Unit 2 Flashcards
an integrated health system of supports and services designed to maximize peoples health and wellbeing that is provided by professional health care clinicians as well as nonprofessional caregivers
Continuum of care
Care coordination activities the nurse does with or for the patient, includes referrals, assistance with paperwork applications, connections to resources, and overall navigation of the health care system
Case management
What is the role of the nurse in case management
to coordinate activities, and to look at the patients strengths and needs
an intensive type of case management developed in response to the community living needs of those with serious, persistent, psychiatric symptoms
ACT
What is the goal of ACT?
to reduce relapse and decompensation in their illness, whatever that looks like for the individual
What is a tool used to assist placing individuals on the continuum of care?
Level of Care Utilization System
What is the LOCUS used for?
it is a tool used to determine the best level of care for an individual
Does training have to be taken by clinicians before using the LOCUS?
Yes
what are the 6 dimensions that the LOCUS assesses?
- Risk of Harm
- Functional Status
- Medical, Addictive and psychiatric comorbidity
- Recovery environment
- Treatment and recovery history
- Engagement and recovery status
Locus Level 1
Recovery maintenance and health management
Locus Level 2
Low intensity community based services
LOCUS level 3
High intensity community based services (Case Management)
LOCUS level 4
Medically monitored non-residential services (ACT)
LOCUS level 5
medically monitored residential services
LOCUS level 6
Medically managed residential services
A collaborative, client-driven process for the provision of quality health and support services through the effective and efficient use of resources
Case Management
Supports the clients achievement of safe, realistic and reasonable goals within a complex health, social and fiscal environment
Case Management
what are the 5 case management principles?
- supports clients rights
- is purposeful
- is collaborative
- supports accountability
- strives for cultural competency
Broker Case Management Model
- non-clinician based
- Assess needs
- coordinate services
- monitor treatment
Which model is similar to the Broker Model but has the addition of therapeutic interventions
Clinical Case management
Strengths based Model
- focuses on strengths
- relationships are an essential part
- emphasis on growth and change
- service user choice is important
what should be the ratio of case manager to clients
1:20
Which type of case management evolved from ACT and Case Management with an emphasis on smaller case loads
Intensive case management
People in ICM are more likely to
- stay with service
- see an improvement in the general functioning
- gain employment
- have housing
- have shorter hospital stays
what are 4 examples of case management
- ACT
- ICT
- Home care
- Community mental health services
