Example of case management in practice

By Case Manager Sarah Bell

When I think of what I have achieved at JSP, there is one client that stands out in my mind: Michelle, a teenage girl with a brain injury in whom I saw a massive change during my time as his case manager.

Michelle was 14 years old when I started working with her and she had no confidence, no hobbies or interests of her own, she had little support in a main stream school and she had problems with anger management. In the first few months of working with her we successfully recruited a dedicated support worker and Michelle's confidence and social skills began to increase as she started to do more things that she wanted to do and work towards her own goals with our support. This made her a happier person, which helped in making headway on her anger management issues, and although initially she didn’t work well with the neuropsychologist, we got some excellent results.

Michelle had a brother and sister who had found it particularly difficult to deal with the effects of their sister’s brain injury, so I provided them with some training and education to help them understand. Making it fun for them was key, using a selection of devices that allow people to experience the potential effects of a brain injury on cognitive and physical function. Michelle joined in as well, which helped the family bond and understand each other a bit more.

After a year of case management input, the family couldn't believe how much the situation at home had changed for the better. The support worker continued to have a very positive effect on Michelle and her family’s lives. Her commitment, skills and professionalism were invaluable when we recruited the first home/school support worker to work with Michelle. The subsequent combination of support in school and at home ensured Michelle was maximising her abilities, increasing her independence, achieving and developing her goals, and was getting a better quality of life with some direction.

Outcome: Michelle went on to leave school with some GCSEs, which she didn’t expect to achieve, and then went to college to do a foundation course in ICT with support from two support workers. Things were looking bright for Michelle and I was very sorry that I had to hand the case over to another case manager when I went on maternity leave.