DISCUSS THE EFFECTIVENESS OF THE CARE MANAGEMENT PROCESS...

The last 50 years has seen a major shift in how care is delivered to service users particularly those who suffer with Mental Illness. It was as recent as the 1960’s the concept of community care as opposed to institutionalisation was first considered and asylums began closing. Strains on resources and works such as those documented by Goffman and referred to by Miller 1996highlighted how institutions didn’t aid services users back to health but made them dependent on the system and incapable of making own choices and forming external relationships mostly due to exclusion from being able to. Tory views in the 70s and 80s pushed the ideas the community’s The Griffiths report 1988 as cited by (Miller, Community Care, 1996) outlined the†¦show more content†¦Smale 93 (OByrne, 2009) identified 3 models of assessment, questioning, procedural and exchange. Whilst the exchange is the ideal model by which to fulfil the aims of the NHSCCA 1990 documents don’t always allow for that and focus tends to be on weaknesses of individuals or medial needs as opposed to strengths. Mental illness is such a complex issue and something that can fluctuate quickly depending on circumstances. This reason alone makes determining mental capacity and assessment process very difficult. The government aimed for fair access to care as set out in their national framework. Eligibility criteria, for adult social care is split into 4 bands, low, moderate, substantial and critical. It is up to local authorities to decide what eligible bands they will provide funding for. Durham County Council for example will provide care to substantial and critical bands. Whilst this is directing resources to those most at need is it in fact just delaying help to those in lower bandings which without early intervention and assistance needs become substantial or critical? Users assessed to be in lower band needs will be signposted towards services for help but would they follow that up of their own accord? The Centre For Social Justice report Completing the Revolution Transforming mental health and tackling poverty 2011 chaired by Dr Samantha Callan suggets that ‘The move out of theShow MoreRelatedEffective Management Essay (Master of Nursing)2950 Words   |  12 Pagesessay will discuss current literature on clinical case management in mental health in the Australian context. The terms relating to case management will be defined and explained. The essay will discuss and describe case management models and social models in mental health. In this essay my own clinical experience in case management will be highlighted. The issues of efficacy and effectiveness in clinical case management will also be addressed. 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