1. Certification for HIV/AIDS Case Management Elizabeth Boyce, LCSW Matthew Harwood, LCSW Vicki Nagata, MSW County of Los Angeles Department of Health Services Office of AIDS Programs and Policy www.LAPublicHealth.org/AIDS www.LAPublicHealth.org/AIDS May 30, 2003

2. 2 Background1997 Concern about Possible Duplication of Services Need to Standardize Case Management Services Commitment to Enhance Paraprofessional Model of HIV/AIDS Case Management Developed Standards of Care Prioritized and Allocated CARE Act Funding

3. 3 Challenges Paraprofessional Model of Case Management Insufficient for High-Acuity Level Clients Minimal Guidance for Clinical and Administrative Supervision Mandates Inconsistent Protocols and Documentation Lack of Ongoing Skills Building and Reinforcement

4. 4 Implementation 1998 1999 2001 2003 Hired Licensed Clinical Social Worker Implemented Advisory Group First Certifications Conducted Re-Certifications Implemented Case Management Supervisor Training Implemented

5. 5 Program Goals Increase Case Managers’ Skills Enhance Paraprofessional Service Model Ensure Standard of Care Standardize Case Management Services

6. 6 Key Concepts of Certification Master Essential Components of Case Management Understand Standards of Care Identify Impact of Psychosocial Stressors Establish Appropriate Boundaries

7. 7 Skills Building Assessment and Service Planning Responding to Client Safety Issues Harm Reduction Services Treatment Adherence Services Documenting Services

8. 8 Evaluation Pre- and Post-Evaluation of Case Management Knowledge and Skills  Increase HIV/AIDS Case Managers Post Test Scores by >10% Re-Evaluation of Case Management Knowledge and Skills Every 2 Years  Case Managers Must Score 88% or Greater to Be Re-Certified Participants’ Evaluation of the Certification Program

9. 9 Certification Programs In Development HIV Prevention Case Management HIV/AIDS Substance Abuse Counseling Peer Support / Self Help