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Jane F. Gilgun, Ph.D., LICSW


Professor
School of Social Work,
University of Minnesota, Twin Cities
jgilgun@umn.edu
September 2010
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( £ tratherapeutic Factors (40%)

( Relationships (30%)

( Optimism, Motivation, Capacities (15%)

( Skills, techniques (15%)


   
 

( Clients¶ situations change for the better/worse


depending upon e ternal influences
( Relationships to case managers are comple ,
but the more trust and problem-solving in
relationships, the better the outcomes
( Client and case managers beliefs essential
( Case manager skill important
( Intrinsic links among all four
r 

 

( Îotice the connections among the factors

 




( Model is unclear about how interconnected


the four factors are

 

( Model does not state that access to clients


can be an issue

 

 !

( Model predicts client motivation a key factor


in good outcomes
!
 " 

( Îot anticipated by the model

* Medications

* Inability of case manager to influence


administration of medication
!
 " 

( Schools
* Abetted by relationships
°
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 "
#$r
%


 
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