Special Populations PresentationW4IA
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ModelsofCaseManagmentV2.pptxModels of Case Management Chalyne Arvie CPSS385 SAIRA DIN 19NOV18
What is Case Management?
Case management is a collaborative process that assesses, plans, implements, coordinates, monitors and evaluates the options and services required to meet the client’s health and human services needs.
It is characterized by advocacy, communication, and resource management and promotes quality and cost-effective interventions and outcomes.
Different contexts call for different approaches to case management. Strong case management practices are carefully adapted to the needs, constraints, and resources that exist within a given context.
Adults with physical disabilities may be best served by one set of practices or approaches to case management while those same approaches may be irrelevant or even harmful to children with mental health issues or teens recovering from substance abuse or addiction.
Case Management is a process, encompassing a culmination of consecutive collaborative phases, that assist Clients to access available and relevant resources necessary for the Client¹ to attain their identified goals. Key phases within the case management process include: Client identification (screening), assessment, stratifying risk, planning, implementation (care coordination), monitoring, transitioning and evaluation Case management is a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual’s holistic needs through communication and available resources to promote quality cost-effective outcomes.
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Models of CASE Management
The Brokerage Case Management Model
The Clinical Case Management Model
The Strengths-Based Clinical Case Management Model
Different contexts call for different approaches to case management. Strong case management practices are carefully adapted to the needs, constraints, and resources that exist within a given context. Adults with physical disabilities may be best served by one set of practices or approaches to case management while those same approaches may be irrelevant or even harmful to children with mental health issues or teens recovering from substance abuse or addiction.
Building a strong case management approach begins by identifying a foundational model that can be adapted to meet the needs of your specific clients and resources. Take a look at 3 unique case management models that can be adapted and customized to drive successful outcomes in a range of case management settings.
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The Brokerage Case Management Model
Very brief approach to case management.
Client will voluntarily use needed services once they know they are available.
Client’s biggest challenge is access to services, rather than availability of services.
Case manager provides very little direct services.
Focus is on assessing needs
The brokerage model is a very brief approach to case management in which case workers attempt to help clients identify their needs and broker supportive services in one or two contacts.
This model assumes that a client will voluntarily use needed services once they know they are available, and learn how to access them.
This model works best when a client’s biggest challenge is access to services, rather than availability of services.
In a brokerage case management model, the case manager/social worker provides very little direct service to the client.
The focus is on assessing needs, planning a service strategy, and connecting clients.
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The Clinical Case Management Model
A clinical care provider serves as the case manager.
The case manager provides direct counseling for a client’s individual concerns.
Improves the case manager’s ability to identify needed services
In a clinical case management model, a clinical care provider serves as the case manager. Frequently, the case manager is a counselor or therapist.
This model recognizes that many clients face barriers to services that reach beyond simple questions of access.
As a clinician, the case manager in a clinical case management model provides direct counseling for a client’s individual concerns.
That increased level of understanding improves the case manager’s ability to identify needed services and connect the client with formal resources in the form of community service providers.
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The Strengths-Based Clinical Case Management Model
The ultimate goal of a case manager goes beyond just accessing services.
Case managers focus on empowering clients
Case managers create client opportunities for growth.
Involves outreach, clinical services, advocacy, and robust coordination.
The strengths-based clinical case management model recognizes that the ultimate goal of a case manager goes beyond just accessing services.
In a strengths-based clinical case management model, case managers focus on empowering clients and their families.
Case management and clinical services focus on creating client opportunities for growth, education, and skill development.
Strengths-based clinical case management models involve outreach, clinical services, advocacy, and robust coordination between case managers and clients.
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References
Vanderplasschen, W., Wolf, J., Rapp, R. C., & Broekaert, E. (2007). Effectiveness of Different Models of Case Management for Substance-Abusing Populations. Journal of Psychoactive Drugs,39(1), 81-95. doi:10.1080/02791072.2007.10399867
Simpson, A., Miller, C. & Bowers, L. (2003). Case management models and the care programme approach: how to make the CPA effective and credible.. Journal of Psychiatric and Mental Health Nursing, 10(4), pp. 472-483. doi: 10.1046/j.1365- 2850.2003.00640.x
Karen Zander, RN, MS, CMAC, FAAN. (2017). Case Management Models, Best Practices for Health Systems and ACOs
