Role of Case Managers

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Role of Case Managers
Carlos Michael Padilla
BSHS 402: Case Management
Sammye Williams-Hitchye
April 13, 2009
Role of Case Managers
In the Milos Forman film, One Flew Over the Cuckoo’s Nest (1975), Randle Patrick McMurphy (Jack Nicholson), a recidivist criminal serving a short prison term is transferred to a mental institution due to behavioral problems. It is in that institution that McMurphy meets Nurse Ratchet (Louise Fletcher), a bullish, controlling nurse who has cowed the patients into dejected submission and who has the power to keep McMurphy institutionalized indefinitely. A battle for control ensues between the two characters which Ratchet views as a personal affront and challenge to her authority. Eventually McMurphy is lobotomized before being suffocated by one of the other patients. The release of One Flew Over the Cuckoo’s Nest came not to many years after the United States began deinstitutionalizing large psychiatric hospitals such as Oregon State Hospital (Salem Oregon), which served as the location for the film. Deinstitutionalization was the direct result of professional concerns that patients were not being taught how to function within their communities. This lack of functionalism was relative to the patient’s dependency on the institution for his or her survival. According to Meredith (1995), “The community care move was a response to the growing concern and social policy pressure over people becoming institutionalized and less able to cope with normal life and dependent on the routine and narrow confines of long stay institutions.” This move led in turn to the birth of the case manager. The purpose of this paper is to explain the role of case managers and how the authors personality, previous life and professional experiences, and personal desires will or will not assist in the author assuming the role of a case manager. Before the reader can understand the author’s...
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