ABSTRACT
At COHME, the original treatment plan is developed from information obtained during the first in-person contact, either at home or in the hospital. For each case, and for each home visit, a unique One-Sheet method of recording the precipitating event, identifying information, assessment, and plan is used. The author taught COHME’s case management One-Sheet method at a senior housing center in a poor Hispanic community in East Harlem for 26 sessions over a one-year period, 1988 to 1989. The case managers were all dedicated workers, exhausted from running around trying to get Medicaid for all their clients. The sessions focused on the aspects of the COHME One-Sheet model: precipitating event, identifying information, assessment, and treatment plan. Geriatric social work practice and the development of cooperative strategies present new challenges as staff and regulations change. The One-Sheet presents geriatric social work practice in a manner that makes clear its primacy in comprehensive case management.
