V. Working with Participants:
Advice on Case Management
Case managers are the front-line staff who translate
program policy into practice. Work first case managers must
balance two roles: they are responsible for enforcing
program mandates and completing administrative tasks, and
they act as guides and advisors as participants move through
the program. Case managers are responsible for helping
participants chart their path off welfare, motivating
participants to work toward employment, monitoring
participants' progress in program activities, and helping
participants overcome barriers-both real and perceived-to
successful employment. Part V of this guide (sections 32-36)
can help programs create environments that support case
managers as they take on these challenging roles, and can
provide case managers with some tools to succeed.
32. Developing Employment Plans
Many programs use employment plans to formalize the "contract"
between the program and participants and to map out the
journey from welfare to work. If job search is an automatic
first activity, the employment plan may serve mostly the
former purpose. Because participants will soon be asked to
look for a job that they can get right now, less time may be
spent up front exploring participants' employment goals and
creating a long-term road map toward attaining those goals.
However, case managers can still use the employment plan as
a tool to get to know participants and to help them begin
thinking about their job search. In addition, the same
employment plan can become a longer-term planning tool for
those participants who do not find employment through the
initial job search.
Employment plans generally contain the following
elements:
- Participants' employment goals
- Clear objectives that lead to those goals
- Specific activities for participants to conduct in
order to achieve each objective
- Time periods for completion of activities
- Authorized support services to help participants
achieve each objective
General Guidelines for Developing Employment Plans
- The plan should maintain a focus on employment.
While the plan might include a variety of activities, it
should remain consistent in its focus on the short-term goal
of employment and keep participants on track toward
achieving that goal. Similarly, although the plan might
address personal and other barriers-such as getting
eyeglasses or dealing with a legal issue-these should always
be viewed in context as steps toward employment (see section
36, on dealing with personal and other issues).
- The plan should be flexible. Think of the
employment plan not as a permanent document, but as one that
leaves room for adaptations and additions as new situations
arise. For example, as certain activities are completed,
participants may realize that more steps are necessary than
originally conceived to reach a given goal. Alternatively,
participants may find that they can move to employment more
quickly than anticipated. It is a good idea periodically to
review with participants the status of their plan and their
accomplishments to date, and to make any needed
modifications.
- The plan should be realistic. Case managers
should bear in mind that while it is noble for participants
to aim high, too many goals or goals that are too high may
become overwhelming and unrealistic. Case managers should
encourage participants to keep goals focused and somewhat
limited in number, at least when the plan is first
developed. Emphasize smaller and more doable steps,
especially for participants with significant barriers or
relatively few life skills.
- The plan should be developed by mutual agreement of
the participant and the case manager. Each employment
plan should be individualized, reflecting the program's
goals and the case manager's judgment as well as the
participant's goals and inclinations. It should be based on
the participant's interests, skills, and prior experiences,
and on realistic labor market opportunities. The employment
plan should spell out not only the steps the participant
will take toward employment but also the ways in which the
program and the case manager will assist her.
- The plan should broaden opportunities, not limit
them.
While the employment plan is meant to be a road map, it
should not present only one path to employment. The process
of looking for a job can identify both obstacles and
additional opportunities that may not have been considered
before. The employment plan can be an opportunity to help
participants think about what they would like to do and
explore the variety of jobs that may fit their interests.
Working with Participants Who Have Little or No Work
History
Developing an employment plan may be more difficult for
those participants who have little or no work history. Case
managers may need to spend extra time discussing these
participants' skills and abilities-focusing on what they can
rather than cannot do. For example, you can identify the
skills used in managing a home and raising children. Also,
explore any informal work experience that participants might
have, including volunteer work, hobbies, and caring for
children other than their own. Help participants identify
jobs they can get now, which will be a steppingstone to
their longer-term employment goals. Incorporate into
employment plans activities that will help build a set of
skills and knowledge about the labor market-activities such
as networking, mentoring, volunteering, internships, and
on-the-job training. Case managers can also work with job
club facilitators or job developers to give special
attention to participants whose work experience is limited.
33. Maximizing Participation
Staff must bring participants into the program before
they can work with them toward employment. Maximizing
participation is a key challenge of welfare-to-work
programs, and the challenge becomes even greater in light of
the high participation rates required under TANF (see
Appendix A). In the JOBS Evaluation, 63 percent of those who
were required to participate in a typical month had attended
orientation, 42 percent were involved in JOBS, and 9 percent
met the federal definition of JOBS participation. Below are
eight suggestions for maximizing program participation.
Implementing these suggestions assumes that adequate staff
are available to work with participants and that resources
are available to fund sufficient activities-such as job
clubs-and support services-in particular, child care-for all
those who participate. (See also section 8, on participation
requirements, and section 15, on caseload size.)
- Enroll participants in work first quickly. Most
of those who fail to participate will drop out before the
first scheduled program activity-usually orientation or a
meeting with a case manager. Rapid enrollment of new
participants signals that the work first program is serious
about mandating participation. Additionally, any messages
participants received about work first from the eligibility
office will still be fresh in their minds. Staff should
promptly get in touch with those who fail to attend their
first activity. The work first program in Grand Rapids,
Michigan, has specialized intake staff, who schedule
participants for orientation, conduct the orientations, and
follow up with those who do not attend.
- Get participants into activities quickly. Delays
in assigning participants to activities and lag times
between assignment and the beginning of activities can both
reduce participation rates and slow down progress to
employment. Case managers should have systems in place that
will alert them when participants are scheduled to complete
an activity. Assign subsequent activities before
participants complete the previous one, or schedule
activities to flow into one another; for example, have
assessment immediately follow orientation, rather than
scheduling an additional visit. As much as possible,
schedule activities to be open-entry or to start often, so
participants do not have to wait long to begin. If an
activity does not start right away-because of a waiting list
or because the activity operates on a fixed schedule-assign
a fill-in activity, such as job search or work on personal
issues that might interfere with employment.
- Help participants address immediate barriers to
participation.
Participants may need to arrange child care or take care
of health, housing, legal, or personal issues before they
can fully participate. By helping participants locate child
care-and facilitating payment for child care-and by helping
them to address any other issues promptly, staff can
increase participation in the program (see sections 35 and
36 for suggestions).
- Maintain frequent contact with participants. Case
managers should aim for frequent contact-as often as
weekly-with participants. A short telephone call to ask how
things are going can often identify problems before they
become excuses for nonparticipation. It is also a good way
to reinforce messages about program goals and mandates.
Visiting participants in program activities is an easy way
to reach a number of clients at once. A case manager in
Riverside, California, has found that asking participants to
call or check in with her once a week saves her a lot of
time, because she then needs to follow up only with those
who do not check in.
- Monitor ongoing participation closely. When job
clubs and other activities are held on-site, case managers
can simply drop in to check on participants' attendance and
progress. When participants are assigned to outside service
providers, however, a system for reporting on attendance and
progress is needed. Ideas include: having the site report
weekly (or even daily) attendance information by fax or
phone; using a shared computer system to transfer
information; or assigning a staff member as a liaison
between the service provider and work first. (See also
section 20, on interagency linkages.)
- Market the program. Effective marketing of work
first at the eligibility office (see section 16) can
increase the number who initially attend program activities,
and continued marketing can help retain participation
throughout the program. Use every interaction with
participants as an opportunity to remind them about the
strengths of the work first program and about the importance
of employment. Explain how the program can help participants
achieve their own goals (see section 34, on motivating
participants). Place upbeat posters about work first
throughout the welfare department and other social services
agencies in the community.
- Publicize and enforce program mandates. Clearly
articulating program goals and expectations early and often
can increase participation. These expectations should be
clear in written materials, call-in notices, warning
letters, and employment plans or contracts, and case
managers should review them with participants. Make sure
participants understand both participation rules and
penalties for noncompliance, and then enforce the mandates.
When warranted, and with due process, sanctions should be
enforced quickly and uniformly.
- Closely monitor exemptions and deferrals. Establishing
individual (rather than standard) deferral periods, or
making deferrals short term (no longer than one month) and
then reassessing each situation, can minimize delays in
program participation (see section 8). Program staff need to
keep track of individuals who have been granted temporary
exemptions or deferrals from participation. Once the
exemption or deferral period is over, individuals should be
quickly called back into the program. An effective
management information system can alert case managers when
individuals are again required to participate (see section
19); if the MIS cannot do this, case managers need to
develop their own system. A specialized "case finder"
is assigned this duty in Grand Rapids, Michigan. Another
solution: on the date a deferral is granted, schedule an
appointment for the end of the deferral period.
34. Motivating Participants
One of the functions of case managers in a work first
program is to market the goal of employment and to help
motivate participants in their job search. Participants will
likely enter the program with a wide range of expectations
and with their own personal and employment goals. If
participation is mandatory, then many of those who come into
the program may not share the work first philosophy or may
not be interested in pursuing employment at that time. Many
may also have low self-esteem. Often, participants have
tried and failed to find jobs on their own, or have worked
but have not been able to remain self-sufficient.
It is important to realize that one individual cannot
directly motivate another. Case managers can, however, tap
into existing motivation in participants by helping them to
define their own goals and showing them how the program can
help them achieve those goals. The following specific
techniques can help case managers appeal to participants'
internal motivation:
- Promote the financial and nonfinancial benefits of
working.
Let participants brainstorm about why they are better
off working, for financial reasons (such as being able to
move to a better home or buy their children clothes) to
nonfinancial ones (such as self-esteem and independence).
Emphasize any financial incentives, including transitional
benefits and the Earned Income Credit (see sections 37-39).
Some participants may believe that working will make them
financially worse off; they may need to be convinced that
work will pay before they feel motivated to try.
- Talk with participants about their children. Their
children are a key motivator for parents. Discuss what
working will mean for participants' children, both
financially and in other ways. For example, participants
often say that they would like to be able to buy more things
for their children. Working can also make participants
better role models for their children and eliminate the
stigma children may feel about receiving welfare.
- Show the bigger picture. For many participants,
it may be hard to get motivated about an entry-level
position. Others may believe that the best way to get ahead
is through education and training, rather than through
getting a job right away. Explain the philosophy behind work
first. Participants may get motivated more easily if they
see a path that can lead them to their longer-term goals and
if they understand that their first job can be a
steppingstone to better things. Walk participants through a
sample job progression so that they can see where they might
be in five years if they were to start a minimum-wage job
today.
- Use your own and others' experiences. Staff
members can be role models for participants. Single parents,
working parents, or staff who went to school while working
can all say to participants, "I did it, and so can you."
Bringing in former participants to share their success
stories is another great way to motivate participants and
show them that the program can work.
- Celebrate success. Help participants set
attainable goals and then offer positive reinforcement for
incremental achievements. For some participants, attending
regularly or going on a first job interview is a real
achievement. Celebrate publicly when participants find jobs,
and make placements very visible in the office by posting
the names and photographs of participants who have found
jobs.
- Present the program as an opportunity. Most
participants share a belief in the value of work and the
long-term goal of self-sufficiency. Emphasize what the
program can do to help participants achieve that goal.
Encourage participants to take advantage of the services
that can help them get off welfare, and assist them in using
those services.
- Help participants expand their thinking. People
often get stuck in a pattern of thinking very narrowly about
what they are able to do. Explore the positive things
participants have accomplished and the range of skills they
have acquired. Help participants overcome barriers-both real
and perceived-to employment, so that they can focus on their
employment goals rather than getting caught up in the
difficulties of working.
- Show that you believe in the program and in
participants.
Participants often come to the program with low
self-confidence and self-esteem. Often, they have tried and
failed to find jobs on their own, or have had jobs but not
been able to keep them. Staff members need to convey their
belief that participants have skills and abilities, that the
program can help participants succeed, and that they expect
success. Send personal notes to participants' homes-of
encouragement if they are having trouble, or of
congratulations if they have achieved a success.
- Provide new challenges. As participants reach
incremental goals, new challenges can keep them motivated to
achieve more. For example, as participants get jobs, Project
Match in Chicago tracks who is still working after three
months, six months, nine months, one year, and 18 months,
and publicizes this information in a quarterly newsletter.
This not only recognizes each step as a positive achievement
but also presents a next level for each participant to work
toward.
- Talk about welfare reform. Participants are
well aware that welfare policy is changing. Discussing
changes such as time limits and work requirements-both those
that have already been made and others that are being
considered-can motivate participants by reminding them that
the financial supports they have now may not be available in
the future. Many participants also share the belief that
welfare should provide only transitional assistance. Welfare
reform can spark discussion of the importance of work and
the goals of work first.
35. Facilitating Child Care and Transportation
For a work first program to succeed, participants must
be able to attend program activities and look for work. In
the JOBS Evaluation, between 77 and 84 percent of new JOBS
enrollees in four sites reported facing at least one of
seven listed barriers to participation. The most common
barrier cited-by between 58 and 72 percent of enrollees-was
the inability to afford child care. Between 30 and 40
percent of enrollees reported facing transportation
problems. Work first programs generally provide supports for
child care and transportation needs. Section 7 discussed
policy issues related to child care and transportation. This
section offers advice for facilitating the provision of
these support services, thereby increasing participation and
helping participants succeed in obtaining employment.
Child Care
- Provide information about child care options. As
they enter the program, give participants detailed
information about child care benefits and options.
Brochures, posters, checklists, and videotapes are all
useful tools. Materials should be attractive, engaging, and
accessible to participants who have low reading levels or
whose first language is not English. Individual work first
offices may also want to compile lists of child care
providers in their area. The lists should include hours of
operation, location, special training of staff-including the
ability to serve children with special needs-and
registration instructions. Local resource and referral
agencies can provide this information, so that work first
offices are not re-creating the wheel. Written materials
should supplement, but not replace, information received
from staff members. Participants should also know where they
can turn for more information or assistance.
- Help participants quickly arrange care while giving
adequate time as needed. Case managers can help
participants locate child care by providing information,
such as the provider lists described above. Coordinating
with a local child care resource and referral agency can
also facilitate child care arrangements. At the same time,
parents need sufficient time to visit providers and make an
informed decision about a child care setting before placing
their children in care. Forcing a hasty choice increases the
risk of later problems, which could disrupt program
participation or employment. Once care has been located,
case managers can help expedite the processing of child care
payments so that participants can begin work first as soon
as possible.
- Help participants make an informed decision about
child care. Pamphlets, checklists, or videos about the
criteria for high-quality child care can help parents make
this choice. Materials about child care are most helpful
when they offer specific, objective information about all
forms of child care, including center-based care, regulated
family day care, and informal arrangements with relatives or
friends. The process of finding and choosing child care can
also help participants increase their skills and
self-confidence in preparation for job search.
- Understand participants' child care needs. In
helping parents arrange for child care, staff should
understand the family's specific child care needs,
preferences, and constraints, such as lack of transportation
or complex family schedules. Help parents think through the
advantages and limitations of available options, in order to
choose care that will work best for their situation.
- Help participants identify reliable child care
arrangements.
Problems resulting from unreliable child care can
disrupt job search and employment. Case managers should
discuss with participants the reliability of their child
care arrangements, especially when they plan to use informal
care. Participants should have backup arrangements, such as
a drop-in center or a relative, to which they can turn
should their principal arrangements fall through.
- Talk through child care concerns. If parents
are apprehensive about leaving their children in child care,
they experience stress and their motivation is undermined.
Case managers or child care specialists can alleviate any
concerns by talking through these issues with parents and
helping them find high-quality care that they trust.
- Provide ongoing support. Parents who have
ongoing access to information and counseling can draw on
that support to work through any child care problems that
arise. Programs may want to designate a specialized staff
person, who is knowledgeable about child care and
understands the child care issues confronted by
participants, as a contact for child care information and
assistance. In addition, programs can avoid disruptions in
participation by helping parents to anticipate changes in
child care arrangements that may be needed as they move
through the program (for example, if their hours of
participation change).
Transportation
- Inform participants about transportation assistance
and help them take advantage of it. Most programs offer
bus passes, mileage reimbursement, help with car repairs, or
other forms of assistance with transportation. Case managers
can educate participants about the availability of
assistance, help them assemble any required documentation,
and facilitate the processing of transportation benefits.
- Help participants think creatively about
transportation alternatives.
Participants without their own vehicle or ready access
to public transportation will need to identify alternative
means. For example, participants can form carpools with
other participants who live near them. Case managers in Fond
du Lac, Wisconsin, encourage participants who have found
jobs to join carpools or to pay another employee for a ride.
Helping participants get a valid driver's license or clear
driving violations can also keep them mobile.
- Help participants identify backup arrangements.
Unexpected problems with transportation can cause
participants to miss appointments or even lose a job. Case
managers can help participants identify backup alternatives
that they can use if their regular transportation falls
through.
36. Dealing with Personal and Other Issues
Work first programs (and case managers within programs)
vary in the extent to which they help participants cope with
personal and family problems that may interfere with their
ability to find and keep a job. Most programs take a narrow
view, preferring that case managers address only those
issues which are immediate barriers to participation. In
addition, participants may not initially disclose personal
issues to case managers; problems are more likely to become
evident in the course of the program. However, when issues
do arise that threaten successful employment, case managers
should be able to work with participants to address them.
For many issues, case managers may be able to identify
resources that participants can utilize on their own. Work
first offices should develop local resource lists that can
guide case managers and participants in choosing appropriate
options. This can also be an opportunity to teach
participants problem-solving skills that can improve their
self-confidence and help them when they are off welfare and
working. Even when they have referred participants
elsewhere, however, case managers may find that they need to
follow up, encouraging participants to utilize the services
or acting as advocates on participants' behalf. It can be
helpful for programs to develop formal or informal
relationships with community agencies that can provide
services to participants. Programs should also make
arrangements to monitor participants' progress in these
services, without compromising confidentiality. If needed
services are not available in the community, programs might
try to provide the services themselves (for example, by
setting up a clothing bank on site) or find other ways to
meet those needs (for example, by contracting with a local
provider to start offering the service).
Programmatic Responses
In Florida and Utah, program staff have found that
these issues become more prominent as a work first program
matures and more participants find jobs. Those who remain
may be more likely to face significant personal issues that
have kept them from finding employment. Case managers in
those states felt frustrated in working with these
hard-to-serve participants and felt unqualified to identify
or address many of the barriers they faced. Administrators
in both Florida and Utah have responded by hiring
specialized staff-often professional social workers with
master's degrees-to help case managers deal with these
issues. The specialized staff may assist case managers in
several ways: training them to identify issues, providing
advice for working with participants, offering short-term
counseling to participants, or acting as a resource for
appropriate referrals to outside providers.
Some participants may have serious problems that may
warrant deferral from participation in other program
activities. If so, the participant's progress in addressing
the problems should be closely monitored, and employment
activities should begin as soon as the participant is able.
Many issues, however, can be addressed either quickly or
simultaneously with participation in job search, other
activities, or employment-and staff and participants should
recognize that the same issues confront many working people
as well. The goal of staff is generally to get participants
to the point where they are able to work. Participants can
then continue to address the issues while they are working.
Additional Suggestions for Dealing with Personal
Issues
Case managers in the Minnesota Family Investment
Program (MFIP)-who have been operating an employment-focused
program for long-term welfare recipients for more than two
years-have identified some common issues that arise when
working with participants, and they and others have proposed
strategies for addressing them. The discussion that follows
is less about dealing with hard-core problems than about
addressing smaller ones that may arise along the way as
participants move through the program. In addition, many of
these strategies involve referring participants to
specialized service providers; the ability of case managers
to assist participants with these issues may depend largely
on the presence of such providers in the community.
- Child care and transportation. Work first
programs generally provide comprehensive support for the
child care needs of participants. Most programs also provide
transportation assistance to participants in the form of
passes for public transportation, reimbursement for gas, or
funds for car repairs. Section 7 discusses these support
services; see section 35 for ideas on how the program can
facilitate child care and transportation arrangements.
- Clothing. Some participants do not have an
adequate wardrobe for interviews and work. Think about
either starting a clothing bank or providing vouchers for a
local thrift shop. It is also a good idea to discuss with
participants what is appropriate attire and to help them
plan their outfits for interviews and work. Participants
might be asked to attend program activities dressed as if
for a job interview, or one day a week might be designated
as "Dress for Success" Day. Program staff should
set an example by dressing professionally themselves.
- Physical health problems. Any physical
limitations that participants have should be accommodated in
their employment goals, job search strategies, and
employment plans. Case managers should also be prepared to
make appropriate referrals for health care services. If
medical documentation is required to determine whether
exemption or deferral may be warranted, obtain signed
releases to get participants' medical records. Case managers
may also want to understand SSI eligibility rules and the
SSI application process so that they can help participants
complete the application and assemble the required
documentation.
- Depression and other mental health issues. Depression
is a common problem among participants in welfare-to-work
programs. Case managers need to be trained to identify the
signs of depression. Failure to make progress in program
activities, apathy, and apparent laziness may all be signals
of depression. Some programs refer participants to
short-term activities that focus on building self-esteem.
Case managers should also have information about treatment
facilities that accept Medicaid coverage and should be able
to provide referrals to those facilities.
- Limited cognitive functioning. The first step
in addressing a suspected cognitive limitation is to
document the problem through an assessment. Many programs
contract out such assessments to licensed psychologists or
certified school psychologists. If an assessment documents
an impairment that significantly limits the participant's
ability to obtain or retain employment, exemption from the
program may be warranted. Otherwise, look for employment or
activity options at the participant's ability level. For
example, community organizations may offer sheltered
workshops or other employment and training programs for
people with limited cognitive abilities. In addition, some
service industries (including Wal-Mart, McDonald's, and
Hardee's) have employment opportunities designed for people
who have a low level of cognitive functioning. Try to
identify participants' strengths and then match them with a
job that will both challenge them and provide the necessary
support, and one in which the employer is sensitive to the
issue.
- Domestic abuse. Relationship problems are a
common cause of disruptions in participation and employment.
When they arise, case managers should try to figure out the
seriousness of the problem and the dynamics of the
situation. A referral to short-term counseling-for the
participant or the couple-can address some problems. Issues
of domestic abuse may not emerge in the early interactions
between participants and case managers, since participants
may fear the possible consequences of disclosure (for
example, removal of children to foster care). Case managers
should also be able to refer participants to local
resources, such as hotlines and battered women's shelters,
and can encourage participants to cooperate with agencies
designed to help alleviate abusive situations. If case
managers suspect that children are in danger, they need to
report the case to the appropriate agency. The family
violence provisions in the 1996 welfare law give states the
option to screen for domestic abuse and to temporarily waive
program requirements that would either prevent participants
from escaping violence or unfairly penalize them.
- Substance abuse. This may be a particularly
difficult issue to address because participants may not be
willing or able to admit to or work on the problem. Programs
can offer training to case managers in identifying substance
abuse problems. Substance abuse problems among partners or
family members may also create barriers to participants'
employment or program completion. Case managers should have
information available on treatment, counseling, and support
programs and should make appropriate referrals when
necessary. The case manager will have to discuss the issue
openly with the participant, because the participant will
have to agree to utilize available services. Participants
may be extremely reluctant to admit they have substance
abuse problems, particularly in states whose primary
response to such an admission is sanction or other penalty.
In addition, the 1996 federal law makes ineligible for TANF
benefits anyone who-since the bill's enactment-has been
convicted of a drug-related felony (unless a state opts out
of this provision).
- Legal problems. Program participants may be
involved in child custody battles, court-ordered visitation
agreements with a nonresident parent, or child support
hearings and trials. Case managers should be aware of
participants' court dates and other commitments that might
interfere with program participation. It is also useful to
include Legal Services or other court advocates or
representatives on the program's resource lists. Some
participants may have a criminal record and may be dealing
with parole or probation officers. Work first staff should
discuss with participants how such information should be
presented on a job application or in a job interview.
- Lack of a telephone. Not having a telephone can
impede job search and can impair communication between
participants and case managers. Case managers can help
participants who do not have a telephone to get one
installed-for example, by providing information on low-cost
installation options or by working out agreements for
payment of arrears. Programs should also have telephones
available for use by participants and should consider
providing an answering machine on which participants can
receive messages regarding interview appointments and hiring
decisions. (See also section 26, on the job club phone
room.)
- Housing issues. Case managers should learn the
best way to reach a participant who does not have a
permanent residence, whether through a post office box,
message center, or family member or friend who can relay
messages. If a participant is or becomes homeless, encourage
her to consider all options, including temporarily residing
with relatives or friends, or in local emergency and
transitional shelters. Help participants put their names on
waiting lists for subsidized housing and sign up for local
housing assistance programs. Participants who live in
subsidized housing may face increased rents as they go to
work and their income rises; make sure participants are
aware of this possibility and recognize how it affects the
trade-off for them between welfare and work..