Case Scenario for Intake Practice Client Name: Ms. T. Age: 26 Family Status: Single mother of two children, ages 4 and 7 Presenting Situation: Ms.

Methods of Delivering Case Mgt – Scenario PracticeHomework in WEEK 4

???? Sample Case Scenario for Intake Practice

Client Name: Ms. T.
Age: 26
Family Status: Single mother of two children, ages 4 and 7

Presenting Situation:
Ms. T. was recently evicted from her apartment due to falling behind on rent. She is currently staying with a cousin in a crowded two-bedroom home. She works part-time as a cashier but has missed several shifts because of childcare difficulties. Her employer has warned her about excessive absences, and she fears losing her job.

Client’s Concerns (from the interview):

• Has applied for emergency rental assistance but hasn’t received a response.
• Worries about providing stability for her children.
• Reports feeling anxious and “like a burden” to her cousin.
• Requests information about affordable childcare and housing options.

Observation Notes:
Ms. T. appeared tired, anxious, and apologetic throughout the interview. She avoided eye contact at times but was cooperative and open when asked questions.

???? Student Instructions

1. Download the intake form template, attached. 
2. Pretend you are the case manager and complete the form using the details above.
3. In the "Additional Notes" or "Reflection" section, write 1–2 paragraphs explaining:
   
   • Two supportive responses you would use to build trust with Ms. T.
   • One poor response you would avoid, and why it could harm the client relationship.

Case Management Intake Form.docx