What Will be Covered? 1. Organizational Assessments (Module 1) 2. Designing Quality Services (Module 2) 3. HIV Prevention and Care Advancing HIV Prevention (AHP) (Module 3) 4. Behavioral Theories (Module 4) 5. Evaluation (Module 5) 6. Program Funding (Module 6) 1 Case Management Module 1 Day 1 2-4pm • Organizational Assessments Case Management Organizational Readiness Mission • Communicate your purpose in a way that inspires support • Articulate a concept in with language that is easy to comprehend – jargon free • Use proactive verbs to describe what you do • Short, concise and easy to repeat Case Management Organizational Readiness Vision Represents the ultimate goal or desired outcomes. Culture The attitudes and behavior that are characteristic of the organization. Case Management Values • Organizational • Personal Case Management Defining Case Management Services The fundamental principles are that case managers facilitate linking clients to the complex delivery system help clients navigate through and access psychosocial interventions. Case Management Organizational Assessment Strength (internal) Weakness/Challenge (internal) Opportunity (external) Threat Case Management (external) Client Needs Assessment Case Management Module 2 Day 1 • Designing Quality Services Case Management Designing Quality Services 1. Identify the target market 2. Define the service 3. Develop service strategy Marketing Operations Monitoring and Controlling Recovery Services 4. Develop service delivery process Case Management Seven Characteristics of a Well-Designed Service System Each element of the service system is consistent with the operating focus. Case Management Seven Characteristics of a Well-Designed Service System The system is user-friendly. This means that the customer can interact with it easily—that is, it has good signage, understandable forms, logical steps in the process, and service workers available to answer questions. Case Management Seven Characteristics of a Well-Designed Service System The system is robust. That is, it can cope effectively with variations in demand and resource availability. Case Management Seven Characteristics of a Well-Designed Service System The system is structured so that consistent performance by staff and systems is easily maintained. This means the tasks required of the workers are doable, and the supporting technologies are truly supportive and reliable. Case Management Seven Characteristics of a Well-Designed Service System The system provides effective links between the back office and the front office so that nothing falls between the cracks. Case Management Seven Characteristics of a Well-Designed Service System The system manages the evidence of service quality in such a way that customers see the value of the service provided. Case Management Seven Characteristics of a Well-Designed Service System The system is cost-effective. There is minimum waste of time and resources in delivering the service Case Management Mapping the road to success Logic Model SMART Objectives Case Management Existing Conditions Existing Conditions Existing Conditions: Are contributing factors that put a population at risk, such as knowledge, attitudes, beliefs, behaviors, lack of skills, access, policies, and environmental conditions. Case Management Existing Conditions Problem Statement Problem Statement Problem Statement: Identifies the problem based on the existing conditions Case Management Existing Conditions Problem Statement Implementation Implementation Inputs: Resources used in an intervention. Activities: Services that the intervention provides to accomplish its objectives. Outputs: Direct products or deliverables of the intervention. Case Management Inputs Activities Outputs Existing Conditions Problem Statement Outcomes Implementation Inputs Activities Immediate Outcomes: Immediate results of the intervention. Outcomes Intermediate Outcomes: Intervention results that occur some time after the intervention is completed. Case Management Outputs Existing Conditions Problem Statement Evaluation Implementation Inputs Evaluation: Provides qualitative and quantitative data to determine the effectiveness of the implemented intervention. Activities Outcomes Evaluation Case Management Outputs SMART Objectives Specific Measurable Achievable Realistic and Relevant Time-phased Case Management Module 3 Day 2 8:45-11am HIV Prevention and Care: Advancing HIV Prevention Case Management Case Management Basics • • • • • • • 26 Case Management Opening Client Case Client Intake& Assessment Client Enrollment Client Care Plan Progress Reports/Clinical Notes Reassessment Discharge/Transition Advancing HIV Prevention (AHP) Initiative Four key strategies: • • Make HIV testing a routine part of medical care. Implement new models for diagnosing HIV infections outside medical settings. Case Management Advancing HIV Prevention (AHP) Initiative • Prevent new infections by working with persons diagnosed with HIV and their partners • Further decrease perinatal HIV transmission Case Management Advancing HIV Prevention (AHP) Initiative Objectives: 1. Reduce barriers to early diagnosis of HIV infection. 2. Increase access to and utilization of quality medical care. 3. Provide ongoing prevention services for those living with HIV. Case Management Advancing HIV Prevention (AHP) Initiative AHP utilizes a medical model to address the current HIV epidemic. Case Management Advancing HIV Prevention (AHP) Initiative Through AHP every HIV infected person should have the opportunity to be tested and have access to state-of-the-art medical care and HIV prevention services. Case Management Module 4 Day 2 • Behavioral Change Case Management Factors that Influence Readiness to Change 1. Perception of Need Person’s experience of discrepancy between the pain of present and potential for future improvement 2. Belief that Change is possible and Can Be Positive Positive outcome is perceived as achievable within a reasonable period of time Case Management Factors that Influence Readiness to Change 3. Sense of Self Efficacy Belief by the person that he/she has choices and can take an action to make a change 4. A Stated Intention to Change Statements the person makes relative to the need to change Source: Miller and Rollnick(1991) Case Management Principles of Harm Reduction Case Management Motivational Interviewing Case Management Module 5 Day 2 2:35-3:15 • Evaluation Case Management Evaluation • Goal Based • Process Based • Outcome based Case Management Module 6 Day 2 • Funding Case Management Funding Sustaining or expanding Case Management Services Case Management Thank you, and we wish you great success as you develop or continue providing Case Management Services Case Management