1. Case Management, Collaborative Care & Crisis Intervention

2. Case Management
Definition-It is a concept purposefully designed to control the balance between cost and quality of care.
Goals of case management
Easy access to needed service and coordinate care of
clients.
Prevent avoidable episode of illness
Control or reduce the cost of care
Activities of case management-
Identification, assessment, service planning,
monitor,service delivery, advocacy

3. Collaborative Care
Definition-It is the shared planning, decision making, goal setting and assumption of responsibilities by individuals who work together cooperatively and with open communication
Key features
Integration of mental health personnel in medical care setting
Close collaboration of mental health personnel with medical providers
Treating whole person and whole family
Types of collaboration
Unidisciplinary
Multidisciplinary
Interdisciplinary

4. Collaborative Care-Contd……
Barriers of good collaborative care
Inappropriate education and training
Traditional organizational structure
Goal and role setting
Power and status inequities
Personal qualities of individuals

5. Crisis Intervention
Definition- It is a short term therapy focused on solving the immediate problem, which is limited to six weeks.
Phases of crisis intervention
1)Assessment
Precipitating event
Perception of the event
Support system and coping recourses
Coping mechanisms

6. Crisis Intervention-Contd..
2)Planning and Implementation
Levels of crisis intervention
Environmental manipulation
General approach
Generic approach
Individual approach
Techniques of crisis intervention
Catharsis
Clarification
Suggestion
Reinforcement of behavior
Support of defense
Raising of self esteem
Explanation of solutions

7. Crisis Intervention-Contd..
3) Evaluation
Modalities of crisis intervention
Mobile crisis programme
Group work
Telephone contacts
Disaster response
Victim outreach programme
Health education