What Is Case Management Anyway?

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Basil Scott Harvey
8 years ago
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1 What Is Case Management Anyway? Basic Housing Case Management Training Facilitated by: Gloria Robinson, MSW Monica Gould, BA 1

2 Overview of Case Management Roles of Case Management Definition of Case Management o Basically, case management services provide a single point of accountability for coordination of services o In supportive housing, case management services are designed to offer the tenant support in living independently and establishing and maintaining residential stability. 2

coordination of services o In supportive housing, case management services are designed to

3 Intake Screening Establish eligibility (i.e. household need for housing placement, etc.) Paperwork (i.e. ROI, Consents) Clearly explain CM role, program, etc. Determine what you need to know to help the tenant stay housed Identify what you need to know to protect the stability of your other tenants 3

Determine what you need to know to help the tenant stay housed Identify

4 Assessment Assessment is a procedure used to determine the client s problem or situation for purposes of selecting interventions or treatment modalities. It is a process that involved getting to know the whole person his or her motivations, strengths, weaknesses, and capacity. Betsey S. Vourlekis and Roberta R. Greene 4

It is a process that involved getting to know the whole person his or her

5 Assessment Engagement and rapport Client-Centered Approach Develop objectives, strategies, and goals 5

6 Areas of Assessment Housing ADL (i.e. budgeting, hygiene, cooking, etc) Social and Environmental Support/Resources (formal/informal) Health Adherence to medical treatment plans Risk factors & Risk reduction needs 6

Support/Resources (formal/informal) Health Adherence

7 Areas of Assessment (cont ) Legal Assistance Partner Notification Physical, Cognitive, Emotional, and Behavioral Functioning Nutritional Counseling Health Literacy Education (adult learning classes) Financial and Benefits Insurance 7

Behavioral Functioning Nutritional Counseling Health

8 Identify Stress Points Economic/financial issues Health-related concerns Loss of community/family Parenting pressures Psychological stressors History of violence Spiritual voids Lack of food or other basic needs Physical mobility 8

Parenting pressures Psychological stressors History of

9 Developing Service Plans Ongoing process Client-centered approach CM use of engagement techniques Identify needs to create goals, objectives Methods and Services Strengths and Assets Identify desire and motivation to change Use of readiness ruler 9

create goals, objectives Methods and Services Strengths and

10 Components to Service Plan Identified Needs Goal Statements Objectives (reasonably achievable) What client will do to meet goals Linkages/Referrals Interventions (staff) Action steps, treatment strategies, tasks, etc 10

client will do to meet goals Linkages/Referrals

11 Writing Tips for Service Plans Non-judgmental, respectful language Evidenced by, appears vs. seems Use complete sentence structure Clear description S.M.A.R.T. Specific, Measurable, Attainable, Realistic, Time-limited 11

12 Re-assessment Considerations Evaluate client s progress Describe outcomes and achievements Conduct needs assessment Prioritize needs/problems Develop objectives/goals Write S.M.A.R.T. Assess readiness Ongoing positive guidance/reinforcement 12

Prioritize needs/problems Develop objectives/goals Write S.M.

13 Discharge When is it appropriate to discharge a client How to discharge a client What if it s difficult for client to terminate Referrals (i.e. transfer, outreach) Documentation Notice to providers of case closure Follow your agency protocol 13

terminate Referrals (i.e. transfer, outreach) Documentation

14 Motivational Interviewing A client-centered, yet directive method for enhancing intrinsic motivation for positive behavior change by exploring and resolving ambivalence. Miller, W.R. & Rollnick, S. (2002) 14

for positive behavior change by exploring and

15 Guiding MI Principles 1. Resist the righting reflex 2. Understand your client s motivations 3. Listen to your client 4. Empower your client 5. Develop discrepancy 15

16 What are OARS? Open-ended questions Affirmations Reflective listening Summarizing 16

17 MI Strategies to Evoke Change Talk Ask evocative questions Explore decisional balance Ask for elaboration Ask for examples Look back Look forward Query extremes Use change rulers Explore goals and values Come alongside 17

elaboration Ask for examples Look back Look forward

18 Change Talk Recognize client language that favors movement toward change DARN-C Desire: Why would you want to make this change? Ability: How would you do it you decided? Reasons: What are the three best reasons? Need: How important is it? 0-10; and why? Commitment: What do you think you ll do? 18

Ability: How would you do it you decided?

19 Mental Health First Aid Action Plan Action A: Assess for risk of suicide or harm Action L: Listen nonjudgmentally Action G: Give reassurance and information Action E: Encourage appropriate professional help Action E: Encourage self-help and other support strategies 19

reassurance and information Action E: Encourage appropriate

These core elements are included in three increasingly detailed levels of definition:

These core elements are included in three increasingly detailed levels of definition: A Definition of Motivational Interviewing The definition of Motivational Interviewing (MI) has evolved and been refined since the original publications on its utility as an approach to behavior change.