Discussion:
Create a 150 words , create about when you would close the case of Brittany and the reasons why you would do so, including a list of milestones that indicate the need to close the case of Brittany in senario 5 which is included, please use citations and references.
Case Study Scenarios
Imagine that you have been hired as a case manager at the agency of your choice. Select one of the following case study scenarios.
Case Studies
Scenario One: Belinda
Belinda is an 18-year-old woman and is pregnant with her second child. Belinda believes she is 8.5 months pregnant, but she is not really sure. She has not seen a doctor since her initial doctor visit when she took the pregnancy test. She has not had any prenatal care during her pregnancy. Belinda's first child, Benny, was delivered by cesarean section and is now 16 months old.
Belinda is an American Indian and has a Certificate of Degree of Indian Blood (CDIB) for both Muscogee Creek Nation and Cheyenne and Arapaho Tribes. Belinda is currently living in an apartment with her children's father, but she suspects that they will be evicted soon for not paying rent. Neither Belinda nor the children's father has a job, and both have been unemployed for several months. Belinda and her boyfriend do not have transportation. Additionally, neither has any personal identification documents-such as a social security card, birth certificate, or driver's license-other than a CDIB card.
Belinda would like to become a nurse, but she dropped out of high school half way through the ninth grade.
Scenario Two: Jack
Jack is an 87-year-old widower who lives alone in his family home. Jack was diagnosed with dementia and the early stages of Alzheimer's disease 7 years ago. Jack's son, daughter-in-law, and grandchildren live less than 15 minutes away. Jack is not allowed to drive anymore, but he sneaks out and drives his car whenever he feels like it.
Jack's memory is very clear when asked about events that happened 10 years or more in the past, but his short-term memory is not as clear. Jack cannot remember dates or details. He gets frustrated and becomes aggravated when he cannot find things. When aggravated, Jack goes through his house pulling things out of drawers, which makes a huge mess.
Jack attends daytime activities for seniors at a local community church, but he can only do so once every other week due to lack of transportation. He also has several different medications he is required to take, but he cannot remember when he is supposed to take his medicine or if he has already taken them.
Jack's family does not feel that he needs to move into a residential facility. Jack's family purchased a small dog for him that he named Rosie. Jack's family states his overall attitude has improved since he's had Rosie, and he seems to always remember things related to her care.
Scenario Three: Claire
Claire is 33 years old and lives with her younger sister and second cousin. Claire was fired from her last job at a 24-hour convenience store for behavioral issues and for not arriving on time for work.
Claire was diagnosed with bipolar disorder when she was 18 years old and has been on many different medications to stabilize her moods. Claire has been taking an antidepressant to treat her bipolar disorder and attending maintenance counseling off and on for the past 2 or 3 years.
Claire is enrolled in Medicaid, which pays for her medications, but she cannot find her Medicaid card, her birth certificate, or her state identification card. Claire also goes through cycles where she does not want to take her medication. Claire's sister and cousin are threatening to kick Claire out for not taking her medication, not attending her counseling sessions, and not paying bills or rent for the last 4 months.
Claire would like to take the required test to obtain her high school equivalency diploma and be able to afford her own apartment.
Scenario Four: Randy
Randy is a 47-year-old man who lives with his brother and sister-in-law. Randy is intellectually disabled and functions with an IQ of 70.
Randy has become very frustrated staying with his brother and sister-in-law because he has no one to interact with and nothing constructive to do with his time. Despite his IQ, Randy functions at a high level and would like to have a job and his own apartment. Both of Randy's family members work all day and leave him in the apartment alone watching movies or television.
Randy is depressed and has shown signs of sleeplessness, loss of appetite, and is withdrawn from others. Randy's brother and sister-in-law love him very much but are not sure how to help him. Randy receives Medicaid, Developmental Disabilities Services Division (DDSD) services, and social security payments from the state.
Scenario Five: Brittany
Brittany is a 21-year-old woman who lives with her boyfriend in a two-bedroom townhouse. Brittany is currently working full-time at a gentleman's club. Brittany makes good money, but it is all in cash, and she has not been able to pay her rent or bills on time for the past 2 months.
Brittany exited foster care when she turned 18 and moved from relative to relative until she had nowhere to live. Brittany is very proud that she has an apartment and owns her own car. She currently does not have car insurance, however, due to lack of payment. Brittany's boyfriend does not work, and he usually has at least two or three friends who hang out with him, play video games, and drink beer all day. Brittany loves her boyfriend, but she is frustrated about having to pay all of the bills.
Brittany was arrested at work 2 weeks ago for lewd behavior and was given a $400 ticket. Brittany does not know how she is going to be able to pay the ticket and all her current bills. She is thinking about taking a part-time job at another gentleman's club on her days off.