Comprehensive Case Management for Substance Abuse Treatment

Vocabulary flashcards about key terms and concepts discussed in the lecture notes on case management for substance abuse treatment.

Case Management

A coordinated approach to the delivery of health, substance abuse, mental health, and social services, linking clients with appropriate services to address specific needs and achieve stated goals.

Functions of Case Management

Assessment, planning, linkage, monitoring, and advocacy.

TIPs

Treatment Improvement Protocols; best-practice guidelines for the treatment of substance use disorders developed by CSAT, part of SAMHSA.

Interagency Case Management Goal

Identified to expand the network of services available to clients by transcending organizational boundaries to facilitate interactions among agencies.

Single Agency Interagency Model

The case manager personally establishes a series of distinct relationships on an as-needed basis with counterparts in other agencies.

Informal Partnership Interagency Model

Staff members from several agencies work as a collaborative team, often constituted case by case

Formal Consortium Interagency Model

Binds case managers and service providers through formal written agreements.

Case Management Purpose

Helps clients access the resources they need to recover from a substance abuse problem, adapting to fit the needs of the treatment or agency setting.

Primary Difference Between Case Management and Therapy

Stresses resource acquisition, while therapy focuses on facilitating intra- and interpersonal change.

Criminal Justice System Influence

The potential conflicts between coerced involvement in treatment and case management will test the limits of advocacy and client-driven aspects of the intervention.

Managed Care uses Case Management to

Restrict access to services as well as to facilitate access to services.

Brokerage/Generalist Models

Seek to identify clients’ needs and help clients access identified resources; are sometimes disparaged due to the limited client–case manager relationship and the absence of advocacy.

Assertive Community Treatment (ACT)

Emphasizes making contact with clients in their homes and natural settings, focusing on the practical problems of daily living, assertive advocacy, manageable caseload sizes, frequent contact, and a team approach.

Clinical/Rehabilitation Approaches to Case Management

Are those in which joined together are clinical (therapy) and resource acquisition (case management) activities .

Case Management

Involves consolidating to a single point responsibility for clients who receive services from multiple agencies, offering the client continuity.

Case Management Advocacy

Promoting the client’s best interests by advocating with agencies, families, legal systems, and legislative bodies; can be vigorous, or may entail the recommendation of sanctions to encourage client compliance and motivation.

Pragmatic Case Management

Responding to tangible needs such as food, shelter, clothing, transportation, or child care to develop a relationship with and effectively engage the client.

Anticipatory Case Management

Understanding the course of addiction and recovery, foresee a problem, to understand the options available to manage it, and to take appropriate action.

Culturally Sensitive Case Management

Accommodation for diversity, race, gender, ethnicity, disability, sexual orientation, and life stage.

Memoranda of Understanding (MOUs)

They specify crucial information such as the number of service slots that agencies will make available to one another’s clients and the consequences for failure to implement or comply with specified activities or procedures.

Formal Consortium

Has access to more resources, broader structure of constituent, political, and community support, and more control in shaping the environment; however, it can be slow to respond and must contend with multiple definitions of a problem.

Referral Resources

Must be continuously assessed and evaluated to determine their appropriateness.