1. Treating Anxiety From an Integrated Approach
A Collaborative Approach to Care
April 6, 2019 * Tex-CHIP Training Series

2. Role of Case Management in Treating Anxiety

3. Understanding Provider Role in Treating Anxiety
Supportive role
Education for client and support system
Diagnosis education
Enabling coping skills vs positive coping skills
Real-time applications of the skills learned in therapy
Symptoms tracking and reporting
Encouraging self-reporting
Effective documentation from case manager to team

4. Considerations when Interacting with Clients
Similarities across Anxiety Disorder diagnoses
Fear, Anxiety, &/or Avoidance
Current coping skills and patterns of learned behaviors
Separating appropriate coping skills may be difficult depending on how the skills effect anxiety symptoms
Case Manager as a potential primary enabler?
Potential difficulties of comorbidity with other diagnoses
Maintaining compassionate curiosity with difficult symptoms and potential for slow/selective progress

5. Our Treatment Plan Healthcare Domain: Behavioral Health
Provider: Case Manager
Objective:
Decrease in symptoms as indicated by client report of:
(a) Reduction “always on edge” feeling
(b) Reduction in “exposed and vulnerable” feelings
(c) Increase outings
(d) Improve reports of worry
Goals:
a)  Resume daytime activities
b) Purchase food/groceries in person at a brick & mortar location
c)  Resume enjoyable activities outside her home
Interventions:
a)  Deep breathing techniques
b) Desensitization of anxiety symptoms 
 c) Normalization of anxiety symptoms across scenarios

6. Measuring Outcomes/Success
Increased positive/desired behaviors
Engaging in the (formerly) anxiety provoking situation without using current enabling coping skills
Decreased negative/unwanted behaviors
Engaging in the (formerly) anxiety provoking situation without or with decreased anxiety symptoms

7. Communication Needed from Counselors
Specifics of the needs as related to the presenting symptomology
Identification of successes and challenges reported in session(s)
Concrete identification of skills to build or strengths to utilize in case management planning
Any positive or negative influence from primary support group or natural supports
Risk factors, or triggers for increased risk
Include related safety plan and emergency procedures