1. The Role of Case Management in Treatment Courts Presented by Marilyn GibsonOctober 8, 2014

2. Joseph Raymond HANAS, Plaintiff, v. INNER CITY CHRISTIAN OUTREACH, INC. a Michigan non-profit corporation, Dwight R. Rottiers, Stanette J. Amy, and Reginald Coleman, Defendants.

3. Brief History Case management, as a tool for improving service delivery, has a long history beginning with social casework in the early 20th century. Case management emerged as a separate and professional service in the 1970s, where it was seen as a way to connect clients with multiple needs to an increasingly complex social service delivery system (Turner & TenHoor, 1978).

4. Brief History Throughout its history, case management has focused on the holistic needs of clients, Addressing basic needs such as safety, food, and shelter, as well as emotional, medical, and other needs including employment, education, and connection with others in the community (Rapp, 1998).

5. Brief History Though there is little literature on case management specific to drug courts, the founding principles and concepts that guide case management in other milieus can be generalized to the drug court setting.

6. Case Management in a Treatment Court Relationship between treatment, probation and case management

7. Case Management in a Treatment Court Treatment Counselor Focus on activities that help the participant recognize the extent of their substance abuse help the participant recognize the extent of their substance abuse acquire the motivation and tools to stay sober, and acquire the motivation and tools to stay sober, and use those tools use those tools

8. Case Management in a Treatment Court Probation Officer P roactively monitor the behavior and program compliance of a drug court participant outside of the court room Protect Public Safety Protect Public Safety Deter non-compliant behavior Deter non-compliant behavior Provide accountability for the participant Provide accountability for the participant Support progress of the participant Support progress of the participant Detection and early intervention Detection and early intervention Serve as an adjunct to treatment Serve as an adjunct to treatment

9. Case Management in a Treatment Court Case manager Focus on assisting the participant in acquiring needed resources Focus on assisting the participant in acquiring needed resources Single point of contact with the health and social service systems Single point of contact with the health and social service systems Client driven and driven by client need Client driven and driven by client need

10. Case Management in a Treatment Court Substance abusers have significant problems caused by their addiction Housing Housing Employment Employment Relationships Relationships Medical Issues Medical Issues Mental Health Mental Health

11. Attributes of a Good Case Manager Knowledge Knowledge Skills Skills Attitudes Attitudes

12. Attributes of a Good Case Manager Knowledge Understands the judicial system and the law Understands the judicial system and the law Understands theories of addiction Understands theories of addiction Knows the supported, evidenced-based practices and outcomes of treatment, recovery, relapse prevention and continuing care Knows the supported, evidenced-based practices and outcomes of treatment, recovery, relapse prevention and continuing care Understands the variety of insurance and health maintenance options available Understands the variety of insurance and health maintenance options available

13. Attributes of a Good Case Manager Knowledge Aware of the array of community social service agencies and knows how to access these services Aware of the array of community social service agencies and knows how to access these services Understands diverse cultures and their relevant needs Understands diverse cultures and their relevant needs Understands the value of an interdisciplinary team approach to addiction treatment Understands the value of an interdisciplinary team approach to addiction treatment

14. Attributes of a Good Case Manager Skills Ability to establish rapport quickly Ability to establish rapport quickly Maintain appropriate boundaries Maintain appropriate boundaries Establish and maintain relationships with community agencies Establish and maintain relationships with community agencies Negotiate for services Negotiate for services Advocate for clients Advocate for clients

15. Attributes of a Good Case Manager Skills Advocate for clients Advocate for clients Communication with clients and team members Communication with clients and team members Knowing when to assist and when not to Knowing when to assist and when not to

16. Attributes of a Good Case Manager Attitude Commitment to professionalism Commitment to professionalism Respect for the judiciary and the judicial system Respect for the judiciary and the judicial system Respect for confidentiality regulations Respect for confidentiality regulations Patience and perseverance Patience and perseverance Respect for collaboration and cooperation Respect for collaboration and cooperation Demonstrate respect and non-judgmental attitudes toward clients Demonstrate respect and non-judgmental attitudes toward clients

17. Attributes of a Good Case Manager Attitude Openmindedness Openmindedness Willingness to modify or adapt plans Willingness to modify or adapt plans Respect and appreciation for other team members and their disciplines Respect and appreciation for other team members and their disciplines Therapeutic optimism Therapeutic optimism

18. Barriers Faced by Case Managers Lack of trust by team members Lack of trust by team members Funding Funding Lack of data to support need Lack of data to support need Community agencies already overburdened Community agencies already overburdened Judicial support Judicial support Managed care Managed care

19. Relationship with the Judge Trust Trust Communication Communication Timeliness of communication Timeliness of communication Loyalty Loyalty

20. Questions? Comments? Marilyn Gibson Drug Court Administrator Greene County, Missouri 417-829-6159Marilyn.Gibson@courts.mo.gov