Mental Health Case management, Middle East International medical corps (IMC)

Psychiatrist Case Manager (social worker/trained nurse) Psychologist Trained PHC provider & Community Health Workers Case Management Team Structure The primary goal of case management is to optimize client functioning by providing quality services in the most efficient and effective manner to individuals with multiple needs. Case Management teams are usually health clinic based, with integrated outreach support & follow services

Psychiatrist Case Manager (social worker/trained nurse) Psychologist Trained PHC provider & Community Health Workers Community Based PS Other sectors (e.g. health) PHC level (walk in/ outreach) Upward & Downward referral Case Management starts with the Case Manager Not All Cases Require specialized Support Exceptional direct referral: Emergency cases 2 way referral & coordination

Psychiatrist Case Manager (social worker/trained nurse) Psychologist Trained PHC provider & Community Health Workers Case Management Team Division of Roles Step 1 General health information Identify CMDs and SMIs Refer for environmental assessment Step 2 Environmental assessment Safety check Determine next steps Depending on the need for a specialized care plan or basic care plan, case management team members’ roles are defined

Case Manager (social worker/trained nurse) Case Management Team Division of Roles Step 3B Psychological Safety Assessment Development of Basic Care Plan Step 3A Bio-psychosocial assessment Development of Specialized Care Plan – As part of CMT Multidisciplinary Intervention Follow up with ClientMonitor ProgressReport to CMT Step 4 A Counseling & GuidanceStress Management Refer to Community Based Services Step 4 B

Case Manager in coordination with CMT Case Management Team Division of Roles Step 5 Review Progress of Client Monitor Quality of Services Supervise Management of care plans Provide ongoing assessment of individual needs Terminate cases as necessary Weekly CMT technical meeting are mandatory for case discussions and developing/reviewing care plans

IMC Case Management Tools and Materials Case Management Training  Case Management training material (Jordan/ Lebanon)  Pre-post knowledge test  On the job training checklist  Ongoing training and supervision (In Lebanon, through regular supervision by focal points assigned to each level within case management team)

IMC Case Management Tools and Materials Case Management Services Client characteristics  Including diagnosis/primary problem  Outpatient record  Interagency referral form  Ongoing monitoring CM outcomes:  Care plan: Client Strengths, Resources, and Needs Scale  Functioning scale as part of the client’s care plan  HONOS  Satisfaction