Case Management 1 What Will be Covered? 1. Organizational Assessments (Module 1) 2. Designing Quality Services (Module 2) 3. HIV Prevention and Care Advancing HIV Prevention (AHP) (Module 3) 4. Behavioral Theories (Module 4) 5. Evaluation (Module 5) 6. Program Funding (Module 6)

Case Management Module 1 Day 1 2-4pm Organizational Assessments

Case Management Organizational Readiness Mission Communicate your purpose in a way that inspires support Articulate a concept in with language that is easy to comprehend – jargon free Use proactive verbs to describe what you do Short, concise and easy to repeat

Case Management Organizational Readiness Vision Represents the ultimate goal or desired outcomes. Culture The attitudes and behavior that are characteristic of the organization.

Case Management Values Organizational Personal

Case Management Defining Case Management Services The fundamental principles are that case managers facilitate linking clients to the complex delivery system help clients navigate through and access psychosocial interventions.

Case Management Organizational Assessment  Strength(internal)  Weakness/Challenge (internal)  Opportunity (external)  Threat(external)

Case Management Client Needs Assessment

Case Management Module 2 Day 1 Designing Quality Services

Case Management Designing Quality Services 1. Identify the target market 2. Define the service 3. Develop service strategy  Marketing  Operations  Monitoring and Controlling  Recovery Services 4. Develop service delivery process

Case Management Seven Characteristics of a Well-Designed Service System Each element of the service system is consistent with the operating focus.

Case Management Seven Characteristics of a Well-Designed Service System The system is user-friendly. This means that the customer can interact with it easily—that is, it has good signage, understandable forms, logical steps in the process, and service workers available to answer questions.

Case Management Seven Characteristics of a Well-Designed Service System The system is robust. That is, it can cope effectively with variations in demand and resource availability.

Case Management Seven Characteristics of a Well-Designed Service System The system is structured so that consistent performance by staff and systems is easily maintained. This means the tasks required of the workers are doable, and the supporting technologies are truly supportive and reliable.

Case Management Seven Characteristics of a Well-Designed Service System The system provides effective links between the back office and the front office so that nothing falls between the cracks.

Case Management Seven Characteristics of a Well-Designed Service System The system manages the evidence of service quality in such a way that customers see the value of the service provided.

Case Management Seven Characteristics of a Well-Designed Service System The system is cost-effective. There is minimum waste of time and resources in delivering the service

Case Management Mapping the road to success  Logic Model  SMART Objectives

Case Management Existing Conditions Existing Conditions: Are contributing factors that put a population at risk, such as knowledge, attitudes, beliefs, behaviors, lack of skills, access, policies, and environmental conditions. Existing Conditions

Case Management Problem Statement Problem Statement: Identifies the problem based on the existing conditions Problem Statement Existing Conditions

Case Management Implementation Inputs Activities Outputs Inputs: Resources used in an intervention. Activities: Services that the intervention provides to accomplish its objectives. Outputs: Direct products or deliverables of the intervention. Problem Statement Existing Conditions

Case Management Outcomes Implementation Inputs Activities Outputs Outcomes Immediate Outcomes: Immediate results of the intervention. Intermediate Outcomes: Intervention results that occur some time after the intervention is completed. Problem Statement Existing Conditions

Case Management Evaluation Implementation Inputs Activities Outputs Outcomes Evaluation Evaluation: Provides qualitative and quantitative data to determine the effectiveness of the implemented intervention. Problem Statement Existing Conditions

Case Management SMART Objectives Specific Measurable Achievable Realistic and Relevant Time-phased

Case Management Module 3 Day 2 8:45-11am HIV Prevention and Care: Advancing HIV Prevention

Case Management 26 Case Management Basics Opening Client Case Client Intake& Assessment Client Enrollment Client Care Plan Progress Reports/Clinical Notes Reassessment Discharge/Transition

Case Management Advancing HIV Prevention (AHP) Initiative Four key strategies: Make HIV testing a routine part of medical care. Implement new models for diagnosing HIV infections outside medical settings.

Case Management Advancing HIV Prevention (AHP) Initiative Prevent new infections by working with persons diagnosed with HIV and their partners Further decrease perinatal HIV transmission

Case Management Advancing HIV Prevention (AHP) Initiative Objectives: 1.Reduce barriers to early diagnosis of HIV infection. 2.Increase access to and utilization of quality medical care. 3.Provide ongoing prevention services for those living with HIV.

Case Management Advancing HIV Prevention (AHP) Initiative AHP utilizes a medical model to address the current HIV epidemic.

Case Management Advancing HIV Prevention (AHP) Initiative Through AHP every HIV infected person should have the opportunity to be tested and have access to state-of-the-art medical care and HIV prevention services.

Case Management Module 4 Day 2 Behavioral Change

Case Management Factors that Influence Readiness to Change 1. Perception of Need Person’s experience of discrepancy between the pain of present and potential for future improvement 2. Belief that Change is possible and Can Be Positive Positive outcome is perceived as achievable within a reasonable period of time

Case Management Factors that Influence Readiness to Change 3. Sense of Self Efficacy Belief by the person that he/she has choices and can take an action to make a change 4. A Stated Intention to Change Statements the person makes relative to theneed to change Source: Miller and Rollnick(1991)

Case Management Principles of Harm Reduction

Case Management Motivational Interviewing

Case Management Module 5 Day 2 2:35-3:15 Evaluation

Case Management Evaluation Goal Based Process Based Outcome based

Case Management Module 6 Day 2 Funding

Case Management Funding Sustaining or expanding Case Management Services

Case Management Thank you, and we wish you great success as you develop or continue providing Case Management Services