Treatment Plan in Social Case-work

Treatment plan

Generally two types of efforts are required for social adjustment environment modification and change in behaviour and attitudes Early case work treatment was placed on modification through environment Later on development of ego psychology helped social case worker to use direct treatment technique.  Now the aim of social case work treatment is to restore the individual to social functioning or to help him develop his capacity in order that he may achieve at one and at the same time his own and societies betterment.

 

 

Treatment plan process

A)Initial phase:

The main task of social case worker in the initial phase is to examine how the problem was brought to his attention. He would attempt to focus on various aspect of the problem that seem fit to case work treatment the initial phase of the case work treatment will be thought to be completed when the case worker meets the following conditions:

1)   The issues have sufficiently identified so as to substantiate that they are appropriate to purpose and goals of the services.

2)    The participants understand the nature and meaning of the problem  with enough explicit to permit engagement and participation

3)    The problem is appropriate to the program resources and services of the setting

4)   The problem fits the practitioners skills and capabilities

 

Social case worker develops as prelinary understanding of the problem and of the client and engages him in a therapeutic relationship. it is quiet possible that through this initial process the treatment client may learn that he really doesn’t need further help as the problem has been sufficiently clarified and explained

 

B)   Motivation and role induction:

Workers empathy, warmth and geniuses feeling are highly motivating force for the client to take part in the therapeutic process.

The objective of this phase is to minimising the pre-mature

Termination and enhance motivation to continue the treatment .he also encourage client to specify his expectation of treatment and feeling about seeking help. He attempts to clarify the roles and responsibilities of both himself and the client. He also clarifies about the type of services agency can offer and extent the boundaries of those services these activities and roles of social case worker help to engage the client in therapeutic planning

 

C) Primary contract:

The objective of this phase is to devlop a preliminary contract with the client The contract may be oral or in writing The Case worker thus by making psychological contract (relnship) sets the stages  to move toward more formal assessment.

 

D)Diagnosis and assessment

Diagnosis and assessment process are on going through out the entire treatment. Social case worker provides details information  abt the prblm situation that will help in establishing the treatment goal .A strategy of treatment and selection of specific procedure of treatment . Caseworker access clients ego –strengthen skilfulness, capabilities and capacities in relation to his problem. He classifies the excesses and the deficiencies in his behaviour and selects the specific treatment procedure to be used to overcome the problem. He accesses whether the client needs advice, counselling, behaviour modification, crisis intervention or consultancy services like teaching , consultation, interpretation, supervision or provision of adult services like material help, resource location and referral.

 

E) Establishing treatment Goals: 

 

Social case worker after diagnosis and assessment of the client, establishes goals for the solution of the problem

He selects any one or more goals of the following:

1)    Prevention of break down

2)    Ego strengthening

3)    Restoration of social functioning

4)    Creation of opportunities for growth and development.

5)    Self direction experience

6)    Social participation experience

7)    Change in environment

8)     Case worker along with this work, point out the negative and positive result that may come out due to change in the behaviour patterns of the client or due to environment manipulation.

 

F) Developing treatment plan: 

Treatment planning involves three major dimensions:

1)    Formulation of a strategy

2)    Selection of specific treatment procedures

3)    Developing a method for evaluating the impact of the treatment  procedures and developing the method for evaluating the impact of treatment program

Social case worker decide whether the primary thrust of the  invention or treatment  will be system centered , person centered or both .

He then makes a judgement as to which of the key role of social as worker are most suited to the particular problem. The entire process of formulating a treatment strategy may be depicted or described

 

G) Preparation for Actual treatment:

 

Preparation for actual treatment phase involves several specific steps such as collecting all possible information , formation of action system , preparation  of mediator if needed. Change of significant element in client’s environment to increase

The probability of getting desired result, make an attempt to make the new behaviour acceptable to the client and to provide high level of close relationship with client.

 

 

H)Application of treatment methods  

Application of Treatment Methods

In order to achieve the goals set by the case worker, conventionally the following method of social treatment has been mentioned1. Administration  of practical service

1. Administration

2. Indirect treatment (environmental manipulation)

3. Direct treatment.

The client is extended help to choose and use the social resources afforded by the community. Porter Lee

 

was the first social worker. Who emphasized and classified such resources into executive and leadership. Administration of practical service means to help the client in such a way that he could select and use the resource available in the community. Social case worker, helps he client for an adequate knowledge of available resources through the techniques of discussion information. Clarification and direction. The use of services is essential to solve any kind of problem and if the problem is of social nature, then it becomes more essential for the worker to help the client in this direction. These services take the form of treatment as they satisfy his needs and give satisfaction. The client knows the type of services he need but he does not know how to reach these services. It is the job of case worker to take the client to the resources. Money, medical care, nursery schools, scholarships, foster homes, legal aid, recreational facilities, etc., are such type of services that any person may nee in order to resolve a given problem in his daily living.

Indirect Treatment (Environmental Manipulation)

Environmental manipulation means to bring change in the social conditions of the client so that he may be relived from excessive stresses and strains. The case worker suggests as to what steps may or may not help the client to cope better with hi problems. He plans with him a to his emotional, professional and recreational activities. He gives an appropriate advice to members of his environment and modifies their attitudes favourably. Through interview is used in this method but the man emphasis is laid to change in his conditions. When social resources and systematized social conditions are used as main sources for the solution of the problem, it becomes social treatment. Home services, camps, group experience activities, training and employment for livelihood and other activities of adjust mental nature are such type of programmes. The purpose of such activities is always to minimize the load of tension in the client

 

I)Monitoring and Evaluation 

Monitoring provides the crucial feedback to case worker and the  client regarding whether the treatment programme is succeeding as desired , whether established goals have been  achieved , whether the client is being helped in real sense. Social case worker evaluate the content of program and its effectiveness , inner strength gained by the client and success of himself in helping the client.

 

J)Planning Follow-up and the termination of therapeutic relationship.:

It is neither wise nor necessary for termination to be an abrupt one. The frequency and amount of contacts should be gradually decreased. Particularly, the follow –up should be planned on a progressively diminishing basis, first perhaps after two weeks, then a month hence, then 3 months, six months and a year following the termination of the formal programme.