Exam Review

Case Management and

Service Coordination

Instructor: Dr. Dawn-Elise Snipes

Podcast Host: Counselor Toolbox, Happiness Isn’t Brain Surgery & The Addiction Counselor Exam Review

~ Define referral and service coordination within the context of case management

~ Explore why CM is necessary

~ Identify the different approaches to case management

~ Identify the CM role in service coordination

~ Define service planning

~ Identify challenges and solutions to collaboration

Service Coordination: Case Management

~ A client-level collaborative process designed to:

~ Help individuals access needed services

~ Select the most appropriate services

~ Facilitate linkage with those services

~ Promote continued retention in services by monitoring participation

~ Coordination of multiple services when necessary

~ Advocate for continued participation

Service Coordination: Case Management

~ Objectives of case management

~ Continuity of care

~ Accessibility:

~ Establish relationships with “gatekeepers”

~ Develop contracts or MOUs which specify

~ Available “slots”

~ Consequences for failure to implement specified activities/procedures

~ Accountability

~ Following up on the referral with client and referral resource

~ Measuring outcomes with

~ Client satisfaction

~ Client outcomes

~ Service system outcomes (i.e. reduction in cost to treat)

~ Efficiency “Know the system and make it work”

~ Necessary because of poor service coordination, lack of service continuity and difficulty of clients negotiating the gap between services

~ Structure

~ Case manager who acts as the human link between the client and service providers

~ Core agency

~ Develops contracts with providers for identified services

~ Controls case management funds

~ Acts as a single point of entry for clients

~ Develops missing service elements

Service Coordination: Case Management

~ Approaches

~ Intensive/Assertive Community Treatment

~ Comprehensive, multidisciplinary, community based

~ Growth

~ Paternalism

~ Clinical

~ Case manager provides many services including counseling

~ Stabilization

~ Strengths based

~ Focus on strengths and empowerment

~ Growth

~ Empowerment

Service Coordination: Case Management

~ Approaches

~ Brokerage

~ Coordinates services and provides few, if any services

~ Stabilization

~ Empowerment

~ Integrated

~ Family-focused, strength-based program that uses an independent facilitator to coordinate all relevant people, including providers, family and natural supports.

~ This team then works in partnership with the family to create a safety-based comprehensive plan addressing the needs of all family members.

~ Growth

Service Coordination: Case Management Principles

~ Offers a single point of contact for clients

~ Client-driven and strengths based

~ Involves advocacy

~ Between services with seemingly contradictory requirements to serve the best interests of the client

~ With agencies, families, legal systems and legislative bodies

~ May involve the recommendation of sanctions to encourage client compliance and motivation

~ Community based

~ Pragmatic “Where the client is”

~ Anticipatory based on the natural course of the client’s presenting issues

~ Flexible to individual needs

~ Culturally sensitive

Service Coordination: Case Manager’s Role

~ To coordinate, manage, link, advocate and support clients in their quest to maximize their quality of life and achieve as much independence as possible

~ Basic Pre