Training presented May 200732

Case Management Services definition

Case administration is a multi-step procedure to make sure prompt accessibility and control of medical and psychosocial services for you living with HIV/AIDS and, in some models, his / her family/close help system.

Case management includes listed here procedures: intake, evaluation of needs, solution preparation, service plan execution, solution coordination, monitoring and follow-up, reassessment, situation conferencing, crisis intervention, and situation closure.

Case management activities tend to be diverse. And assisting consumers to access and keep certain solutions, instance management tasks can sometimes include negotiation and advocacy for solutions, assessment with providers, navigation through solution system, psycho-social support, supporting counseling, and general client training.

The goal of instance administration should promote and support independency and self-sufficiency. As a result, the case management procedure requires the consent and energetic participation associated with the client in decision-making, and aids a client's right to privacy, confidentiality, self-determination, dignity and value, nondiscrimination, compassionate non-judgmental attention, a culturally competent provider, and quality situation management solutions.

For families looking after HIV infected or affected kiddies, an additional goal of case administration will be keep and enhance the efficient performance associated with household, also to help parents inside their care-giving part. Case administration services to kiddies needs to be coordinated with their age and developmental degree, enhance functioning and development, and include youngsters' involvement in decision-making, as proper for their age and capabilities.

The intended outcomes of HIV/AIDS instance administration for persons coping with HIV/AIDS feature:

  • Early usage of and upkeep of extensive medical care and social solutions.
  • Enhanced integration of solutions offered across multiple settings.
  • Enhanced continuity of treatment.
  • Prevention of infection transmission and delay of HIV progression.
  • Increased understanding of HIV infection.
  • Greater involvement in and optimal use of the health insurance and social service system.
  • Reinforcement of good health actions.
  • Individual empowerment.
  • A greater standard of living.

AIDS Institute Models of Case Management

Acknowledging modifications occurring into the HIV/AIDS epidemic plus the needs of persons living with HIV/AIDS, the AIDS Institute presently funds two different types of instance administration service: extensive case administration and supportive instance administration. Both of these types of instance administration is provided in healthcare or social-service options, in large organizations or little community-based businesses. A company or system is approved because of the AIDS Institute to deliver one design exclusively, or both models, based upon the specific HELPS Institute program requirements and formal arrangement with the AI.

Comprehensive Case Management

Comprehensive case administration is a proactive situation management design meant to serve people living with HIV/AIDS with multiple complex psychosocial and/or health-related requirements and their families/close assistance systems. The design is designed to offer people who may need a longer time investment and which agree to an intensive level of case management service provision.

Central towards the extensive type of situation administration is solution preparation, carried out together with a thorough evaluation and subsequent reassessments for the psychosocial and medical care needs of the customer and his/her family members or close support system. Clients involved with comprehensive situation management will get regular contact, follow-up supplied in the community and, in certain programs, residence visitation. Comprehensive situation administration services could be provided by a single instance manager or by a case administration team. Providers might be supported by grant resources or Medicaid reimbursement, as authorized because of the AIDS Institute.

The aim of comprehensive instance management is deal with needs for concrete solutions like medical care, entitlements, housing, and nourishment, plus progress the relationship essential to help the client in dealing with other problems including substance usage, psychological state, and domestic physical violence inside context of their family/close assistance system.

Supportive Case Control

The supporting situation management design is attentive to the instant requirements of an individual coping with HIV/AIDS. Supportive case administration is suitable for persons with discrete requirements that can be addressed in the short term. Supportive instance administration can be an appropriate solution for customers that have finished comprehensive instance administration yet still require a maintenance standard of periodic support from a case supervisor or case administration group.

Supportive case management may also be provided to clients with multiple complex needs just who may most readily useful be supported by an extensive case management system, but who aren't ready or ready currently to engage in the amount of participation required because of the extensive situation management model. In this situation, supporting case management serves as an easy method of helping an individual at his/her level of ability, while motivating the customer to think about more comprehensive solutions.

Central to the supporting case management model is follow-up because of the case supervisor or staff to ensure that organized solutions being gotten also to see whether even more services are expected. Consumers in supporting instance administration experiencing a repeat period of the identical crisis or problem ought to be promoted to enroll in extensive situation administration services, either on-site or offsite, and assisted in attaining these types of services.

The purpose of supportive case management should meet with the immediate health and psychosocial needs of the client at their particular degree of readiness being restore or maintain client security, also to establish a supporting commitment that can trigger registration much more extensive instance administration services, if needed.

Case Control Flow Chart

The scenario control Flow Chart is supposed to produce an aesthetic summary of the movement of tasks and solutions within and involving the two models of case management described above. The flow chart maps in broad strokes the service system intended because of the case management standards.

Source: www.health.ny.gov
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