CASE MANAGEMENT

FOR PERSONS WITH

SUDs
Ms. Claudette A. Almadin, RSW
Outline of the Topic:
▪ Introduction to case management
▪ Models of case management
▪ Steps of Case Management
Introduction to Case
Management
 ▪ The coordination of all
CASE professional, social and medical
services to assist people with
MANAGEMENT complex needs often for long term
care and protection
 Case Management VS Counseling
Case Management Counseling

▪ External resources ▪ Internal issues

 ▪ Enhance client engagement and
motivation
WHY CASE ▪ Ensure appropriate SUD
MANAGEMENT? treatment services
▪ Help clients build recovery capital
 ▪ To coordinate services
WHY CASE ▪ To prevent fragmentation
MANAGEMENT?
▪ To ensure smooth movement
 ▪ The breadth and depth of internal
RECOVERY and external resources that can
CAPITAL be drawn upon to initiate and
sustain recovery
 ▪ Personal recovery capital
▪ Physical
RECOVERY ▪ Human
CAPITAL ▪ Family/Social recovery capital
▪ Community recovery capital
 ▪ Community outreach
▪ Assess and focus on client’s
USING RECOVERY strength
CAPITAL ▪ Appropriate referrals
▪ Profession- and client-directed
treatment and recovery plans
 ▪ Single point of contact
PRINCIPLE OF
CASE ▪ Client driven
MANAGEMENT ▪ Advocacy
(For people with SUDs ▪ Community-based
 ▪ Pragmatic
PRINCIPLE OF ▪ Anticipatory
CASE ▪ Flexible
MANAGEMENT
▪ Culturally sensitive
(For people with SUDs
▪ Confidentiality
 ▪ Assessment

FIVE FUNCTIONS ▪ Planning

OF CASE ▪ Linkage/Referral
MANAGEMENT ▪ Monitoring
▪ Advocacy
MODELS OF CASE
MANAGEMENT
 ▪ Brokerage/Generalist
▪ Strengths-based case
MODELS OF CASE management
MANAGEMENT ▪ Clinical/Rehabilitation
▪ Assertive community therapy
 BROKERAGE/GENERALIST MODEL
Brokerage Generalist

▪ Process of negotiating
▪ Someone with knowledge in a
services on behalf of someone
wide range of services
else
 ▪ Focus is on identification and
response to client’s needs
▪ Limited to early contacts
BROKERAGE/ ▪ Limited relationship between client
GENERALIST and case manager
▪ Appropriate when services in a
MODEL community are integrated
▪ Suitable when the need for
monitoring or advocacy is limited
 ▪ Case manager can support more
clients
FEATURES OF ▪ Effective for clients who can “work
the system”
BROKERAGE/
▪ Appropriate for clients who are
GENERALIST motivated

MODEL ▪ Not appropriate for clients with

late-stage SUDs or in a very early
recovery
 ▪ Quick-response approach
FEATURES OF ▪ May be method of choice for
BROKERAGE/ programs with narrowly defined
services
GENERALIST ▪ Inadequacy advocacy
 ▪ Origin: Institutionalized care
to independent living
STRENGTH – ▪ Client take control over
BASED CASE search for resources

MANAGEMENT ▪ Examines client’s strength

▪ Helps clients take control and
MODEL find their strength
▪ Case Manager is more
consultant than broker
 USE OF
STRENGTH – ▪ Access to resources
BASED CASE ▪ Counter stigma

MANAGEMENT ▪ Counter disease models

MODEL
 CLINICAL/ ▪ Treatment and resource
acquisition
REHABILITATION
▪ Same individual provides
CASE both treatment and case
MANAGEMENT management
MODEL ▪ Often model used by default
ADVANTAGES
OF CLINICAL/ ▪ Effective for client’s with co-
occurring disorder
REHABILITATION ▪ May be more economical
CASE ▪ May be best ne combined
MANAGEMENT with another model

MODEL
 ▪ Meets at client’s home and in
ASSERTIVE client’s environment
COMMUNITY ▪ Focuses on problem of daily
living
TREATEMENT
▪ Requires frequent contact
CASE ▪ Shares caseloads with team
MANAGEMENT ▪ Provides long-term commitment
MODEL ▪ Relies on advocacy
 FEATURES OF ▪ Includes direct counseling,
possibly including family
ASSERTIVE counseling
COMMUNITY ▪ Helps improve life skills and
TREATEMENTCAS coping abilities
E MANAGEMENT ▪ Includes specific time limits and
MODEL goals
 DISADVANTAGES
OF ASSERTIVE ▪ Requires light caseloads
COMMUNITY ▪ May require team approach
TREATEMENTCAS
▪ May involve transportation time
E MANAGEMENT
MODEL
 TYPICAL
SERVICES OF ▪ SUD treatment
ASSERTIVE ▪ Employment services
COMMUNITY ▪ Medical care
TREATEMENTCAS
▪ Support network
E MANAGEMENT
MODEL
SIX STEPS OF CASE
MANAGEMENT
 ▪ Assessing
▪ Setting and prioritizing

STEPS OF CASE ▪ Developing a referral database

MANAGEMENT ▪ Preparing the clients for referral
▪ Following up on referrals
▪ Maintaining referral sources