CASE MANAGEMENT OVERVIEW l Introductions l Definitions l Objectives l Rehabilitation Counselor –Role –Case Management l Models –Public –Private –Interdisciplinary l Evaluation l Challenges l Application Groups

-CASE MANAGEMENT - Definition: Counselor managerial activities that facilitate the movement of each consumer through the service process. - Case Load Management: Responsibility of the Counselor for the progress of his/her whole group of consumers - collective result of counselor’s work with individual consumer.

-CASE MANAGEMENT - Requires: Systematic process for planning, managing, and evaluating entire spectrum of counseling functions and tasks.

CASE MANAGEMENT - - Introductions - - Participant - Interests -

-CASE MANAGEMENT - Participant Needs

-VR = CASE WORK SERVICE - Casework necessary -- Individual differences - - life situation - - needs - - goals - - age, sex - - physical capacity - - mental ability - - economic circumstances - - vocational competencies -- Unique plan of service -Differentiation of treatment

-CASE MANAGEMENT - Principles: -ongoing assessment required -best services for individual -adequate for social and economic adjustment -supplement individual initiative -follow-through to satisfactory conclusion -utilize community interests and facilities -plan collaboratively developed

-ROLE OF REHABILITATION COUNSELOR - Perspective

-TASKS OF REHABILITATION COUNSELOR - 1. Vocational assessment and counseling - 2. Effective counseling - 3. Job placement - 4. Case management - - intake interviewing - - service coordination - - case recording and reporting

- - Successful stages in rehab process - - Checkpoints - completion of a given service - - Standard numerical codes - - uniformly used in US - - means of evaluating progress - - Importance - - caseload size variability - - simplifies reporting - - facilitates - - program evaluation - - counselor comparisons - - evaluation of progress - STATE-FEDERAL VR MODEL

-INTAKE INTERVIEWING - - explains counselor role and responsibilities - - determines how counselor and agency can help - determines client expectations - - reviews client background material - - determines special medical or psychological exams - - identifies extent of confidentiality - - ensures client understands rights and responsibilities in process - - explains services and community resources - - clarifies nature of the counseling relationship

-SERVICES COORDINATOR - identifies appropriate community resources - - coordinates services - - refers clients to - - training - - evaluation - - assessments - - adjustment training - - medical or psychiatric treatment - collaborates, consults, staffs with partners - - monitors client progress - - evaluates effect of services on client

-CASE RECORDING AND REPORTING -- writes case notes and summaries -- reports verbally on client in staffings -- provides summary reports or letter to partners -- honors confidentiality

-STATUS CODES - - sixteen two-digit and even numbered codes, referral processing = pre-service = in-service = , closure =

-EVALUATION -1. Counselor: - A. Professional obligation - B. Monitor, judge, and change - - goals - - time allocation plans - - case records -2. Supervisor: - A. Agency goals - compliance - B. Counselor development - accomplishments