Running head: THE COMPREHENSIVE CASE MANAGEMENT PROGRAM 1
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1 Running head: THE COMPREHENSIVE CASE MANAGEMENT PROGRAM 1 The Comprehensive Case Management Program Sarah Edwards, Cindy Orozco, Sara Saleh Tarleton State University
2 THE COMPREHENSIVE CASE MANAGEMENT PROGRAM 2 The Comprehensive Case Management Program Mission Granbury is the largest 501(c) 3 organization in Hood County. In the rural communities there is a large service gap for Social Service support. This organizations provides a safety net for people in Hood, Somervell, Parker, Erath and overflow from Tarrant County and Fort Worth. Their focus is to provide safety and distribute resources that assist individuals in becoming financially and emotionally stable members while promoting self-sufficiency. They strive to promote hope, safety, self-sufficiency, and well-being (Mission Granbury 2014). Mission Granbury was formed by concerned community members. The community members united because they wanted to make a difference for the better good after 9 women and children were murdered in 1997 (Mission Granbury 2014). The organization serves crime victims, underemployed, unemployed, homeless, fixed income, food insecure, and disable individuals or families. The Emergency Assistance Network (EAN) is one of six other programs offered through Mission Granbury, in addition to the Family Violence Shelter (Ada Carey Center), Court Appointed Special Advocates (CASA), Victim s Assistance Program (VAP), Voucher (Resale shop), and Food Pantry. The program that is the main focus for the grant is the EAN program. The EAN program provides comprehensive intake assessment for services and offers financial assistance or direct aid for families and individuals in crisis for basic needs such as utilities, rent, food, prescriptions, fuel, medical needs, homelessness prevention services and job-related expenses (Mission Granbury 2014). This program served 7,057 families (3,944 duplicated and 3113 unduplicated) and 25,535 individuals (11,274 unduplicated) (Mission Granbury, 2014). Duplicated clients are people who come back to the organization for repeat of services.
3 THE COMPREHENSIVE CASE MANAGEMENT PROGRAM 3 Mission Granbury s mission statement is Mission Granbury provides resources for individuals and families in need or crisis (Mission Granbury, 2014). The Thomas M., Helen McKee & John P. Ryan Foundation s mission statement is to support a wide variety of public charities in the State of Texas with an emphasis on Tarrant County and Fort Worth as this is the lifelong home of the donors of the Foundation. Areas of interest for the foundation would be health care, human and social services, education, children services, and the arts (The Ryan Foundation, 2006). Mission Granbury is asking the foundation to support the Comprehensive Case Management Program which will cover five of those special areas of interest. The areas covered will be healthcare, human and social services, education, and children services as Mission Granbury is currently focusing on establishing the Comprehensive Care Management Program (CCMP) to aid in the field of duplicate clients. This program will take additional funding from an outside resource. The Ryan Foundation can provide the necessary funding needed and aid in the development of the program. Need When Mission Granbury offers their services to an individual, they are doing so with the hope of the client eventually becoming independent of those services. However, many clients return to Mission Granbury often to receive the same services and are filed as duplicates referring to an individual or family who has received services multiple times from Mission Granbury. The Comprehensive Case Management Program is needed in order to empower individuals to be self-sufficient rather than continually relying on assistance. The program will also assist Mission Granbury in expanding their client base and reach a higher number of individuals. In the instance of another natural disaster effecting the community, Mission Granbury will have more means and resources to aid through temporary assistance.
4 THE COMPREHENSIVE CASE MANAGEMENT PROGRAM 4 Project Description The Comprehensive Case Management Program is a unique program that Mission Granbury has designed. Currently 3,944 records are duplicated at Mission Granbury. This means 3,944 individuals have returned to Mission Granbury for further assistance with challenges in their lives. The Comprehensive Case Management Program is designed to help the client create stability for themselves and their family. Instead of continually offering services to repeat clients the program is designed for clients to learn how to become self-sufficient and eventually not need services through Mission Granbury. Mission Granbury is allowing duplicate clients to return for services and giving the clients an opportunity to gain knowledge on how to lead successful lives. The Comprehensive Case Management Program will last for six months for each participant. The client will be required to meet with a caseworker to evaluate their needs and progress. The first two visits will be two hours in length and then subsequent visits are approximately one hour in length. During the program the client is eligible to receive Mission Granbury s benefits as long as the client is working towards resolving their core issues and eliminating the continued need of assistance. Clients are expected to have achievable goals throughout the six months which are geared toward self-sufficiency. The program is designed for a case manager to work with clients so they do not become overwhelmed and to ensure they are receiving the best possible services to reach their goals. Goals and Objectives In order to be successful, Mission Granbury has set goals in place for the Comprehensive Case Management Program to meet. The three main goals sought to be reached are for clients to attain self-sufficiency, for the core issues leading to repeated visits to be identified and for the clients to show an increase in their quality of life. For a client to reach the first goal of being self-
5 THE COMPREHENSIVE CASE MANAGEMENT PROGRAM 5 sufficient they no longer would need or utilize the services provided by Mission Granbury. A goal of self-sufficiency is important because it means the client has learned how to provide for themselves without the need of assistance. In order to reach the goal of self-sufficiency objectives will need to be met. Clients will need to show a decline in the level of need for services throughout the duration of their participation in the CCMP. At the end of their six month participation, clients will need to show that they no longer need to utilize Mission Granbury s services in order to be considered self-sufficient. The second goal of the CCMP is that the core issues behind clients repeated visits will be identified. Identifying the issues leading to clients returning to Mission Granbury is important if self-sufficiency is to be obtained. By clarifying the issues causing repeated visits, the case manager will be able to partner with the client to resolve these issues. The last goal of the CCMP is for clients to show an increase in their overall quality of life. The quality of life for an individual can include many things. Throughout the six month program, the objective is for the clients to show a decrease in stress and in the extent of assistance needed. At the end of the six month period, the objective is that the clients will show overall lower levels of stress, no longer have a need for assistance and be equipped to maintain a stable lifestyle. If all of the goals and objectives are met, the pilot program will be considered successful. Methodology As previously stated, the Comprehensive Case Management Program will last for six months with each participant. The client will be required to meet with a program director to evaluate needs and progress. The first two visits will be two hours in length and then subsequent visits will be approximately one hour in length. A referral process will be used for comprehensive assistance. This process includes a case manager assisting the client with learning
6 THE COMPREHENSIVE CASE MANAGEMENT PROGRAM 6 daily living activities, and general education development (GED) or English as a second language (ESL) education. In order to meet the goals and objectives, a particular methodology will be used throughout each client s time in the program. To enable the clients to reach self-sufficiency, the case manager will conduct a needs assessment at the first meeting and continue to monitor the level of need throughout the longevity of the program. At the monthly check in meetings, the case manager will also provide the client with tools to help achieve independence. The tools provided will be dependent upon each individual client s needs. The case manager will also assess if the tools are being utilized at each monthly meeting. In one of the final meetings, the case manager will verify with the client that the tools provided to promote independence have led to a decline in their needs of assistance and verify that the tools can be used continuously to maintain self- sufficiency. At the final meeting, the case manager and client will discuss and assess if there is a need for continued services. For the second goal of identifying the issues behind repeated visits, the case manager will guide the client through self-exploration to identify causes for repeated use of services at the first meeting. Once causes for repeated use of services are identified, the case manager will assist the client in setting goals to reach a level resolution among the issues. The last goal of having clients show an increase in their quality of life will be met by the case manager assisting the client in analyzing their levels of stress and providing the client with tools to maintain a healthy stress level as well as conducting an assessment with the client to evaluate the decline or rise in need for services at the first meeting. At the end of the six months, the case manager will again assist the client in analyzing their levels of stress and whether the tools previously provided have had positive outcomes. The case manager will also
7 THE COMPREHENSIVE CASE MANAGEMENT PROGRAM 7 explain how the client can utilize the tools past termination as well as conduct a final assessment with the client to evaluate the overall decline or rise in need for services at the final meeting. The following chart will display the correlation between the goals, objectives and methodology: Goals Objectives Methodology 1. Duplicate clients will reach self- sufficiency. A. Throughout the six months, the client will show a measurable decline in needs of service. B. At the end of their six month participation in the CCMP, the client will no longer need to utilize Mission Granbury s services. A-1. At the first meeting, the case manager will conduct an assessment in order to evaluate the extent of needs. A-2. Starting at the first meeting and continuing with each monthly check in, the case manager will provide the client with tools to achieve independence. The tools provided will be dependent upon each individual client s needs. A-3. At each monthly meeting, the case manager will assess if the client is utilizing the tools provided to promote independence. A-4. At each monthly meeting, the case manager will assess whether the client s level of need has increased or decreased. B-1. The case manager will verify with the client that the tools provided to promote independence have led to a decline in their needs of assistance and verify that the tools can be used continuously
8 THE COMPREHENSIVE CASE MANAGEMENT PROGRAM 8 to maintain self- sufficiency. B-2. At the final meeting, the case manager and client will discuss and assess if there is a need for continued services. 2. The core issues behind duplicate clients repeated visits will be identified. 3. Duplicate clients will show an increase in their quality of life. A. The case manager and client will work in a partnership to discover core issues. B. Once core issues are identified, the case manager and client will work to bring them to resolution. A. Throughout the process of participating in the program, the client will show a decrease in stress and in the extent of assistance needed. B. At the end of the program, the client will show lower levels of stress, needs for assistance and be equipped to maintain a stable lifestyle. A-1. The case manager will guide the client through selfexploration to identify causes for repeated use of services. B-1. Once causes for repeated use of services are identified, the case manager will assist the client in setting goals to reach a level resolution among the issues. A-1. Starting at the first meeting and continuing through regular monthly meetings, the case manager will assist the client in analyzing their levels of stress and provide the client will tools to maintain a healthy stress level. A-2. Starting at the first meeting and continuing through regular monthly meetings, the case manager will conduct an assessment with the client to evaluate the decline or rise in need for services. B-1. At the end of the six months, the case manager will assist the client in analyzing their levels of stress and whether the tools previously provided have had positive outcomes. The case manager will also explain how the client can utilize the tools past
9 THE COMPREHENSIVE CASE MANAGEMENT PROGRAM 9 termination. B-2. At the end of the six months, the case manager will conduct a final assessment with the client to evaluate the overall decline or rise in need for services. Anticipated Outcomes The funding from The Ryan Foundation would help to establish the Comprehensive Case Management Program. Through the establishment of the Comprehensive Case Management Program, Mission Granbury anticipates their clients to become independent and self-sustaining. The program will provide the agency with adequate data on the circumstances that lead to clients reusing services multiple times. In the review of this data collected from the assessment of the 394 clients, Mission Granbury will be able to identify the issues needing to be addressed within their agency as well as in their client system. Mission Granbury expects to see a decrease in the number of duplicated clients being served in their agency with the implementation of the Comprehensive Case Management Program. Overall this program will lead to the services Mission Granbury provides to the community to be more beneficial. Budget Mission Granbury currently operates out of an annual budget of $ for the 2014 year. Approximately $41, is used per month to run the facility with their current programs. This amount does not include utilities and other monthly bills. Mission Granbury estimates the Comprehensive Case Management Program to cost an additional $75,000. With the funding from the Ryan Foundation, Mission Granbury would have a highly increased possibility of successfully establishing and maintaining their new program. If approved, the monies received
10 THE COMPREHENSIVE CASE MANAGEMENT PROGRAM 10 from the grant would be utilized for salaries and fringe benefits for two caseworkers. Caseworkers are required to have a Bachelor s level degree in social work, sociology, or a psychology related field. Mission Granbury is requiring the caseworkers to have a Bachelors level degree in order to better serve the clients. Mission Granbury s starting pay for the caseworkers is $17.00 an hour, $35, annually. The caseworker is expected to work 40 hours per week, totaling 2,080 hours for the year. Fringe benefits include health insurance, sick days, and vacation days. Fringe benefits are comprised of 6% of the caseworkers annual salary totaling $2, The overall cost for two caseworkers plus fringe benefits is $74, Though the cost upfront is high, the successfulness of the program will save the agency much more money in the long run. Employee Hourly Pay Hours Worked Fringe Benefits Total Caseworker ,080 2, ,481.6 Caseworker ,080 2, ,481.6 Total ,160 4, ,963.2
11 THE COMPREHENSIVE CASE MANAGEMENT PROGRAM 11 Application for Grant GUIDELINES FOR MAKING GRANT APPLICATION TO THE THOMAS M., HELEN MCKEE & JOHN P. RYAN FOUNDATION I. INTRODUCTION The Foundation is a public charitable foundation created as a supporting organization for three other charitable organizations: St. Andrews Episcopal Church, Harris Methodist Hospital and Happy Hill Farm Children's Home, Inc. Other organizations may be secondarily eligible to receive grants from The Ryan Foundation if qualified as public charitable organizations. The Foundation is governed by a Board of Directors which determines operating policies, acts on all business matters, and takes action on all grant requests. The Board meets at least once during each calendar quarter. Grant renewals are not automatic and cannot be guaranteed from year to year. Requests for grants or for additional information should be directed to: Lee A. McConnell - President
12 THE COMPREHENSIVE CASE MANAGEMENT PROGRAM 12 Thomas M., Helen McKee & John P. Ryan Foundation University Centre II 1320 S. University Drive, Suite 721 Fort Worth, Texas II. APPLICATION PROCEDURES Our Foundation Board meets 4 times a year in March, June, September and December to consider grant request proposals. Grant request deadlines are: February 1st, May 1st, August 1st, and November 1st. Please submit grant requests unbound, without staples, folders or binders. Include an contact for someone who can answer questions about the grant application. A request must be made in writing, preferably in a letter that includes the following information and attachments: 1. A description of the purpose for which the grant is requested; 2. The sum requested and a list of other committed sources of financial support and sources of support now believed to be available;
13 THE COMPREHENSIVE CASE MANAGEMENT PROGRAM A copy of the applicant organization most recent audited financial statements; 4. A copy of the Internal Revenue Service determination letter indicating a Section 501(c)(3) tax exempt status for the applicant organization; 5. A copy of the applicant organization's most recent Form 990-Income Tax Return of Organization Exempt from Income Tax; 6. If the request is for funds to support a specific project or program to be conducted by the applicant organization, then the following additional information should also be included: (a) (b) A description of the need for the program or project; A description of the object of the program or project; (c) A listing of benefits to be obtained through the program or project; (d) Copies of plans for the program or project, including a time schedule and a proposed method of evaluating the project or program's effectiveness;
14 THE COMPREHENSIVE CASE MANAGEMENT PROGRAM 14 (e) A listing of the staff required by the program or project; and (f) A budget for the program or project, fully defined and including other sources of financial support committed and pending. 7. Other material may also be helpful in support of the grant application. Such material might include: (a) Letters of support for the proposed project or program from local authorities; (b) Letters of support from affiliated national organizations; (c) Names of key persons sponsoring or supporting the project or program; and (d) A bibliography or research studies or reports justifying the need for the program or project. 8. In general, grants are not made for purposes of: (a) Professional conferences and symposia (b) Out-of-state endeavors (c) The Foundation neither lends nor grants money to individuals
15 THE COMPREHENSIVE CASE MANAGEMENT PROGRAM The Foundation discourages pre-application meetings, preferring to schedule meetings, if needed, after receiving an application. Receipt of all applications is acknowledged within three weeks.
16 THE COMPREHENSIVE CASE MANAGEMENT PROGRAM 16 a) A description of the need for the program or project; When Mission Granbury offers their services to an individual, they are doing so with the hope of the client eventually becoming independent of those services. However, many clients return to Mission Granbury often to receive the same services and are filed as duplicates referring to an individual or family who has received services multiple times from Mission Granbury. The Comprehensive Case Management Program is needed in order to empower individuals to be selfsufficient rather than continually relying on assistance. The program will also assist Mission Granbury in expanding their client base and reach a higher number of individuals. In the instance of another natural disaster effecting the community, Mission Granbury will have more means and resources to aid through temporary assistance. b) A description of the object of the program or project; The Comprehensive Case Management Program is a unique program that Mission Granbury has designed. Currently 3,944 records are duplicated at Mission Granbury. This means 3,944 individuals have returned to Mission Granbury for further assistance with challenges in their lives. The Comprehensive Case Management Program is designed to help the client create stability for themselves and their family. Instead of continually offering services to repeat clients the program is designed for clients to learn how to become self-sufficient and eventually not need services through Mission Granbury. Mission Granbury is allowing duplicate clients to return for services and giving the clients an opportunity to gain knowledge on how to lead successful lives. The Comprehensive Case Management Program will last for six months for each participant. The client will be required to meet with a caseworker to evaluate their needs and progress. The first two visits will be two hours in length and then subsequent visits are approximately one hour in length. During the program the client is eligible to receive Mission
17 THE COMPREHENSIVE CASE MANAGEMENT PROGRAM 17 Granbury s benefits as long as the client is working towards resolving their core issues and eliminating the continued need of assistance. Clients are expected to have achievable goals throughout the six months which are geared toward self-sufficiency. The program is designed for a case manager to work with clients so they do not become overwhelmed and to ensure they are receiving the best possible services to reach their goals. c) A listing of benefits to be obtained through the program or project; The funding from The Ryan Foundation would help to establish the Comprehensive Case Management Program. Through the establishment of the Comprehensive Case Management Program, Mission Granbury anticipates their clients to become independent and self-sustaining. The program will provide the agency with adequate data on the circumstances that lead to clients reusing services multiple times. In the review of this data collected from the assessment of the 394 clients, Mission Granbury will be able to identify the issues needing to be addressed within their agency as well as in their client system. Mission Granbury expects to see a decrease in the number of duplicated clients being served in their agency with the implementation of the Comprehensive Case Management Program. Overall this program will lead to the services Mission Granbury provides to the community to be more beneficial. d) Copies of plans for the program or project, including a time schedule and a proposed method of evaluating the project or program s effectiveness; The Comprehensive Case Management Program will last for six months with each participant. The client will be required to meet with a program director to evaluate needs and progress. The first two visits will be two hours in length and then subsequent visits will be approximately one hour in length. A referral process will be used for comprehensive assistance. This process
18 THE COMPREHENSIVE CASE MANAGEMENT PROGRAM 18 includes a case manager assisting the client with learning daily living activities, and general education development (GED) or English as a second language (ESL) education. In order to meet the goals and objectives, a particular methodology will be used throughout each client s time in the program. To enable the clients to reach self-sufficiency, the case manager will conduct a needs assessment at the first meeting and continue to monitor the level of need throughout the longevity of the program. At the monthly check in meetings, the case manager will also provide the client with tools to help achieve independence. The tools provided will be dependent upon each individual client s needs. The case manager will also assess if the tools are being utilized at each monthly meeting. In one of the final meetings, the case manager will verify with the client that the tools provided to promote independence have led to a decline in their needs of assistance and verify that the tools can be used continuously to maintain selfsufficiency. At the final meeting, the case manager and client will discuss and assess if there is a need for continued services. For the second goal of identifying the issues behind repeated visits, the case manager will guide the client through self-exploration to identify causes for repeated use of services at the first meeting. Once causes for repeated use of services are identified, the case manager will assist the client in setting goals to reach a level resolution among the issues. The last goal of having clients show an increase in their quality of life will be met by the case manager assisting the client in analyzing their levels of stress and providing the client with tools to maintain a healthy stress level as well as conducting an assessment with the client to evaluate the decline or rise in need for services at the first meeting. At the end of the six months, the case manager will again assist the client in analyzing their levels of stress and whether the tools previously provided have had positive outcomes. The case manager will also explain how the
19 THE COMPREHENSIVE CASE MANAGEMENT PROGRAM 19 client can utilize the tools past termination as well as conduct a final assessment with the client to evaluate the overall decline or rise in need for services at the final meeting. The following chart will display the correlation between the goals, objectives and methodology Goals Objectives Methodology 4. Duplicate clients will reach self- sufficiency. C. Throughout the six months, the client will show a measurable decline in needs of service. D. At the end of their six month participation in the CCMP, the client will no longer need to utilize Mission Granbury s services. A-1. At the first meeting, the case manager will conduct an assessment in order to evaluate the extent of needs. A-2. Starting at the first meeting and continuing with each monthly check in, the case manager will provide the client with tools to achieve independence. The tools provided will be dependent upon each individual client s needs. A-3. At each monthly meeting, the case manager will assess if the client is utilizing the tools provided to promote independence. A-4. At each monthly meeting,
20 THE COMPREHENSIVE CASE MANAGEMENT PROGRAM 20 the case manager will assess whether the client s level of need has increased or decreased. B-1. The case manager will verify with the client that the tools provided to promote independence have led to a decline in their needs of assistance and verify that the tools can be used continuously to maintain self- sufficiency. B-2. At the final meeting, the case manager and client will discuss and assess if there is a need for continued services. C. The case manager and 5. The core issues behind duplicate clients repeated visits will be identified. client will work in a partnership to discover core issues. A-1. The case manager will guide the client through selfexploration to identify causes for repeated use of services. D. Once core issues are identified, the case B-1. Once causes for repeated
21 THE COMPREHENSIVE CASE MANAGEMENT PROGRAM 21 manager and client will work to bring them to resolution. use of services are identified, the case manager will assist the client in setting goals to reach a 6. Duplicate clients will show an increase in their quality of life. B. Throughout the process of participating in the program, the client will show a decrease in stress and in the extent of assistance needed. level resolution among the issues. A-1. Starting at the first meeting and continuing through regular monthly meetings, the case manager will assist the client in analyzing their levels of stress and provide the client will tools to maintain a healthy stress level. A-2. Starting at the first meeting and continuing through regular monthly meetings, the case manager will conduct an assessment with the client to evaluate the decline or rise in need for services. B-1. At the end of the six months, the case manager will
22 THE COMPREHENSIVE CASE MANAGEMENT PROGRAM 22 assist the client in analyzing C. At the end of the program, the client will show lower levels of stress, needs for assistance and be equipped to maintain a stable lifestyle. their levels of stress and whether the tools previously provided have had positive outcomes. The case manager will also explain how the client can utilize the tools past termination. B-2. At the end of the six months, the case manager will conduct a final assessment with the client to evaluate the overall decline or rise in need for services. e) A listing of the staff required by the program or project; If approved, the monies received from the grant would be utilized for salaries and fringe benefits for two caseworkers. Caseworkers are required to have a Bachelor s level degree in social work, sociology, or a psychology related field. The caseworker is expected to work 40 hours per week, totaling 2,080 hours for the year. f) A budget for the program or project, fully defined and including other sources of financial support committed and pending;
23 THE COMPREHENSIVE CASE MANAGEMENT PROGRAM 23 Mission Granbury currently operates out of an annual budget of $ for the 2014 year. Approximately $41, is used per month to run the facility with their current programs. This amount does not include utilities and other monthly bills. Mission Granbury estimates the Comprehensive Case Management Program to cost an additional $75,000. With the funding from the Ryan Foundation, Mission Granbury would have a highly increased possibility of successfully establishing and maintaining their new program. If approved, the monies received from the grant would be utilized for salaries and fringe benefits for two caseworkers. Caseworkers are required to have a Bachelor s level degree in social work, sociology, or a psychology related field. Mission Granbury s starting pay for the caseworkers is $17.00 an hour, $35, annually. The caseworker is expected to work 40 hours per week, totaling 2,080 hours for the year. Fringe benefits include health insurance, sick days, and vacation days. Fringe benefits are comprised of 6% of the caseworkers annual salary totaling $2, The overall cost for two caseworkers plus fringe benefits is $74, Though the cost upfront is high, the successfulness of the program will save the agency much more money in the long run. Employee Hourly Pay Hours Worked Fringe Benefits Total Caseworker ,080 2, ,481.6 Caseworker ,080 2, ,481.6 Total ,160 4, ,963.2 References
24 THE COMPREHENSIVE CASE MANAGEMENT PROGRAM 24 Mission Granbury. (2014). Comprehensive Case Management Program [Brochure]. Granbury, Texas: Mission Granbury. Mission Granbury. (2014). Mission and Programs [Brochure]. Granbury, Texas: Mission Granbury. Mission Granbury. (2014). Stats at a glance fy13 [Brochure]. Granbury, Texas: Mission Granbury. Pay Scale, Human Capital. Case Manager Salary in the United States. September 2014 Thomas M., Helen McKee & John P. Ryan Foundation. (2006, January 1). Retrieved October 14, 2014, from ryanfoundation.com
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