Key Takeaways
- Case management involves assessing client needs, developing service plans, coordinating care, linking to resources, and monitoring progress
- Brokering and linking connect clients with community resources such as housing, food, healthcare, and employment services
- Advocacy occurs at multiple levels: individual (case advocacy), organizational, community, and policy (cause advocacy)
- Interdisciplinary collaboration involves working with professionals from other disciplines to provide comprehensive care
- Care coordination ensures that multiple providers are working together toward shared goals and avoiding duplication of services
- Discharge planning from one level of care to another requires careful attention to continuity and follow-up
- Social workers should be familiar with major community resources and eligibility requirements
Case Management and Advocacy
Case management is one of the foundational functions of social work practice. It involves a systematic process of assessing client needs, planning services, linking clients to resources, coordinating care, monitoring progress, and advocating for clients at multiple levels. The ASWB exam tests your knowledge of case management models, advocacy strategies, and interdisciplinary collaboration.
Case Management Process
Case management follows a structured, cyclical process:
| Step | Description | Key Activities |
|---|---|---|
| 1. Engagement | Establishing rapport and building a working relationship | Introduction, orientation, building trust |
| 2. Assessment | Identifying client needs, strengths, and resources | Biopsychosocial assessment, needs assessment |
| 3. Planning | Developing a service plan with the client | Setting goals, identifying services, prioritizing needs |
| 4. Implementation | Connecting the client with services and resources | Referrals, linkage, brokering, coordination |
| 5. Monitoring | Tracking progress and service delivery | Regular check-ins, reassessment, adjusting the plan |
| 6. Evaluation | Assessing outcomes and determining next steps | Measuring goal achievement, client satisfaction |
| 7. Termination | Ending the case management relationship | Transition planning, follow-up, closure |
Brokering and Linking Services
Brokering is the process of connecting clients with appropriate community resources. The social worker acts as an intermediary, matching client needs with available services. Key brokering activities include:
- Resource identification: Maintaining knowledge of community resources, eligibility requirements, and application processes
- Referral: Providing the client with information and facilitating contact with service providers
- Warm referral vs. cold referral: A warm referral involves the social worker directly contacting the provider on behalf of the client; a cold referral provides the client with information to make their own contact
- Follow-up: Checking that the client successfully connected with the referred service
Common community resources include:
- Housing assistance (shelters, Section 8, transitional housing)
- Food security (food banks, SNAP/food stamps, WIC)
- Healthcare (community health centers, Medicaid, sliding-scale clinics)
- Mental health services (community mental health centers, crisis lines)
- Substance use treatment (detox, outpatient, residential programs)
- Employment services (vocational rehabilitation, job training)
- Legal services (legal aid, immigration legal services)
- Financial assistance (TANF, SSI/SSDI, emergency funds)
- Domestic violence services (hotlines, shelters, safety planning)
- Child care and family support services
A social worker who contacts a community mental health center on behalf of a client, provides the client's relevant information (with consent), and schedules an intake appointment is performing a:
Advocacy
Social work advocacy is the act of speaking up, taking action, and promoting change on behalf of individuals, groups, or communities. Advocacy is a core social work value and occurs at multiple levels:
Individual (Case) Advocacy:
- Advocating for a specific client's needs and rights
- Examples: Helping a client appeal a denied insurance claim, advocating for a student's IEP accommodations, ensuring a hospitalized patient's wishes are respected
- Requires the client's consent and empowerment (advocating with, not just for)
Organizational Advocacy:
- Working to change policies, practices, or culture within organizations
- Examples: Advocating for culturally responsive intake forms, requesting interpreter services, promoting trauma-informed practices
Community Advocacy:
- Mobilizing communities to address shared needs and concerns
- Examples: Organizing a community meeting about food deserts, building coalitions to address housing insecurity, leading community education campaigns
Policy (Cause) Advocacy:
- Working to change laws, regulations, and policies at the local, state, or national level
- Examples: Lobbying for increased mental health funding, testifying before legislative committees, organizing voter registration drives
Interdisciplinary Collaboration
Clinical social workers frequently collaborate with professionals from other disciplines, including psychiatrists, psychologists, nurses, physicians, occupational therapists, substance use counselors, and educators. Effective interdisciplinary collaboration requires:
- Clear role definition: Each team member understands their scope of practice and contributions
- Shared goals: The team agrees on treatment objectives and priorities
- Open communication: Regular team meetings, shared documentation, and clear communication channels
- Mutual respect: Valuing each profession's expertise and perspective
- Conflict resolution: Addressing disagreements professionally and collaboratively
- Client involvement: Including the client in treatment team meetings and decisions when appropriate
Care Coordination
Care coordination ensures that multiple providers are working together seamlessly to deliver comprehensive services:
- Avoiding duplication: Ensuring services are not redundant or contradictory
- Information sharing: With appropriate consent, sharing relevant clinical information between providers
- Treatment team meetings: Regular multidisciplinary meetings to review progress and adjust plans
- Transition management: Coordinating smooth transitions between levels of care (e.g., inpatient to outpatient)
- Cultural brokering: Helping clients navigate healthcare systems that may not be culturally responsive
A social worker testifies before a state legislative committee about the need for increased funding for community mental health services. This is an example of:
Match each case management step with its primary activity:
Match each item on the left with the correct item on the right
Which of the following is the MOST important principle of effective advocacy in social work?