Case Management
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Human Services for the Older Adult

ABSTRACT

This paper will provide an outline of suggested human services case management issues for the elderly, based on research, with special emphasis on improvement of the practices of social workers who specialize in managing the affairs of older individuals. One name for this service is Geriatric Care Management, though this term is often used as pertaining only to health issues of the client.  The overall movement towards empowerment of the cognitive client rather than "doing for" the client is of concern to this work. Many older adults may not know of various services available to assist them in their later years. This paper will go beyond the standard government programs and will also consider services provided in the private sector, since older individuals have many areas of concern and interests, especially when they have no younger relatives or their children live a distance away.

                                                    Introduction

     The Human Services Model works at both the micro and the macro levels in the helping professions. With the emphasis on humanitarian values (Harris et al., 2004), it is also highly qualified to serve culturally diverse populations, including the older American. The generalist human services professional has many roles which may provide help and services to the older members of our society.

       For the purposes of this paper, case management will be the term used that sums up the many roles of the human services worker. Since the population chosen for this paper are older adults, those aged 65 plus, the case management will be tuned to their needs.  Further qualifying the population, this paper will content itself on a relatively unstudied group: the cognitively well elderly and their needs. This is in contrast to many other studies which view the older adult as a needy recipient of "being done for" and viewing the elderly as relatively incapable of taking care of themselves. This paper will speak to empowerment of this sub group of older Americans.

      Moore (1992) cautions that the term case management is currently being used inappropriately by many service work professionals as a catch-all phrase to make up for the very

fragmented services delivery systems found today. He contends that

a real case management practice would include an infrastructure

and organization that is client centered rather than system centered.

Because of the past, he suggests that too many families “have been

spoiled” by the system instead of empowered by it. This concept will

run as a thread through this paper, that helping individuals and

families learn to do for themsleves is of greater benefit than doing for

them.

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