Community Supports

Question 1

What are internal recovery model conditions?

Answer 1

Attitudes and processes that lead to change.

• Hope
• Healing
• Empowerment
• Connection

Question 2

What are external recovery model conditions?

Answer 2

Experiences, policies, and practices that lead to recovery.

• Human rights
• Positive value of healing
• Recovery-oriented services

Question 3

What are the 4 phases of most community services?

Answer 3

1) Engagement/Assessment
2) Planning
3) Implementation
4) End of Service/Transition

Question 4

What is Engagement?

Answer 4

• Developing a relationship
• Assessing for strengths and needs
• Reviewing expectations/roles
• Contracting

Question 5

What is Planning?

Answer 5

• Learning the client’s priorities
• Developing Goals and Objectives
• Anticipating and identifying challenges and opportunities

Question 6

What is Implementation?

Answer 6

• Addressing the service plan goals and objectives
• Assisting the client to adopt/develop skills for all desired roles to foster independence
• Assessing if advocacy is needed
• Celebrate accomplishments

Question 7

What is a case review?

When does it occur?

Answer 7

An important part of service - to ensure effective delivery and to ensure accountability.
Can occur periodically at any time throughout the process.

Question 8

What is End of Service?

Answer 8

• Celebrate accomplishments
• Transition to other workers or none at all
• Status update on Goals and Objectives

Question 9

How does the government fund community services?

Answer 9

• Special initiatives
• Proposal based
• Leveraging other levels of government

Question 10

What are the 8 roles from the Frankel and Gelman reading?

Answer 10

1) Direct personal support
2) Short-term intervention
3) Broker/facilitator
4) Enabler/teacher/mediator
5) Advocate
6) Service coordinator
7) Tracking/follow-up
8) Meeting facilitator

Question 11

What are the National Case Management Network of Canada’s 5 practice principles?

Answer 11

1) CM supports client rights
2) CM is purposeful
3) CM is collaborative
4) CM supports accountability
5) CM strives for cultural competency

Question 12

What is the purpose of a regulatory college?

Answer 12

• Follow same rules
• Network
• Keep accountable
• Protect the public

Question 13

What does it mean to be an intensive service?

Answer 13

• Multiple contacts with service providers
• Frequency of services/contact
• Loss of freedom

Question 14

What does it mean that CM supports client rights?

Answer 14

Assessing and supporting the ability of individual clients to achieve their goals.

Question 15

What does it mean that CM is purposeful?

Answer 15

Actions of CMs must address the specific needs of clients as documented in each client’s goals.
Assist clients in the selection of services and resources that are of the highest possible quality.

Question 16

What does it mean that CM supports accountability?

Answer 16

Work to ensure equitable access to healthcare services and use of resources that is ethically and fiscally responsible.

Question 17

What does it mean that CM strives for cultural competency?

Answer 17

CC awareness is displaying respect, appreciation, and sensitivity to the values, beliefs, lifeways, practices, and problem-solving strategies of a client’s culture/heritage.

Question 18

What are 4 forms of case management?

Answer 18

1) Case management/service coordination
2) Wrap-around
3) Assertive Community Treatment Teams
4) Intensive Case Management

Question 19

What is a Wrap-Around team?

Answer 19

• A voluntary committee to make plans to help people meet their goals.
• Believe that they’re not case management.
• Teams made up of family members, friends, professionals.
• Plan is built on the family’s strengths.

Question 20

What are Wrap-Around’s 8 Key Principles?

Answer 20

1) Community-based resources
2) Individualized services for the family
3) Family-driven services
4) Interagency collaboration
5) Unconditional care
6) Measurable outcomes
7) Management of team meetings
8) Care coordinator

Question 21

What are ACT teams?

Answer 21

Interdisciplinary teams that consists of nurses, admin, mental health workers, SW, OT, peer support, psychiatrist, team leader.

Question 22

Who is eligible for ACT?

Answer 22

• Adults (16+)
• Must have a mental illness of psychosis or mood disorder
• Must have a high need for intensive services

Question 23

What are the aims of ACT?

Answer 23

• Increased quality of life
• Improved housing stability
• Significant reduction in # of hospital admissions
• Significant reduction in hospital length of stay
• Decreased debilitating symptoms

Question 24

What are some of the key services of ACT?

Answer 24

• Monitoring and assessment of mental illness symptoms
• Treatment of mental illness symptoms
• Medication delivery and administration
• Assistance with client goals
• Assistance with securing and maintaining stable housing

Question 25

What does it mean if an objective is SMART?

Answer 25

``` Specific Measurable Attainable Realistic Time-sensitive ```

Question 26

What are the purposes of goals?

Answer 26

- Focus our work - Allow for agreement on contracting/going forward - Documentation of goals

Question 27

What are the stages of making referrals?

Answer 27

1) Hypothesizing and determining the severity of the problem 2) Client goals dictates selection of possible resources 3) Engage in efforts only to the degree that the client consents 4) Assessing client psychosocial barriers to follow through 5) Engage in helping efforts only to the degree that the client needs assistance 6) Make the referral in writing, by phone 7) Follow up on the referral

Question 28

What is a First Line treatment?

Answer 28

Refers to prevention, assessment, and treatment providers. | I.e. GPs, social services, hospital emergency services, primary care clinics, etc.

Question 29

What is an Intensive treatment?

Answer 29

Refers to mental health assessment, treatment, and support services. Provided in community or hospital settings and are focused on people with serious mental illness.

Question 30

What is a Specialized treatment?

Answer 30

Refers to highly specialized mental health programs provided in the community or hospital settings and which focus on serving people with serious mental illness who have complex, rare, and unstable mental disorders.

Question 31

What is an example of a low, medium, and high intensive intervention for residential needs?

Answer 31

LOW: Family, home, or independent apartment MEDIUM: Boarding homes & semi-independent apartment programs HIGH: High support residential treatment program/group home

Question 32

What is an example of a low, medium, and high intensive intervention for crisis needs?

Answer 32

LOW: Informal support network MEDIUM: Crisis telephone line, mobile crisis service, hospital ER HIGH: Inpatient hospitalization for stabilization

Question 33

What are the SAMHSA Recovery components from 2012?

Answer 33

- Respect - Hope - Peer-support - Holistic - Many Pathways - Relational - Addresses trauma - Culture - Strengths/responsibilities - Person driven

Question 34

Which components of recovery were added from 2004 to 2012?

Answer 34

- Relational - Addresses trauma - Culture

Question 35

Which components of recovery were dropped from 2004 to 2012?

Answer 35

- Empowerment

Question 36

Which components of recovery were combined in 2004 to 2012?

Answer 36

Self-direction + Individualized & Person-Centered = Person Driven Strength-based + Responsibility = Strengths/Responsibility

Question 37

What is the case manager role "broker/facilitator"?

Answer 37

- Making referrals to social service agencies, other organizations. - Enhancing support opportunities in a client's family/friendship system. - Keeping track of political winds, government policies. - Knowing how referral organizations function, their program components, track record, and its staff.

Question 38

What is the case manager role "enabler/teacher/mediator"?

Answer 38

- Be aware of each clients' capacity to engage in the process. - Provide learning opportunities - Mediate in disputes between clients, clients and community services, or between personnel in agencies who are involved with your client.

Question 39

What is the case manager role "advocate"?

Answer 39

- Acting on behalf of clients who are unable or unwilling to act on their own behalf. - An essential part of case management practice.

Question 40

What is the case manager role "service coordinator"?

Answer 40

- Working with clients very closely - Need a comprehensive grasp of available resources. - Need to act quickly to coordinate these services by acting as the hub in a social service wheel.

Question 41

What is the case manager role "tracking/follow-up"?

Answer 41

- Tracking down clients after termination | - Learn long-term status of clients to see how well your case management program is doing