Collecting Data

Case Study Scenarios

BSHS/405 Version 3

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Week Three Case Study Scenarios

Imagine you have been hired as a case manager at the agency of your choice. Select one of the following case study scenarios. Use the selected scenario to complete the assignments due throughout the course.

Case Studies

Scenario One: Belinda

Belinda, 18, believes she may be 8.5 months pregnant, but is not entirely certain. Belinda has not seen a doctor since her initial visit when she took a pregnancy test and has not had any prenatal care during her pregnancy. Belinda’s first child, Benny, was delivered by cesarean section and is now 16 months old.

Belinda is an American Indian and has a Certificate of Degree of Indian Blood (CDIB) for both the Muscogee Creek Nation and Cheyenne and Arapaho Tribes. She is living in an apartment with her children’s father, but suspects they will be evicted soon for not paying rent. Neither Belinda nor the children’s father has a job, and both have been unemployed for several months. Belinda and her boyfriend do not own a vehicle nor have steady transportation. Additionally, neither has any personal identification documents—a Social Security card, birth certificate, or driver’s license—other than a CDIB card.

Belinda would like to become a nurse, but she dropped out of high school halfway through ninth grade.

Scenario Two: Jack

Jack, an 87-year-old widower who lives alone in his family home, was diagnosed with dementia and the early stages of Alzheimer’s disease 7 years ago. Jack’s son, daughter-in-law, and grandchildren live less than 15 minutes away. Jack is not allowed to drive anymore, but sneaks out and drives his car whenever he feels like it.

Jack’s long-term memory is very clear when asked about events that happened 10-plus years ago, but his short-term memory is not as clear. Jack cannot remember dates or details and becomes frustrated and aggravated when he cannot find things. When aggravated, Jack goes through his house pulling things out of drawers, which makes a huge mess.

Jack attends daytime activities for seniors at a local community church, but he can only do so once every other week due to lack of transportation. He is also required to take several different medications, but cannot remember when or if he has already taken them.

Jack’s family does not believe he needs to move into a residential facility. In fact, Jack’s family purchased him a small dog that he named Rosie. The family states Jack’s overall attitude has improved since he’s had Rosie, and he seems to always remember things related to her care.

Scenario Three: Claire

Claire, 33, lives with her younger sister and second cousin. Claire was fired from her last job at a 24-hour convenience store for behavioral issues and not arriving on time for work.

Claire, who was diagnosed with bipolar disorder when she was 18 years old, has been on many different medications to stabilize her moods. Claire has been taking an antidepressant to treat her bipolar disorder, as well as attending maintenance counseling off and on for the past 2 or 3 years.

Claire is enrolled in Medicaid, which pays for her medications, but cannot find her Medicaid card, birth certificate, or state identification card. Claire also goes through cycles where she does not want to take her medication. Her sister and cousin are threatening to kick Claire out for not taking her medication, not attending her counseling sessions, and not paying her portion of the bills or rent for the last 4 months.

Claire would like to take the required test to obtain her high school equivalency diploma and be able to afford her own apartment.

Scenario Four: Randy

Randy, a 47-year-old man who lives with his brother and sister-in-law, is intellectually disabled and functions with an IQ of 70.

Randy has become frustrated staying with his brother and sister-in-law because he has no one to interact with and nothing constructive to do with his time. Despite his IQ, Randy functions at a high level and would like to have a job and his own apartment. Both of Randy’s family members work all day and leave him in the apartment alone watching movies or television.

Randy is depressed and has shown signs of sleeplessness, loss of appetite, and is withdrawn from others. Randy’s brother and sister-in-law love him, but are not sure how to help him live successfully in the long term. Randy receives Medicaid, Developmental Disabilities Services Division (DDSD) services, and Social Security payments from the state.

Scenario Five: Brittany

Brittany, 21, lives with her boyfriend in a two-bedroom townhouse. Brittany works full time at a gentleman’s club and makes good money, but because she’s paid in cash, she has been unable to pay her rent or bills on time for the past 2 months.

Upon turning 18, Brittany left foster care and moved from relative to relative until she had nowhere to live. Brittany is proud of the fact she has an apartment and owns her own car. However, she does not have car insurance because she could not keep up with the payments. Brittany’s boyfriend does not work and usually has at least 2 or 3 friends over who hang out, play video games, and drink beer all day. Brittany loves her boyfriend, but is frustrated about having to pay the bills on her own.

Brittany was arrested 2 weeks ago at work for lewd behavior and was issued a $400 fine. Brittany does not know how she will be able to pay the fine, along with all her other bills. She’s thinking about taking a part-time job at another gentleman’s club on her days off.

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