Presentation is loading. Please wait.

Presentation is loading. Please wait.

Engaging Complex Clients in the Case Management Process Jenny Thompson Clinical Nurse Consultant ADAHPT.

Similar presentations


Presentation on theme: "Engaging Complex Clients in the Case Management Process Jenny Thompson Clinical Nurse Consultant ADAHPT."— Presentation transcript:

1 Engaging Complex Clients in the Case Management Process Jenny Thompson Clinical Nurse Consultant ADAHPT

2 Objectives Overview of case management ADAHPT model of case management Discuss the Engagement process Look at the obstacles to engagement Case study

3 ADAHPT Established 1997 NSW state-wide service Aids Dementia Complex &/or a HIV Psychiatric condition Expanded to complex needs Multidisciplinary approach Co-case management model

4 ADAHPT Co-case ManagerCase Manager Other Service Providers Client

5 Case Management Concept of case management varies across services Five basic functions (Intagliata, 1982) –Assessment, planning, linking, monitoring & evaluation (or review) Definition: Case management is a process for ensuring clients are provided with whatever service/s they require in a co-coordinated, effective and efficient manner (Case Management Society)

6 Steps of Case Management Home visit/face to face meetingRespect Focus on strengthsSupportAdvocacy CitizenshipCrisis intervention Engagement Consultation with others Referral Background Information Assessment Planning/Linking Monitoring Review

7 Referral Referrer involvement Clear picture of client Referral is appropriate Initial plan Address safety issues

8 Engagement Critically important to case management Respectful, friendly and tactful Clients needs Focus on strengths Citizenship Crisis intervention Support and advocacy Frequent home visits

9 Assessment Formal process History Health information Accommodation Finances

10 Steps of Case Management Home visit/face to face meetingRespect Focus on strengthsSupportAdvocacy CitizenshipCrisis intervention Engagement Consultation with others Referral Background Information Assessment Planning/Linking Monitoring Review

11 ADAHPT C/Mgt and the Client Variety of skills Assessing Evaluating Depth of knowledge Ongoing engagement Awareness of changes

12 Successful Engagement Client Familiarity Independence Case Manager Partnership Support

13 Obstacles to Engagement Legal difficulties: possible incarceration Housing difficulties: transience Violence Alcohol and other drugs Highly functional

14 Case Study: Ann 45 year woman HIV positive Hepatitis C positive AIDS Dementia Complex Diagnosed with Schizophrenia Substance use issues Reluctant adherence to medication Sex worker History of self harm

15 Initial Stages Difficult to engage Fierce independence Refuses service Psychiatric condition Local services give up Referral to ADAHPT

16 The Process of Engagement Appropriate medication Practical assistance Acceptance of case manager Case manager gets to know client Contact with family Occasional set backs Re-engagement

17 Successful Engagement Trust More accepting of services Continues to live independently Health improved Mental state stable Family supported Timely and appropriate intervention

18 Setbacks Driving Mental Health: Community Treatment Order Public Health

19 Current Supports Family Immunology clinic Reluctantly accepting mental health services Methadone prescribed and supplied General Practitioner Ankali Community Support Network ADAHPT Case Management

20 Questions? ADAHPT A state-wide tertiary outreach team for people with HIV and complex needs Tel: +61 (2) Fax: +61 (2)


Download ppt "Engaging Complex Clients in the Case Management Process Jenny Thompson Clinical Nurse Consultant ADAHPT."

Similar presentations


Ads by Google