Generalist Case Management

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According to the Generalist Case Management, a manager should show a helping attitude towards his patient during their first interview in order to extract all the information about the patients condition (Marianne & Tricia, 2013). For instance, a physician encounters a patient suffering from drug addiction such as cigarette addiction; the physician knew what the client wanted first before the interview began, he wanted to refrain from cigarette smoking. The manager then became sensitive through the interview as he talked to the patient. He communicated the acceptance of the patients situation during their discussion while being genuine to the patient about his condition. He throughout the interview tried to communicate warmth to the patient through consolation. An important factor that he considered while conducting the interview was the patients diversity (Marianne & Tricia, 2013). By considering the clients diversity, he knew how to handle patient according to his age, the gender of the patient was another important factor that the manager considered throughout the interview.

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In health matters, religion has also emerged an important factor to consider owing to certain beliefs within various religions (Marianne & Tricia, 2013). Therefore, the religion of the client was also an important factor to consider. Disabled patients are more fragile to handle, as they tend to have more complications than normal patients do. The physician was well aware of the ability of the patient before he began the interview. The race of the patient and the sex orientation are other valuable factors to consider during the interview (Marianne & Tricia, 2013). The strength-based approach towards a smoker would be examining their fingertips to know the extent, to which they have smoked, also keeping an eye contact with the patient would help know when they are lying or telling the truth.

To develop a positive relationship with the client, a manager needs to apply various communication skills that would build the relationship to create honesty among them. In the case of the cigarette addict above, the communication skills were applied effectively. The language that was used was simple for the patient to understand easily (Marianne & Tricia, 2013). The manager showed congruence between the verbal and the nonverbal massages from the patient. By keenly listening while keeping an eye on the patient, the manager realized that both the verbal messages and the nonverbal messages from the patient tallied (Marianne & Tricia, 2013). The patient showed his sincerity and need for change. The manager also engaged into active listening, by listening keenly and asking questions where necessary, the manager successfully built a positive relationship with the patient.

The manager kept a relatively comfortable distance from the patient during the interview. The distance allowed the patient to feel free during the interview. The other skills of communication used by the manager included keeping an open posture throughout the interview. He also managed to keep an appropriate eye contact with the patient. Throughout the interview, the manager stayed relaxed. Staying relaxed as a manager also makes the patient feel comfortable throughout the interview (Marianne & Tricia, 2013). A comfortable patient will always give the best responses; when relaxed, the patient becomes sincere, as he has no doubts within himself. The communication skills displayed by the manager during the interview made the patient comfortable and the manager got the best responses out of him (Marianne & Tricia, 2013). Therefore, the communication skills according to the generalist case management are useful and should be embraced by every manager who intends to be successful in any field that involves interviews.

Interviewing and health testing, are both data collection methods regularly used at health institutions, in most cases the two types of data collection come in handy, first a patient is interviewed before he is subjected to the various medical tests (Marianne & Tricia, 2013). The two data collection methods vary greatly; interviewing depends on the patients sincerity while testing depends on the testing instruments only. The probabilities of the interviews being inaccurate are more compared to that of testing being inaccurate. Interviews depend on the comfort of the patient, his mood on the day of interview and the desire to change while medical tests only depend on the instruments used in testing (Marianne & Tricia, 2013). It is very rare for the instruments used in testing to be faulty but in interviewing, the patient might just decide to hide some necessary information from the interviewee.

Both sources of data have potential sources of error that should be considered while interpreting the data acquired. In testing, the likelihood of errors includes when the testing instruments are contaminated, when the instruments are faulty and when the reading is not taken keenly (Marianne & Tricia, 2013). Therefore, while interpreting the outcome of the tests, an allowance for the errors needs to be allowed for data accuracy. On the other hand, interviewing also has various shortcomings that should be considered during data interpretation. The process depends on the person being interviewed; it might happen that at the time of the interview he was not in the right mood to be sincere, the patient might also be confused during the interview. However, most patients ignore some information or forget necessary information leading to the insufficient or inappropriate information delivered (Marianne & Tricia, 2013). These errors and omissions should be taken into consideration while interpreting the data to avoid the administration to the wrong kind of treatment for those patients seeking substance abuse treatment.

When the psychological evaluation of a patient is indicated, the medical information of the patient becomes very important to show the health history of the patient. The medical information would shoe the kind of medication that the patient has been through and the intensity of the situation being administered (Marianne & Tricia, 2013). This information would help a physician to identify the perfect kind of medication to the patient depending on situation of the patient as indicated by the medical information and the psychological evaluation. Social history of a patient seeking treatment from substance abuse is also very useful in determining the kind of administration to offer to a patient seeking treatment for substance abuse (Marianne & Tricia, 2013).

The social history provides the background of the substance use. Consequently, the physician would then be conversant with the situation and it would be quite easy to tackle the situation (Marianne & Tricia, 2013). The educational background of the patient is also necessary in determining how to handle the patient. The educational background directs the physician even on the right language to communicate properly with the client but most importantly, it shows the time at which the client begun the use of the substances (Marianne & Tricia, 2013). The vocational evaluation of the patient might also be necessary, as it would indicate the places where the patient had ample time that would have allowed him to engage in the use of the substance. This would help determine the care needed for the substance abuse patient as it would indicate the intensity of condition the patient is in. It would show how severe the substance has affected the individual in question. The physician thus, has an easy time in administering the patient to the correct medication.


Marianne Woodside & Tricia McClam (2013). Treatment Planning for Person-Centered Care.

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