Case Management, Collaborative Care & Crisis Intervention

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