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Question:

You have been hired as a social work case manager for an urban based agency. Your mission is to assess the needs of the client, the client's family, and to arrange for, coordinate, monitor, evaluate and advocate for a package of multiple services to meet the specific client’s complex needs. Social work case management is distinct from other forms of case management because it addresses all of the following EXCEPT:

A the need for the client to accept the services provided because they are identified as necessary by the social work case manager.
explanation

The correct answer is B Social Work always allows the client the right of self-determination. Just because you (the professional social worker) believes the client needs a certain services does not obligate the client to accept or utilize that service. The client is always in control.
A IS INCORRECT (This is a direct social work case management function!) The client’s Biopsychosocial status and the state of the social system operating around the client are directly part of the definition of social work case management as promulgated by NASW. Reference:The primary goal of case management is to optimize client functioning by providing quality services in the most efficient and effective manner to individuals with multiple complex needs. Like all methods of social work practice, case management rests on a foundation of professional training, values, knowledge, theory, and skills used in the service of attaining goals that are established in conjunction with the client and the client’s family, when appropriate.
C IS INCORRECT (This is a direct social work case management function!) All social work services are provided at the micro and macro level. This is what makes social work different (and a more powerful intervention than other clinical services).
D IS INCORRECT (This is a direct social work case management function!) Without the development and maintenance of a therapeutic relationship, the ability of the social worker to determine and respond to the multiple levels of need of the client in their environment becomes impaired. Client’s will often have needs which they may consider trivial or embarrassing and will not allow these needs to be known to the social work case manager until a bond of trust and empathy is created.

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