Case Assignment

This semester you will be creating an Advanced Service Plan, where you will practice the skills learned in this course. The assignment is divided in 4 modules where you will be submitting a specific part of your advanced service plan. Attached below, you will find a service plan example to help and guide you through the process of completing your own service plan. Please note that the example attached contains the complete service plan, however, for this module you are only required to submit the following part:

For this assignment, you will choose a family member or friend to be your practice “client” and implement some of the key processes of case management with them this semester.

Part 1: Conduct an intake interview with your client using the skills learned in class. Conduct informed consent procedures including confidentiality, do an assessment and look for client’s strengths.

For this assignment, you will create a Human Services organization (just for fun) and take a
made-up client through the process of case management in your organization from intake to
discharge. The Service Plan for your “client” is broken into three parts that build on each other.
Each part will be submitted one at a time. Part 1 is due first, then you will add part 2, then you
add part 3, then create a Service Plan presentation at the end of the semester that presents the
whole plan.
Part 1 (100 points): Create an organized document with the following information:
• Agency Name (Have fun with this and be creative.)
• Mission Statement of your Agency
• Population Served
• Eligibility Requirements
• Demographic information for your made-up client (name, age, address, phone number)
• Referral source and reason for referral
• Document how you conducted informed consent procedures including confidentiality
• Strengths Assessment
• Intake Summary
o Workers name, date of contact, date of summary
o Sources of information during the intake interview
o Presenting problem
o Summary of background and social history related to the problem
o Diagnostic summary statement (pinpoint the issue that needs to be addressed)
o Treatment recommendations (what services can your agency offer to help this
person?)
Rubric:
___/90 Thorough, Correctly Implemented, Clear and Organized
___/10 Spelling, Grammar and Visual Appeal of the Document
___/100 Grade for Part 1

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