Case Management Collaborative Care Crisis Intervention Case Management

Case Management, Collaborative Care & Crisis Intervention

Case Management �Definition-It is a concept purposefully designed to control the balance between cost and quality of care. �Goals of case management �Easy access to needed service and coordinate care of clients. �Prevent avoidable episode of illness �Control or reduce the cost of care �Activities of case management. Identification, assessment, service planning, monitor, service delivery, advocacy

Collaborative Care �Definition-It is the shared planning, decision making, goal setting and assumption of responsibilities by individuals who work together cooperatively and with open communication �Key features � Integration of mental health personnel in medical care setting � Close collaboration of mental health personnel with medical providers � Treating whole person and whole family �Types of collaboration Unidisciplinary � Multidisciplinary � Interdisciplinary �

Collaborative Care-Contd…… �Barriers of good collaborative care �Inappropriate education and training �Traditional organizational structure �Goal and role setting �Power and status inequities �Personal qualities of individuals

Crisis Intervention �Definition- It is a short term therapy focused on solving the immediate problem, which is limited to six weeks. �Phases of crisis intervention 1)Assessment � Precipitating event �Perception of the event �Support system and coping recourses �Coping mechanisms

Crisis Intervention-Contd. . 2)Planning and Implementation �Levels of crisis intervention � Environmental manipulation � General approach � Generic approach � Individual approach �Techniques of crisis intervention � Catharsis � Clarification � Suggestion � Reinforcement of behavior � Support of defense � Raising of self esteem � Explanation of solutions

Crisis Intervention-Contd. . 3) Evaluation �Modalities of crisis intervention �Mobile crisis programme �Group work �Telephone contacts �Disaster response �Victim outreach programme �Health education