This essay will discuss current literature on clinical case management in mental health in the Australian context. The terms relating to case management will be defined and explained. The essay will discuss and describe case management models and social models in mental health. In this essay my own clinical experience in case management will be highlighted. The issues of efficacy and effectiveness in clinical case management will also be addressed. The essay will identify and outline the groups that benefit from mental health case management. Finally, the essay will critically evaluate current evidence, benefits and limitation pertaining to case management in mental health. Rosen, Mueser & Teesson (2007) described case management as …show more content…
Simpson (2007) added that multidisciplinary input co-ordinated by a case manager is a key feature of most case management models in Australia and that case managers are more likely to be mental health professionals (Simpson 2007). Contemporary mental health services use several models of case management, such as the brokerage, clinical, strengths, rehabilitation, intensive case management and assertive community treatment (ACT) models.
Preston & Fazio (2000) described one of case management models known as the intensive case management program as a mobile multidisciplinary team, consisting of a psychiatrist, community mental health nurses, social workers and occupational therapists. Elder, Evans & Nizette (2007) stipulated that the majority of treatment occurs within the community, including medication management and mental health examinations. Elder and his colleagues identified operational definitions of the intensive case management as low patient to staff ratio, most services provided in the community, rather than in the office, assignment of patients to a dedicated case manager, time-unlimited service and most services provided directly by the intensive case management team and not brokered out (Elder, Evans & Nizette 2007).
Henderson et al (2008) commented that this model was designed for those clients who are defined as high service users that is, the severely mentally ill and has been found effective in engaging clients in treatment (Henderson et
The strengths model is not just a philosophy or perspective, although it is that. It is rather a set of values and principles, a theory of practice, and explicit and rigorous practice methods that have been developed and refined over the last 25 years (Rapp & Goscha, 2006). The empirical testing of the case management model has shown consistent results that are superior to traditional approaches to serving people with severe psychiatric disabilities. The purpose of this literature review is to critique the effectiveness of the
Case Managers have a challenging job, often dealing with patients, community agencies and facilitating their hospital discharge to the next level of care. They collaborate and communicate with the entire healthcare team and mostly with the patient during the hospitalization process. They act as support for all stakeholders to achieve positive patient outcomes. In this paper, I will be interviewing Ian Mopas, who is a Patient Care Coordinator at Kaiser Permanente in Redwood City about his education, work training, goals, and objectives as a Care Coordinator, and his responsibilities in his organization.
The NSW Mental Health Act 2007 lays down the foundation in the proper provision and facilitation of care and treatment to persons with mental health disorders and promote their recovery while protecting the rights of these persons. One of the provisions of the Act uplifting this objective is in the involvement of family and nominated carers of patients. As defined by the Act, designated carers may represent from the person’s guardians; the parent
How does case management achieve efficiencies in the delivery of health care? How does case management differ from disease management?
According to an article published in Case Management Advisor (2008), education assists case managers with being as knowledgeable as possible to identify and coordinate all the resources that their patients need and continued education is an ethical responsibility of a case manager. The article also suggests that advocacy is an ethical responsibility of a case manager. When advocacy is forgotten ethical issues occur. Fraser and Strang (2004) explain that case managers must be given the tools to allow them to function in their role with confidence and competence to act as strong advocates for their patients. Support for decision making is also a key component of case management. Coffman (2001) offers key points from The Code of Professional Conduct for Case Managers advising that case managers are guided by the principle of autonom. Case mangers achieve autonomy through advocacy. If case managers are expected to function with complete autonomy, then case managers require the assusrance that their leader ship will support them when difficult decisions have to be made, (Fraser and Strang, 2004). The concept of employer employees explains that by involving employees in developing the mission and values of the company, this allows employees feel empowered (Porter-O’Grady & Malloch, 2007). By allowing the case manager to be part of the development of the
The case management process consists of five parts: assessment, treatment planning, linking, advocacy, and monitoring. It is not a linear process and does not follow the order it is written up. There may be some back and forth and returning to certain points.
3). In this relationship, each must work through phases including conflict resolution and negotiation as part of the process. Transformational theory further explains leadership must include exhibiting a degree of emotional intelligence. This occurs when perceiving how others feel, understanding how the feelings lead to thinking, understanding the emotions, and managing emotions internally. In respects to this theory, emotional intelligence enhances this bi-directional relationship between the leader and the followers (Spears, 2002).
Decision making and best interests of the patient in the care for people with mental health problems are one of the main concerns in nursing practice. Healthcare professionals should be knowledgeable enough to practice the legal code regarding decision making and protection of the patient with mental health problems (NMC, 2008).
Termination of services provided by case management can occur for a large variety of reasons. The main goal of a case manager is to provide the client with all the resources available to meet the client’s needs. By the end of the action plan the client should be prepared and skilled enough to continue without
Case managers play such a key role in the health systems that they are almost considered as the face of patient care.
Motivating- empowers others to perform at their best, promotes a sense of responsibility, encourages and assists other to excel in their profession
What I understand of case management is that it helps Social Workers in helping their clients, meaning social workers take actions to manage the various aspects of cases they are working on. Case management is also a shared process of assessment, planning, facilitation and advocacy for decisions and services to meet an individual’s need through communication and available resources. Case management examines the person’s physical, emotional, environmental state, and promotes quality and cost-effective outcomes. In addition, in Case management the worker helps to empower the clients to become self-sufficient. Moreover, Case management is structure into six principles
Many healthcare organizations worldwide are striving to achieve magnet designation. Having the magnet title is essential because it recognizes healthcare organizations that act as a “magnet” for excellence by establishing a work environment that identifies, rewards, and promotes professional nursing (ANCC Magnet Designation, 2012). A magnet hospital is considered to be one where nursing provides excellent patient care, where nurses have a high level of job satisfaction, and where there is a low staff
According to IC & RC, Case Management is defined as, “activities intended to bring services, agencies, resources, or people together within a planned framework of action toward the achievement of established goals. It may involve liaison activities and collateral contacts” (Herdman, John W., 6th Ed.). Case management is a concerted effort of various professionals in the human social services network that assess’, plans, implements, coordinates, monitors and evaluates options required to meet the client’s health and human service needs. It is characterized by advocacy, communication, resource management and promotes quality cost-effective intervention outcomes. The Case Management Process centers on the client and the client’s support system. It is holistic in its approach to the management of the client’s individual and specific situation and that of the client’s support system. It is adaptive both to the case manager’s practice setting and to the healthcare setting in which the client receives services. Case management is not a profession unto itself however; it is a cross-disciplinary and interdependent specialty practice within the health and human services profession. Everyone directly or indirectly involved in healthcare benefits when healthcare professionals and
Case management services; rapid rehousing must include case management which may provide help overcoming and troubleshooting barriers, addressing issues that may impede access to house such as financial resources (credit history) arrests, negotiating contract and preparing for interview.