CASE MANAGEMENT Case management services are provided to individuals with severe and persistent mental health conditions who meet particular criteria outlined on the Health and Welfare website. They include:
A. Comprehensive
psychosocial assessment; B. Service plan development;
C. Monitoring and coordination
of service delivery; D. Linkage with requisite
services; and E. Client advocacy.
Crisis Intervention: These services provide for delivery of both center-based and community-based crisis intervention in psychiatric emergencies, including 24-hour telephone crisis intervention. Community emergency resources and providers are mobilized to stabilize the crisis situation and provide immediate and/or continuing treatment.
This information is drawn from the Health and Welfare website. For more information, click here.
Differences from Brokerage:
Eligibility for Case Management specifies the presence of a persistent mental illness. Support Brokerage is for individuals with developmental disabilities.
Case Management services are quite limited; individuals can only receive so many hours per month, unless there is a crisis. Crisis hours are also limited.
Similarities to Brokerage:
Case Managers, like Support Brokers, are charged to link people to the services and advocate with and for them.
SERVICE COORDINATION
Service coordination consists of the following functions:
A.
Linking the Participant to Needed Services. "Linking" includes:
1. Finding, arranging and assisting the participant to
maintain services,
supports, and community resources identified on the service plan; and
2. Advocating for the unmet needs of the participant and to encourage
independence. B. Monitoring and Coordination
of Services. Monitoring and coordinating
services includes:
1. Assisting the participant and his family or guardian to coordinate and
retain services, and assure consistency and non-duplication between
services; and
2. Assuring that services are satisfactory to the participant and making
adjustments in the plan of service when needed.
The above information is derived from the Health and Welfare website. For more information, click here.
Differences from Brokerage:
Service Coordinators
link individuals to established, Medicaid-authorized services.
They cannot create services or refer to non-traditional Medicaid
providers. The time that Service Coordinators spend with
their clients is often limited and is not sufficient to provide
the array of supports that brokers must provide. A Service Coordinator can not act in the role of plan developer.
Similarities to Brokerage:
Eligibility for Service Coordination specifies the presence of a developmental disability. Service Coordinators, like Support Brokers, are charged to link people to the services and advocate with and for them.
SUPPORT BROKERAGE
Support Brokers are allies, partners, and community networkers. They work for adults with disabilities. They get to know the adult's preferences, style of communication, goals, and support needs. Specifically the Support Broker:
A.
Helps a person identify, enlarge, or build a Circle of Support
B.
Helps to create, implement and monitor a Person-Centered Plan
C.Helps to create the person's individualized budget which guides
the
spending of allocated dollars outlined in the support plan
D.
Helps to identify, supervise and schedule support staff
E.
Helps to negotiate rates for supports F. Provides quality assurance
that includes:
1. Maintaining the Circle of Support as an active
entity;
2. Regular review of the plan and on-going supports
to assure that the
adult with a disability is getting what they need and want;
3. Making changes to the plan as the individual and his or her Circle of
Support deem necessary;
4. Creating and monitoring a safety plan.
SELF-ADVOCATES INTRODUCE THE NEW WAIVER OPTION
To follow is a skit performed by the members of the Self-Advocate
Leadership Network where they describe how a person becomes connected with
the My Voice, My Choice waiver and what the process might look
like.
Self-Advocacy
Leadership Network Members
Pay close attention to how the SALN members talk about applying for My Voice, My Choice. As a Broker, you will be expected to speak clearly about the process and how to access it. The best people to learn from are those who have gone through applying before!
Click screen to play.
Larry's own words are:
"Hi James. What's up?"
"They told us that the first thing we need to do was to meet with Betty Lou in
Eligibility at the Health and Welfare office."
"You will get to hire a Support Broker, if you want, and they will help you out
with your budget and anything that you need in your budget."
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