• Join over 1.2 million students every month
  • Accelerate your learning by 29%
  • Unlimited access from just £6.99 per month

In this essay I will define client empowerment in planning care as it is applied to adults, especially adults at risk of neglect and abuse, and explore how care management policy aims to empower clients. There is a dilemma in Mr Bankss case which appl

Extracts from this document...


Planning Care for Adults Balancing risk management, and client empowerment in planning care In this essay I will define client empowerment in planning care as it is applied to adults, especially adults at risk of neglect and abuse, and explore how care management policy aims to empower clients. I will then look at the notion of risk management, and explore what risks are associated with care and support for older people, using the example of Mr Banks as my case study. I will evaluate how risk can be minimised, managed and monitored, including risks to the health and welfare of informal carers. Care planning is a way of agreeing, arranging and managing the services or help needed to enable a person to live at home or to move into a residential or nursing home. It is the process of developing an agreement between the client and the social worker, where client problems, outcomes to be achieved and actions to be pursued in support of a goal achievement are identified. It involves noting both formal and informal services and intended results in a written document. In the assessment stage of care planning, each service user receives an assessment of their care needs and must meet appropriate criteria for the services to be provided. When a service or services have been arranged, a care plan will be written and a copy given to the user. ...read more.


Social workers have developed various models of care and working, some of which are more empowering than others. For instance the system of direct payments in lieu of service provision, whereby service users are given financial autonomy, gives them greater choice about how care is delivered and thus greater control over their lives. However, this carries associated risks in that service users thus empowered may make unwise payment decisions or be unable to make real choices. There is also scope for abuse by carers. The appearance of empowerment may therefore prove illusory. Similarly, it is a general principle within social work practice that where possible, service users should be allowed the choice of remaining at home. Social services departments across the country are committed to the implementation of policies which develop individualised, person centred approaches to service provision and maximise choice (based perhaps in a Kantian analysis of individual moral autonomy based in rational choice). However, this means that risk assessments need continuously to be carried out of the risks associated with person centred interventions, such as the additional dangers and challenges clients may face if they remain at home. In other words, with empowerment comes risk and this risk needs to be assessed. The process of assessing risk begins when a referral or request is made for services. ...read more.


(Review of services provided to adults with specific needs arising from physical disability, learning disability, mental health difficulty, sensory impairment, or brain injury, and to their carers, is undertaken within the context of the NHS and Community Care Act 1990 and the Disabled Persons Act 1986.) Banks S (2001) noted that respect for people's right to self-determination can conflict with risk management. However, users' rights are not absolute and may be limited by a higher duty to self or by the rights of other individuals, the social worker, agency or community. A person's autonomy can be impeded by the actions or inactions of others when, for example, there is an identified risk such as accident or assault at home. In other cases a person can adversely affect his autonomy. Some people, whether from choice or incapacity, look after themselves poorly. This may begin as an autonomous choice, but the resulting poor health and well-being undermine future capacity for autonomy. Some people refuse repeatedly offers of help, or prefer not to undergo the formal processes of being taken into care of public services bureaucracies, However, where need seems to exist but demand for service does not, autonomy is liable to be eroded whatever course of action is taken. Many service users of community care services suffer from dementia, mental illness etc. They are judged to have some limitations of mental competence: in some circumstances it may seem that they cannot make major life decisions with the proper degree of understanding. ...read more.

The above preview is unformatted text

This student written piece of work is one of many that can be found in our University Degree Social Work section.

Found what you're looking for?

  • Start learning 29% faster today
  • 150,000+ documents available
  • Just £6.99 a month

Here's what a teacher thought of this essay

4 star(s)

A good piece of work which highlights the tensions faced when trying to implement client

Marked by teacher Diane Apeah-Kubi 05/04/2013

Not the one? Search for your essay title...
  • Join over 1.2 million students every month
  • Accelerate your learning by 29%
  • Unlimited access from just £6.99 per month

See related essaysSee related essays

Related University Degree Social Work essays

  1. Marked by a teacher

    Youth Work Essay - we shall look at the history and development of youth ...

    4 star(s)

    The model is also the basis for offering vocational training in practical skills necessary to boost confidence and offer a stepping stone for adulthood. (Hurley L, Treacy D 1993). The Critical Social Education Model is the second model used in Irish Youth work programmes today.

  2. Marked by a teacher

    Compare and contrast rational and incremental models of policy making.

    3 star(s)

    The late Herbert Simon was an unlikely winner1 of the Nobel Prize for Economics and challenged the notion of rationality. For Simon, problem solving was a "search through a vast maze of possibilities, a maze that describes the environment"2. Rationality is restricted by the vast maze of possibilities which is our environment.

  1. Counselling in a diverse society - stereotyping, language issues, different belief systems, ...

    He described his feelings as a result off living in a society which is not adhering to a way of life as defined by God through the holy Quran. He was quite dismayed by the declining moral standards of Western culture; he cited examples of the level of drinking, disrespect

  2. 5 year old Child case study.

    as star of the .week his photograph goes up on the wall. He will also receive a sticker in good behaviour assembly. For unacceptable behaviour we have the three steps 1st step remind him of our class rules 2nd step we talk to him 3rd step sits at table by him self away from the rest of the class.

  1. Analyse an intervention that took place on your first practice placement

    The reason for the referral was that Emma, who is Shane's key worker from the Youth Offending Team, felt that the family needed some guidance and support as they were struggling to deal with Shane's behaviour amongst other family problems that were highlighted in the referral.


    changed, without really knowing the reason and felt that his difficult behaviour was justified. I drew on Biestek's social work values of "acceptance and empathy, non judgemental, individualisation and respect for persons..." (Shardlow in Adams 1998 p26) and referred to the Basw Code of Ethics, which states that social work

  1. Unit K/601/7629 Professional Organisational Issues In counselling assignment

    The philosophy of the person-centred approach views the client as their own best authority on their own experience and as being basically good; it views the client as being fully capable of fulfilling their own potential for growth and self-awareness. The philosophy sees human beings as being:- 1. Optimistic 2.

  2. TASK-CENTERED APPROACH. This essay takes a social work case study as the basis for ...

    valid and effective and therefore suggesting that a model should be backed by explanatory theory. CASE STUDY: NG NG was a 65-year old man who had no history of severe health problems until, just after Christmas, he suffered a substantial fall at home and broke his hip in three places.

  • Over 160,000 pieces
    of student written work
  • Annotated by
    experienced teachers
  • Ideas and feedback to
    improve your own work