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Case Planning and Case Management

Maria, 33, was just released from jail after serving a 6-month sentence for shoplifting. You are a community-based re-entry case manager responsible for preparing her initial treatment plan post-release. Your primary goal is to prevent recidivism.
Before being arrested, Maria lived with her younger sister and cousin in a 1-bedroom apartment. She was working at a 24-hour convenience store but was fired for behavioral issues and not arriving on time for work.
Maria was diagnosed with bipolar disorder when she was 18 years old and has been on many different medications to stabilize her moods. She has been taking a mood stabilizer to treat her bipolar disorder, but due to being fired, she can no longer afford her medication and has not taken any for 3 months. Maria considered counseling but does not have the money for it.
During the intake interview, Maria stated she did not have a high school diploma but would like to take the required test to obtain her GED. She stated she does not want to go back on her medication, because she did not like the way it made her feel. It also made her gain weight. Maria also stated that when she was arrested, her sister told her she could no longer live at the apartment upon her release from jail.

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Sample Answer

 

 

Client: Maria, 33 Diagnosis: Bipolar Disorder (unmedicated for 3 months) Reason for Incarceration: Shoplifting Release Date: Today

Primary Goal: Prevent recidivism and support successful reintegration into the community.

Risk Factors:

  • Unmanaged bipolar disorder: Can lead to mood swings, impulsivity, and poor decision-making, increasing the risk of criminal activity.
  • Lack of stable housing: Makes it difficult to maintain employment and access support services.
  • Unemployment: Financial pressures can increase stress and contribute to criminal activity.
  • Lack of medication adherence: Can exacerbate symptoms and contribute to recidivism.

Full Answer Section

 

 

 

  • Lack of social support: Isolation can increase vulnerability and difficulty coping with challenges.

Protective Factors:

  • Desire to obtain GED: Indicates motivation for self-improvement and potential for employment opportunities.
  • Awareness of need for support: Willingness to engage with services can be a significant asset.

Intervention Strategies:

Housing:

  • Refer to emergency shelter or transitional housing program until permanent housing can be secured.
  • Connect with housing assistance programs to help find affordable and stable housing.

Employment:

  • Assist with job search and resume development.
  • Explore vocational training opportunities aligned with interests and skills.
  • Connect with employment programs that offer support for individuals with mental health challenges.

Mental Health:

  • Educate Maria about the importance of medication adherence and address concerns about side effects.
  • Connect with a psychiatrist or mental health professional for medication evaluation and management.
  • Explore free or low-cost mental health counseling options such as community clinics or support groups.

Education:

  • Provide information and support for obtaining a GED through adult education programs.
  • Explore scholarship or financial aid options to assist with educational costs.

Social Support:

  • Connect Maria with support groups for individuals with bipolar disorder.
  • Assist in reconnecting with supportive family members or friends, if appropriate.
  • Explore mentorship programs that can provide guidance and encouragement.

Additional Considerations:

  • Address trauma history: If present, explore trauma-informed therapy options.
  • Substance abuse assessment: Screen for and address any substance abuse issues.
  • Financial literacy: Provide education and resources for managing finances effectively.
  • Legal issues: Ensure access to legal assistance if needed to address any outstanding legal matters.

Monitoring and Evaluation:

  • Regularly assess progress towards goals and adjust the treatment plan as needed.
  • Collaborate with other service providers involved in Maria’s care to ensure coordinated support.
  • Encourage Maria’s active participation in her treatment plan and decision-making process.

This initial plan serves as a starting point and should be tailored to Maria’s specific needs and preferences as the case progresses.

Disclaimer: This information is for educational purposes only and does not constitute professional medical or legal advice. Please consult with qualified healthcare professionals for individual assessment and treatment planning.

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