What Is a Case Management Model? (Plus Tips For Choosing One)

What are case management models? Case management models are plans with guidelines and procedures that case managers follow to deliver a specific type of care. They are useful to gain experience in the industry and can give professionals direction in the delivery of their services.

No single definition of case management is standardized, nationally recognized, or even widely accepted. There are thousands of references when you search the definition of case management on the Internet. Case managers and other individuals interested in the practice of case management find these results perplexing. You might not be able to tell which definition is the most reliable or pertinent.

Despite the extensive search results, experts concur that no more than 20 definitions of case management are thought to be appropriate. These definitions can be found in formal case management documents from organizations, societies, government or non-government organizations that have undergone peer review, on websites, or in other publications. The Case Management Knowledge Framework.

The expert contributors who created the case management knowledge framework in 2009 made the decision to use the Commission’s definition of case management available at that time to direct their work in order to prevent you from becoming perplexed as you read materials in the Commission for Case Manager Certification’s (CCMC) CMBOK®. (Note that the definition below has been changed to reflect the most recent appropriate information released by CCMC.) ).

“Case management is a professional and cooperative process that evaluates, plans, implements, coordinates, monitors, and assesses the options and services necessary to meet an individual’s health needs,” It promotes health, quality, and cost-effective outcomes in support of the “Triple Aim,” which aims to improve patient experiences with care, improve population health, and lower per capita health care costs. ” (CCMC, 2015, p. 4 ).

What is CASE MANAGEMENT? Models in case management? Challenges in case management | Social Work

Benefits of using a case management model

Social workers, medical professionals, and their patients can gain from using a case management model in the following ways:

What is a case management model?

Through the process of case management, the health needs of the client are met through assessment, planning, implementation, coordination, monitoring, and evaluation. Care planning is a tool that social workers and medical professionals use to manage chronic illnesses and other issues. A professional may be more or less involved in the patient’s care and focus on different aspects of the client’s recovery depending on the case management model they employ.

Types of case management models

These four types of case management models are utilized in various contexts and with various clienteles:

Brokerage model

The patient or client meets with the case manager a few times in an office-based case management system to resolve problems. The case manager serves as a conduit for the client to access other resources, introducing them to tools and resources that can be of assistance. In this model, clients have more responsibility and the case manager is less involved. The case manager can manage multiple cases at once because they spend less time with each client.

For instance, a woman is involved in a car accident while returning from work. Even though her broken ribs heal quickly, she has a concussion that occasionally causes headaches and vertigo. To assist her in recovering from the brain injury, her family hires a case manager. A neurologist and counselor are just two of the medical experts the case manager connects her with to help her overcome her obstacles.

Intensive case management

This case management approach is typically used by case managers as an intervention for people with severe mental illnesses. When using this model, the case manager is very involved with the client and provides ongoing support. The case manager is usually too involved to handle multiple cases at once.

For instance, a person with depression may find it challenging to manage daily tasks. When a member of the family recognizes they require assistance, they locate a case manager who assigns them a counselor and a psychiatrist. Every day, the case manager checks in with the person to see how they’re doing and whether they’re attending their appointments. By providing ongoing, attentive case management, the individual can resume their regular activities and successfully treat the signs of their depression.

Clinical case management

The office-based clinical case management model is most frequently used in therapeutic contexts, such as addiction recovery This model emphasizes psychotherapy, crisis intervention and psychoeducation. In this model, the case manager frequently takes on the role of a therapist or counselor, working closely with the client to help them manage their issues and taking on more responsibility. Case managers may find this model, which focuses on addressing social, mental, and emotional needs, challenging. As a result, they might not work with a lot of clients at once.

For instance, a man who lost his job discovers that he has started abusing drugs. In order to help him with his recovery, his wife persuades him to go to therapy and hires a case manager. The case manager assigns him to group therapy, a sponsor, and biweekly meetings with the case manager, and employs the clinical case management model. The case manager informs the man about addiction during their meetings and steps in when he exhibits signs of using.

Strengths-based model

The caseworker creates care plans for the client based on their individual strengths when employing the strengths-based model. Given that they must comprehend a client’s personality and identify their strengths, this model might necessitate more engagement on the part of case managers. Building support networks in the family and community is more of a focus of this model. This model aims to empower the client, encouraging them to be enthusiastic about the process in order to accelerate their recovery even though the case manager may be more involved.

For instance, a mother’s motor skills may be impacted by a brain injury she experiences during an earthquake. Her family locates a case manager for her who uses the strengths-based approach, encouraging her loved ones to act as a support system. The case manager informs the family and exhorts them to participate in their mother’s favorite activities to help her regain her motor skills. While the family focuses on the mother’s preferred activities, such as board games, cooking, and knitting, the case manager assists the mother in setting small goals for herself.

Tips for choosing a case management model

You can use the following advice when selecting a case management model for your company and clientele:

FAQ

What are the 4 types of case management?

According to this definition, successful case management entails four essential elements: intake, needs assessment, service planning, and monitoring and evaluation. To ensure client success, human service organizations of all sizes must implement these four elements properly.

What are the different types of case management models?

The principles of justice, autonomy, beneficence, and nonmaleficence serve as case management’s guiding principles. In the field of health and human services, case managers have a variety of backgrounds, including nursing, medicine, social work, rehabilitation counseling, workers’ compensation, and mental and behavioral health.

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