12 - Beacon Health Options
12.105 DRUG AND ALCOHOL INTENSIVE CASEMANAGEMENT (FORMERLY, TARGETED CASE MANAGEMENT ) FOR CHILDREN/ADOLESCENTS | |
|Intensive Case Management (ICM) is the organized approach to coordinating segments of a service delivery system in order to ensure the most |
|comprehensive process for meeting an individual client’s needs for care. Clients with complex, multiple problems will receive needed individualized |
|services in a coordinated fashion at the time they are needed. Case management provides evaluation of the client’s strengths and needs, service |
|planning and goal setting, linking, implementing, monitoring, advocacy and coaching. The case manager will not provide treatment but will provide |
|services that enhance the treatment process. The goals of case management are to: (1) increase client retention in and completion of treatment in |
|order to move clients toward recovery and independence and, (2) increase client access to core services such as primary health care, psychiatric |
|care, stable and secure living environments, positive support networks, education, vocational training and employment. These services are provided |
|where the individual resides or needs services. The Case load for staff is limited to 35 persons. |
| | Admission to D&A Intensive Case Management is determined by the Single County Authority (SCA) or designee, |
|Severity of Condition Criteria for |with the individual’s consent. The following criteria must be met for referral to this service: |
|Placement |Child/Adolescent who is at risk or has a substance abuse or addiction disorder and who meet at least one of|
|(Each county will have their own |the following: |
|Admission Criteria) |Pregnant Women (adolescents) |
| |Adolescents with Custody of Children under the age of 12 |
| |Persons with Severe Medical Conditions (i.e.HIV/AIDS, Tuberculosis, Hepatitis and other liver diseases, seizure |
| |disorders, Diabetics requiring medication, Anorexia/Bulimia, Head Injuries) |
| |Student Assistance Program Referrals |
| |Multi-system child or adolescent |
| |High utilizers of services: |
| |Heavy users of detoxification services where other levels of D&A Treatment has been refused by the client. |
| |(Nine or more days within a six month period) |
| |Heavy utilizers of inpatient hospitalization services (Two or more in a twelve month period) |
| |IV Drug Users |
| |Mentally-ill substance abusers |
| | |
|Intensity of Service and Continued | |
|Stay Criteria |All of the following criteria are necessary for continued care: |
|(Same for all counties) | |
| |Demonstrates ability to comply with program requirements; |
| |Demonstrates ability to benefit from this service; |
| |There is progress towards the goals established in the service plan; |
| |Continued inability to obtain or coordinate services without program support. |
| | |
| | |
|Psychosocial |These factors will be considered as determined by the ICM assessment. |
|Factors | |
|(Same for all counties) | |
| | |
|Exclusion Criteria |The individual chooses not to participate or is unable to participate in the program. |
|(Same for all counties) | |
| | |
| | |
|Discharge Criteria |The following criterion is sufficient for discharge from this level of care: |
|(Same for all counties) |Individual no longer demonstrates need for program as determined by the service plan. |
| |Individual has had no contact with the case manager for a (30) day period. |
| |Individual moves outside of the service area of the case management unit. |
| |Individual is in jail, or some other institutional setting whereby case management services are either |
| |unnecessary or provided within that institutional setting. |
| |Individual chooses to terminate services with the case management unit. |
| |Individual is deceased. |
* BEAVER COUNTY IS THE ONLY COUNTY THAT HAS ACCEPTED THIS CRITERIA FOR
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