a result of his behaviour towards other tenants also to commit a further offence against a young male in a hostel threatening him and was charged and held in custody. As a result of this and the other offences his licence was revoked and he is now awaiting sentence in custody, with further charges pending it is almost certain he will receive a further custodial sentence. It is evident the interventions used have not worked and regardless of the efforts made 'A' has remained rooted in a recidivist life style. It may seem case management models regardless of content will need to continue to be re-evaluated and effective practice re-examined in order to ensure best practice remains a watchword for working with involuntary individuals. ...read more.

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