The vendor is required to provide to people with psychiatric illnesses, state agencies and programs, and community rehabilitation providers, regarding community-based case management programs for adults with serious mental illness (SMI).
- Services are focused on the needs of the individual, not only on symptom relief and stabilization, but on consumer empowerment and the acquisition of the skills needed to independently lead satisfying, hopeful and contributing lives in their community of choice.
- Based case management development is meant to assist consumers achieve independence in their recovery, and may provide innovative employment options offering consumers improved opportunities for employment and community reintegration.
- Case management (CM) services shall be provided for consumers with SMI by an inter-disciplinary team.
- CM shall access the necessary medical, nursing, social, restorative and rehabilitative services needed to optimize consumer goals and community living.
- The CM service shall include:
• Assisting consumers in developing recovery service relationships with multidisciplinary treatment team members that include authority, a case manager and a peer specialist.
• Promoting recovery, vocational, and personal goals and sustaining hope during periods of relapse.
• Preventing, reducing, or diminishing debilitating symptoms of mental illness and co-occurring substance abuse and medical conditions.
• Providing rehabilitation and progressive treatment interventions utilizing stages of change, stages of treatment, motivational strategies, and stage-wise case management for multiple co-occurring conditions.
• Improving or establishing new linkages with a variety of community services and mobilizing the involvement of the consumer’s support network.
• Ongoing engagement of each consumer in treatment during relapse and recovery.
• Promoting crisis prevention, planning, harm reduction, substance reduction, abstinence, and recovery skill-building.
• Teaching/training consumers in medication/symptom monitoring and management skills.
• Teaching/training consumers in intra/inter-personal skills, such as anger management, frustration tolerance, stress management, relaxation, etc.
• Helping each consumer to improve their responses to community living by utilizing multi-professional team members to deliver recovery-oriented treatment in natural environments.
• Providing continuity and coordination of care by: (a) inviting housing and substance abuse treatment providers, primary care physicians, and other service providers to participate in recovery, crisis, and discharge planning when multiple providers are involved in a consumer’s care or when the consumer is transitioning to other levels of service or other service provider agencies; and, (b) participating in the recovery, crisis, and discharge planning meetings of other service providers involved in the consumer’s care, at the other service providers’ request.