Case Management

Case management can otherwise be described as a group of skilled individuals who provide a valuable function and service coordination. Any meaning of case management will certainly be contingent on the set of circumstances presented and how to best help the client in the program. A Case Manager or Care Coordinator works directly with people in addiction treatment or recovery. This work may also involve families and friends of the client. A Case Manager also works with service providers, to engage resources and achieve coordination of care for a client. Case management may also work directly with the clients’ insurance company to ensure the client is getting approved for the substance abuse treatment.

A Case Manager also works with service providers, to engage resources and achieve coordination of care for a client. Case management may also work directly with the clients’ insurance company to ensure the client is getting approved for the substance abuse treatment. A case manger is sometimes called the “liaison” that is much needed when you or your loved one is suffering from addiction or mental illness. Research suggests two reasons case management works hand and hand with chemical abuse treatment. First, retention in treatment relates to far better end results, and a primary objective of case management is to keep in touch with clients who participated in chemical abuse treatment and keep them moving towards healing. Second, treatment could be more likely to do well when an individual’s various other trouble is attended to simultaneously with drug abuse. Case management focuses on the entire person as well as stresses laid out in the detailed assessment. This may include mental issues, employment troubles, family concerns and legal issues. It is extremely important to have these aspects of a person’s life moving forward in a positive direction to help them attain the highest success rate of recovery. A case manger (case management) will work as the clients advocate while he/she is attending treatment and for years afterward. This kind of support not only increase the chances of a client completing the chemical abuse treatment program but also keeping that door open in case there is a relapse. From the beginning of treatment, the case manager will be involved in putting together a plan of action for the client to help them not only with their addiction or mental issue but all aspects of their life. Since addiction impacts many facets of the addicted person’s life, a thorough continuum of services promotes healing and allows the recovering addicts or alcoholic to completely integrate right into life as a healthy and balanced, substance-free person. The continuum must be designed to offer engagement and motivation, main treatment services at the ideal strength and level, as well as assistance solutions that will make it possible for the individual to maintain long-term soberness while managing life in the area. Treatment must be structured to make sure transitions to the following level of treatment, prevent gaps in service, and react rapidly to the hazards of relapse. A Case Manager aids a client directly they do not do any of the clinical work however the achievement of the patient involves the entire treatment team.

History Of Case Management

The procedure of case management is not a brand-new principle it has been utilized to coordinate health as well as human services in the United States for greater than a century. As a means of supplying care, it came from the 1920s from the areas of psychiatry and community service as well as concentrated on long-term, persistent diseases that were taken care of in the outpatient, community-based setups. In the 1930s visiting nurses were a part of the case management process. There is proof of case management in the 1860s, where such methods were used in the negotiation homes occupied by immigrants and the poor. The initial public health nursing versions utilized community-based case management approaches. As a care delivery system, case management is a reasonably brand-new idea to the intense treatment setting, having established as well as flourished in the mid-1980s. In between the 1930s and the 1980s, the version stayed basically in the neighborhood setup. It was not until the intro of the possible payment system that the design moved to the acute treatment, hospital-based setup.  Among the initial legal personifications of case management took place in the 1963 Federal Community Mental Health Center Act (Intagliata, 1982) in anticipation of deinstitutionalization, where persons in long term psychological care were moved right into neighborhoods. Expecting that these people would need aftercare that would include services that they had previously gotten in the institution to be successful in their mental health and wellbeing were anticipated. However, there was a breakdown in communication as to who or what organization would continue care. Substance abusers traditionally were never institutionalized as usually as were persons with persistent mental disorder and so were not directly affected by deinstitutionalization regulations. Prison and halfway houses were generally where you would find the alcoholic or addict. Case Management could often then be described as “missionary work” delivered by holy men helping the bums on skid row. Only when alcoholism and addiction was finally defined as a disease where the chemically dependent referred to social services.  Now Case Management is the one of the core functions in helping a chemically dependent person through the entire treatment process and will continue to follow-up wit the client long after they have left the facility.


What Is An Effective Case Manager?

The role of a Case Manager is not clinical however their role is at the very core of your treatment process. The Case Management team or person will work directly with you to ensure that all the moving parts of your life are put back together while you’re in a safe secure environment. If need be they will be the point of contact for your employer, family or probation officer (court). Case Management works daily with your insurance provider to get the very most out of your medical benefits and keep you in treatment without the stress of outside issues. All clients need is different, and the Case Manager will design a program specific to every individual that comes into treatment.

Case Management duties may include:

  • Complete needed administrative tasks

  • Collaborate with the client to develop a service or recovery strategy

  • Help people to access solutions

  • Use evidence-based or best techniques

  • Live up to ethical and professional obligations

  • Long term follow-up after they leave treatment

 Case Managers need to possess the education and learning, skills, knowledge, competencies, and experiences needed to efficiently provide suitable, safe, and quality solutions to clients/support systems. Case Management services is a service that’s primary function is to improve the clients experience and promote optimal wellness in the treatment setting. Case Mangers primary duty is to serve the chemically addicted person by designing a plan the is safe, efficient, timely and client driven.

The Practice Of Case Management

Offering treatment and assistance for individuals fighting chemical abuse is difficult. Despite the wide variety of programs available, 40-50% of people who obtain treatment for chemical dependence will certainly relapse at some time, as well as a lot of within the first year. Since drug abuse comes with a complicated collection of scenarios as well as treatment requirements, clinical practitioners identify the requirement for continued as well as complex treatment and support. This makes case management a valuable tool in making sure that those looking for and receiving treatment for substance abuse as well as dependency have long lasting favorable results. There has been a reasonable quantity of research study identifying ideal techniques and successful approaches for drug abuse case management. The objective of the engagement phase of substance dependency case management is to minimize interior and external obstacles to treatment. For several chemical abuse people, that may start with attending to basic, immediate demands. Developing trust with the case manger is an extremely important part of the case management goal. While the first meeting is structured to gather details regarding a person’s background and needs, the objective of structure meeting is to create an atmosphere of trust between the client and the case manager. The importance of this cannot be overstated. An excellent preliminary relationship in between person and case manager can be critical as the specific experiences problems as well as difficulties later in the treatment process. The case manger will take a client’s cultural, religious and health issues into account at this first meeting. Gathering all this important personals details can help facilitate a more complex integrated approach to treatment and support services.

These types of specialized services may include the following:

  • Chemically addicted individuals with medical (HIV, Hepatitis C) as well as legal problems connected with their previous misuse of substances will likely require additional support.
  • People with a long history of attempts of recovery programs with limited or no success.
  • The demand for a key person when working with elder people is essential as many providers might belong to the treatment team and recurring communication among them is required. Older people come with added issues of health, emotional and possible mental care.
  • Dual diagnosis clients (anxiety, depression, Bipolar, ADD/ADHD) have various needs and can benefit from case management.
  • People who have only been in an inpatient setting could benefit from a case manager coordinating their outpatient need.

Case management is a vital part of the treatment process from the beginning to the end. In creating a substance abuse recovery plan case manager will utilize all the social services resources that the client needs in order to help them become a productive member of society and stay on track with his/her medications and sobriety. Case management is a specialized service that covers such a broad spectrum of areas that its undefinable.

Casemanagement Skills

There are various skills that case managers must use to achieve the desired outcome for a client. Some of these skills will be of the educational variety but most case managers will develop their own personal style over years of experience. While the best-case management skills are the values demonstrated there are some essential case management skills that are important to know:

  • Quality of care

  • Cultural diversity

  • Communication skills

  • Critical thinking

  • Advocacy

  • Teamwork

  • Negotiation

  • Interviewing skills

Although case managers have not been recognized as much as other specialists in the chemical abuse treatment continuum, they must have a just as considerable body of knowledge and master a complicated selection of skills to provide optimum solutions to their clients. Case coordinators should require exact same abilities as various other specialists who collaborate with substance abusers (such as counselors), they need to also have special abilities connecting to such areas as negotiating, discussing, and advocacy. Case management provides a client with a key person that is on their side always them to advocate for their best interest during their treatment and after they have gone home. Through the discharge process the case manager will consider the best strategies to ensure success integrating the client beck into day to day life. Because of their relationship with their clients and their community ties, case supervisors are well positioned to help clients make this delicate change. Case management serves to work with all aspects of the client’s treatment. This synchronization happens within the case manager will continually follow-up with the client to check-in over the course of weeks and months after treatment when many people have relapses. In this case the relationship between the client and the case manager that has been developed over the course of time allows for a safe place for the person to go over options of further treatment. Whether a person has gone into residential or an outpatient program they have acquired new tools to attain sobriety and begin living a positive healthy life. In many cases these individuals will be attending 12 step groups or other self-help organizations. These types of community resources are vital to a person’s long-term recovery. In conclusion Case managers will have worked on the client’s behalf to assure that all their immediate needs have been met so chemical treatment is possible and comfortable. Case managers are the advocate for the client and provide continued care long after the person leaves treatment.