Case Management, Collaborative Care & Crisis Intervention

Case ManagementDefinition-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 illnessControl or reduce the cost of care

Activities of case management-

Identification, assessment, service planning,

monitor,service delivery, advocacy

Collaborative CareDefinition-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 settingClose collaboration of mental health personnel with medical

providersTreating whole person and whole family

Types of collaboration Unidisciplinary Multidisciplinary Interdisciplinary

Collaborative Care-Contd……Barriers of good collaborative care

Inappropriate education and trainingTraditional organizational structureGoal and role settingPower and status inequitiesPersonal qualities of individuals

Crisis InterventionDefinition- 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 eventPerception of the eventSupport system and coping recoursesCoping mechanisms

Crisis Intervention-Contd..

2)Planning and ImplementationLevels of crisis intervention

Environmental manipulationGeneral approachGeneric approach Individual approach

Techniques of crisis interventionCatharsisClarificationSuggestionReinforcement of behaviorSupport of defenseRaising of self esteemExplanation of solutions

Crisis Intervention-Contd..3) EvaluationModalities of crisis intervention

Mobile crisis programmeGroup workTelephone contactsDisaster responseVictim outreach programmeHealth education