NCJ Number
159157
Journal
Journal of Elder Abuse and Neglect Volume: 7 Issue: 2/3 Dated: special issue (1995) Pages: 115-130
Date Published
1995
Length
16 pages
Annotation
This chapter focuses on three case studies of elderly mistreatment from the perspective of case management.
Abstract
Ethical protocol in case management under the Older Americans Act is derived from Federal and State standards as well as from agency and professional directives. Case management in the professional standards of social work is individualized and client-focused, with community concerns and family perspectives on care plans being secondary. Professional standards also emphasize that the client is presumed to be mentally competent until declared otherwise by a court of law. Directives from the Federal guidelines for the Area Agencies on Aging and certain State directives show that the goal of case management is to help older disabled adults continue to live independent lives by pursuing the least restrictive alternatives for long-term care. In relation to clients' rights, professional protocols include the following values: the right of confidentiality and privacy, equal treatment under the law, freedom of choice and the right to refuse services, and the right to legal representation. Issues of quality of life are also contained in case management protocol: being treated with respect and dignity, self-determination, and participating actively in defining and implementing the service plan. An analysis of three hypothetical cases of elderly mistreatment shows that the role of the case manager will be most effective when it becomes a coordinative role, drawing in the expertise of medical professionals, mental health counselors, lawyers, nutritionists, social service agencies, and others with whom the client is involved or will be involved. 3 references