Evidence Based Case Management Case Study

housed in a facility such as Lincoln Place, there is still that sense of survival on a daily basis. Because this is a “harm reduction” model and clients are using on a daily basis, there is always some sort of turmoil happening within the confines of the building and some of the clients have difficulty trying to adjust to that when they are trying to better themselves. This is where strong case management comes into play and being able to work with your clients and being more client-centered. It is important to able to keep the client focused on what they need to do in order to better or help themselves, rather than concentrate on what is going on around them.

Along with client-centered approach, person in environment is another approach

In a case study by Mowbray et al (1986), Mary is a Caucasian woman that is neat in appearance but does have some mental issues when she has a tendency to become hostile, anxious, and trouble paying attention at times. Over the past year, Mary has resided in 12 different residences but has difficulty remembering the location of each of them. She recalls living with various family members, including her boyfriend’s grandmother, but then being asked to move within one months’ time. She is now sleeping at a women’s shelter because after living with two men who showed interest in sexually abusing her, she wanted to be somewhere where she would feel safe and not be harmed. Having been homeless has left Mary feeling alone and insecure, which has been difficult on

Factors and barriers such as intravenous drug use, schizophrenia, history of unemployment, and various mood disorders that are common within the homeless community were looked at. Reasons for being homeless were looked at as well such as being evicted because of the ability not to pay rent, loss of employment, substance abuse, and various mental health issues. When it came to substance abuse, alcohol was the number one choice, followed by crack cocaine and then heroin. The study found that when it came to men and especially alcohol abuse, there had typically been some sort of trauma and /or violence on their