Independent Care Termination Strategies Paper
Independent Care Termination Strategies
Paula Howell
CJHS/420
5/25/2015
In case management, there is always a point of time where the case should be evaluated for termination. The case manager should make that determination properly based on the standards and rules of case closure. The guidelines are not always the same. They are determined by the type of case and the circumstance at hand. They are also determined by the settings of the case management and others who are a part of the situation to make the most of an optimistic client outcome. It is important to identify the reason for case management termination. There could be several reasons for termination. The best possible reason would be that the client has achieved the highest benefit of the help, or has had a positive change in their health status. Because there is a criteria for case management eligibility if the client has a change that does not meet the standards they are no longer qualified. There are however some negative termination reasons. If the client has a change in benefits …show more content…
and it is not covered anymore. This can happen to anyone. Health benefits change all the time and people also lose their benefits for various reasons. It is unfortunate especially if someone really needs the help. Another reason for termination could be that the client refuses to continue their management. If they are not on board and refusing treatment, or to participate in the techniques and exercises for help, they probably won’t benefit from the case management anyway. In this circumstance the case manager has to determine if the client is able to execute or give all of what is needed to get the full benefit. Termination is not always determined by the client. On rare occasions the case manager could find that they are not able to perform adequately for the client. These issues can range from the manager being uncomfortable to them being bias. The last reason for termination would be death. It is obvious why, if there is no person to manage, there is no case. The next process would be to ensure that there is evidence of an agreement for termination by the client or other parties involved with the case. This is just to ensure that the termination is understood and acknowledged before it is ended. Records of sufficient notice of the termination of services are needed based on the facts. This documentation needs to be of both written and verbal notice of the termination to the client and all the services providers that are involved. Communication and documentation of client information and termination is the best way to ensure the most positive outcome. Independent care continues the growth of a client during and after case management.
It helps to build rapport with the client and gives them that one on one attention that is needed to help their condition. Since consistency is important during any healing process, having a specific person who devotes their attention to a specific client is very helpful with it. There is also the help with maintain a way of living with independent care. When there is someone to take care of some of the stressors of life like cleaning, buying furniture, paying bills etc. it helps with reducing the chance of becoming overly stressed. It also gives the client a chance to have someone to socialize with. We all need human interaction for healthy mental living. The idea here is that you are expected to live a life based on normalcy but you have assistance from someone when it is needed. It definitely helps in any case management
process. All in all, termination of case management is a very sensitive process. The reason for termination should be carefully and thoroughly examined and the guidelines need to be followed. Documentation is a key factor in termination and should be done properly, and independent care is important during the process of case management and after to ensure the overall health of the individual involved.
References
Senior Lifestyle. 2015. Five Benefits of Independent Care. Retrieved from http://www.seniorliving.net/categories/senior-lifestyle/five-benefits-of-independent-living
CMSA. 2014. Standards of Practice for Case Management. Retrieved from. http://www.cmsa.org/portals/0/pdf/memberonly/standardsofpractice.pdf
Paula Howell
CJHS/420
5/25/2015
In case management, there is always a point of time where the case should be evaluated for termination. The case manager should make that determination properly based on the standards and rules of case closure. The guidelines are not always the same. They are determined by the type of case and the circumstance at hand. They are also determined by the settings of the case management and others who are a part of the situation to make the most of an optimistic client outcome. It is important to identify the reason for case management termination. There could be several reasons for termination. The best possible reason would be that the client has achieved the highest benefit of the help, or has had a positive change in their health status. Because there is a criteria for case management eligibility if the client has a change that does not meet the standards they are no longer qualified. There are however some negative termination reasons. If the client has a change in benefits …show more content…
and it is not covered anymore. This can happen to anyone. Health benefits change all the time and people also lose their benefits for various reasons. It is unfortunate especially if someone really needs the help. Another reason for termination could be that the client refuses to continue their management. If they are not on board and refusing treatment, or to participate in the techniques and exercises for help, they probably won’t benefit from the case management anyway. In this circumstance the case manager has to determine if the client is able to execute or give all of what is needed to get the full benefit. Termination is not always determined by the client. On rare occasions the case manager could find that they are not able to perform adequately for the client. These issues can range from the manager being uncomfortable to them being bias. The last reason for termination would be death. It is obvious why, if there is no person to manage, there is no case. The next process would be to ensure that there is evidence of an agreement for termination by the client or other parties involved with the case. This is just to ensure that the termination is understood and acknowledged before it is ended. Records of sufficient notice of the termination of services are needed based on the facts. This documentation needs to be of both written and verbal notice of the termination to the client and all the services providers that are involved. Communication and documentation of client information and termination is the best way to ensure the most positive outcome. Independent care continues the growth of a client during and after case management.
It helps to build rapport with the client and gives them that one on one attention that is needed to help their condition. Since consistency is important during any healing process, having a specific person who devotes their attention to a specific client is very helpful with it. There is also the help with maintain a way of living with independent care. When there is someone to take care of some of the stressors of life like cleaning, buying furniture, paying bills etc. it helps with reducing the chance of becoming overly stressed. It also gives the client a chance to have someone to socialize with. We all need human interaction for healthy mental living. The idea here is that you are expected to live a life based on normalcy but you have assistance from someone when it is needed. It definitely helps in any case management
process. All in all, termination of case management is a very sensitive process. The reason for termination should be carefully and thoroughly examined and the guidelines need to be followed. Documentation is a key factor in termination and should be done properly, and independent care is important during the process of case management and after to ensure the overall health of the individual involved.
References
Senior Lifestyle. 2015. Five Benefits of Independent Care. Retrieved from http://www.seniorliving.net/categories/senior-lifestyle/five-benefits-of-independent-living
CMSA. 2014. Standards of Practice for Case Management. Retrieved from. http://www.cmsa.org/portals/0/pdf/memberonly/standardsofpractice.pdf