The purposes of this study are to understand the community based case management experience of the social workers in the community child centers and to provide action plans for case management that can support children using the community child center to grow healthily and that are appropriate to th...
The purposes of this study are to understand the community based case management experience of the social workers in the community child centers and to provide action plans for case management that can support children using the community child center to grow healthily and that are appropriate to the community child centers. To attain these purposes, interviews were conducted targeting 10 social workers in the community child centers located in 5 boroughs, Daejeon Metropolitan City, Korea, to collect data; the collected data were analyzed through the qualitative approach. As a result of analyzing the interviewed data inductively, 5 themes and 18 sub themes were discovered, and the contents by theme are as follows: First, ‘a gap between the real and the ideal’ deals with difficulties of the social workers in the community child centers who have to fulfill the case management, including that the overheated administration of the case management exhausted social workers, as the deeper evaluation started when the case management introduced in the community child center in 2012 was biased towards administration-oriented case management far from its original intent, and including that the case management that should be performed for the whole children had social workers hostile to it. Second, 'the unsatisfactory case management system' shows the reality of the unsatisfactory community child centers, despite that they should look for the service connection system through building network with outside institutions to perform the case management and that they should prepare the case management education and supervision system to strengthen the case managers’ competencies. Third, 'loose network, slow networking' shows that the community child centers participating in the network are disappointed at the network without the social safety net for the high risk children and have difficulties in establishing cooperative ties and in sharing information of the cases proceeded by the outside institutions together. Fourth, 'the invasion of the children’s rights to be protected’ is telling of dilemmas that there are fears that the case management supported to promote rights of the children and their haman life can rather infringe children’s self-determination, invade their rights due to the careless processing of the personal information, and exclude children from care. Fifth, 'the progress toward community based case management' deals with the performance of the case management that social workers in the community child centers applied the ecological and strength perspectives when assessing children and their families with enhanced abilities in the case management, improved parenting skills in cooperation with their family, and increased effectiveness of service by raising children’s positive change and satisfaction with the customized service. Based on these research results, action plans for the community based case management appropriate to the community child center were suggested: First, various practical methods for the case management should be shared through 'the activation of communication between social workers focused on the community child centers in the strongholds'. As it is natural that the case management approaches vary according to the situation of each case_‘case by case’, social workers’ meetings should be activated to share various experiences focused on the community child centers in the strongholds. The effective practical methods between social workers should be shared for the strength perspective case management focused on the children’s growth to be settled. Second, 'preparation of the supervision system using local network’ is needed. As the importance of network is more and more emphasized to get rid of the places where there is no welfare and to establish the beneficiary-oriented service delivery system, the local network based on communities is being activated. The network must not settle for connecting and adjusting services, but needs in-depth discussion of various cases through regular supervision case meetings and consultation by supervisors. The integrated service supporting plans for the case children should be sought using resources of many institutions through supervision case meetings; supporting methods for cases should be specified through supervision; and role allocation of each institution should be clarified. Third, high risk children should be supported by 'building a partnership with professional organizations through case management networking and role allocation'. Dreamstart is the organization most closely related to the community child center; the Ministry of Health and Welfare entrusts high risk children to Dreamstart to proceed the integrated case management. Community child centers support children with care and meals everyday; Dreamstart provides therapy programs (cognitive treatments, psychotherapy) and various experience activities with sufficient budget. Therefore, the cooperation system should be established for the high risk children, who need a therapeutic intervention, to be entrusted to Dreamstart and supported by therapy programs; and for the children, who need care, among children in Dreamstart, to use the community child center. Fourth, 'establishing the case management system in the community child center to promote the rights of the children' is needed. The case management is a practical method to enhance the rights of the clients and to empower the strengths; the intensive and integrated support is needed for growing children. First, the function of assessment should be reinforced to grasp strengths and baselines of children and families. Second, children and families should be allowed to participate in the planning process so that they can plan the service as a main agent for their own life and the effectiveness of service can be increased through voluntary participation.
The purposes of this study are to understand the community based case management experience of the social workers in the community child centers and to provide action plans for case management that can support children using the community child center to grow healthily and that are appropriate to the community child centers. To attain these purposes, interviews were conducted targeting 10 social workers in the community child centers located in 5 boroughs, Daejeon Metropolitan City, Korea, to collect data; the collected data were analyzed through the qualitative approach. As a result of analyzing the interviewed data inductively, 5 themes and 18 sub themes were discovered, and the contents by theme are as follows: First, ‘a gap between the real and the ideal’ deals with difficulties of the social workers in the community child centers who have to fulfill the case management, including that the overheated administration of the case management exhausted social workers, as the deeper evaluation started when the case management introduced in the community child center in 2012 was biased towards administration-oriented case management far from its original intent, and including that the case management that should be performed for the whole children had social workers hostile to it. Second, 'the unsatisfactory case management system' shows the reality of the unsatisfactory community child centers, despite that they should look for the service connection system through building network with outside institutions to perform the case management and that they should prepare the case management education and supervision system to strengthen the case managers’ competencies. Third, 'loose network, slow networking' shows that the community child centers participating in the network are disappointed at the network without the social safety net for the high risk children and have difficulties in establishing cooperative ties and in sharing information of the cases proceeded by the outside institutions together. Fourth, 'the invasion of the children’s rights to be protected’ is telling of dilemmas that there are fears that the case management supported to promote rights of the children and their haman life can rather infringe children’s self-determination, invade their rights due to the careless processing of the personal information, and exclude children from care. Fifth, 'the progress toward community based case management' deals with the performance of the case management that social workers in the community child centers applied the ecological and strength perspectives when assessing children and their families with enhanced abilities in the case management, improved parenting skills in cooperation with their family, and increased effectiveness of service by raising children’s positive change and satisfaction with the customized service. Based on these research results, action plans for the community based case management appropriate to the community child center were suggested: First, various practical methods for the case management should be shared through 'the activation of communication between social workers focused on the community child centers in the strongholds'. As it is natural that the case management approaches vary according to the situation of each case_‘case by case’, social workers’ meetings should be activated to share various experiences focused on the community child centers in the strongholds. The effective practical methods between social workers should be shared for the strength perspective case management focused on the children’s growth to be settled. Second, 'preparation of the supervision system using local network’ is needed. As the importance of network is more and more emphasized to get rid of the places where there is no welfare and to establish the beneficiary-oriented service delivery system, the local network based on communities is being activated. The network must not settle for connecting and adjusting services, but needs in-depth discussion of various cases through regular supervision case meetings and consultation by supervisors. The integrated service supporting plans for the case children should be sought using resources of many institutions through supervision case meetings; supporting methods for cases should be specified through supervision; and role allocation of each institution should be clarified. Third, high risk children should be supported by 'building a partnership with professional organizations through case management networking and role allocation'. Dreamstart is the organization most closely related to the community child center; the Ministry of Health and Welfare entrusts high risk children to Dreamstart to proceed the integrated case management. Community child centers support children with care and meals everyday; Dreamstart provides therapy programs (cognitive treatments, psychotherapy) and various experience activities with sufficient budget. Therefore, the cooperation system should be established for the high risk children, who need a therapeutic intervention, to be entrusted to Dreamstart and supported by therapy programs; and for the children, who need care, among children in Dreamstart, to use the community child center. Fourth, 'establishing the case management system in the community child center to promote the rights of the children' is needed. The case management is a practical method to enhance the rights of the clients and to empower the strengths; the intensive and integrated support is needed for growing children. First, the function of assessment should be reinforced to grasp strengths and baselines of children and families. Second, children and families should be allowed to participate in the planning process so that they can plan the service as a main agent for their own life and the effectiveness of service can be increased through voluntary participation.
주제어
#Community Child Center Case Management Child Case Management Qualitative Study
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