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Case Management book (Fundementals of Case Management Practice,skills for the human services - 5th ed by Nancy Summers).

Please read the following case study and answer the questions tothe best of your ability.

Case 16.1: Writing Impressions and Recommendations

Casey, 18 years old, is in her first year of college and comesinto the college counseling center with her roommate, Aisha. Caseyindicates that Aisha should come into the case manager's office asthe case manager begins the intake process. Casey smells as if shehas not bathed and her clothes are rumpled and askew.

Case manager: Have a seat. Anywhere is fine. Tell me a littlebit about what brought you in today.

Casey: I can't sleep. (giggles) I can't sleep. I don't know.(drops her keys and begins looking over the side of the chair forher keys)

Aisha: She has been up for two nights. She says she has a goodidea for this paper or that project or whatever she is working on,but she won't go…

Casey gets up and begins to pace.

Casey: I don't need to eat. She keeps trying to get me to eat.See, I got this new idea about how the people in Poland related tothe Germans and I am trying to put this together for an essay. Noone has ever looked at it this way before. World War II was sounsettling for the Poles. My grandparents were Polish—you knowrefugees after the war. I have, I can see this the way no one elsehas ever looked at it. I put some ideas together.

Aisha: I went over to the library last evening to get her. Theywere closing, and she would not leave. I just think there issomething…

Casey: (bouncing in her chair and then jumping up again) Nothingis wrong. I know that's what you were going to say, Aisha. Nothingis wrong. You don't leave in the middle of a great idea, abreakthrough. It's a breakthrough. (raises her voice) Original. I'mthe only person who sees it this way. I have to write it all downbefore I forget it or someone else gets to the ideas first.

Aisha: She wasn't like this when school started.

Casey: You're talking about me. What do you mean? Wasn't likewhat?

Aisha: Casey. You slept. You ate. You went to class. When wereyou last in Mr. Howard's class?

Casey: I'll catch up. I can catch up. You go. I don't feel Ineed to be in class every time it meets. I can more or less justknow what is going on and be on top of everything when I get back.Right now, I need to do this. I'm on to something new. Look, didyou know that in September of 1939 the Polish government went toRomania, you know, to get away from the Germans? And that means theRomanians were involved in this too. And then Germany attacked theSoviets in 1941. See? See how it all fits together?

Case manager: Tell me about your other classes.

Casey: I don't have time for them right now. I am trying topoint out how the Germans brought all this together.

Aisha: (looks helpless). She talks about this all the time andI… (she looks down at her lap) What can I do? There is somethingwrong. Big time!

The interview continues this way with the case manager unable toget any substantive information from Casey. Aisha seems to want tohelp but Casey talks over her or interrupts her. The case managerrefers Casey to be seen by a physician, and Casey ishospitalized.

1. Describe your initial impressions of Casey. What will youmentally note for later follow-up?

2. Describe your initial impressions of Casey and Aisha'srelationship. What will you mentally note for later follow-up?

3. You are nearly finished writing up a social history forCasey. The last section in the social history is impressions andrecommendations. What would you write based on this initialmeeting?