Case Management Standards

Role of Community Case Management

Introduction

Case management services for people with intellectual disabilities and autism have been provided through the state system for over twenty-five years. It is an integral part of a service delivery system that includes housing, employment, day habilitation, adult protective, guardianship, representative payee, quality assurance and other functions. With the growth of the mental intellectual disabilities it is evident that this service needs to expand beyond the state delivery system.

The expansion of this service is for people eligible for intellectual disabilities services 34-b living at home with their families who are not receiving waiver services and is not under public guardianship.

The role of the community case manager involves working with the participant and others that are identified by the participant such as family members in developing an individualized support plan, and assisting the person to implement that plan. The community case managers primary customer is the person with disabilities and their families. Community case managers will work closely with the participant to assure his or her ongoing satisfaction with the process and outcomes of the supports, services and available resources. It is very important that the community case manager recognize that the person is now an adult and that the role of the family in supporting this person changes even with guardianship possibly in place. The primary role of the community case manager is to assists in identifying and implementing support strategies that reflect the participant’s personal vision for a desired life.

There are also several roles and responsibilities that the community case manager needs to balance while providing this primarily role:

  • Relationship with family - it is clear that for the population identified for case management services the role of family in their lives is very important. The case manager needs to take the lead whenever appropriate from the person with disabilities regarding the involvement of family members, however it is the intention of this service to include family in the circle of support whenever it is possible and desired by the person.

  • Relationship with Developmental Services - the community case manager should see themselves as an extension of the over-all case management system for developmental services. A great deal of support will be available through access to information systems, resources, training and education, and quality assurance to assure that the community case worker has the same resources and access as their counterparts in the state system. With that come responsibilities in regards to professional conduct and working partnership and relationship between the state and private case management system. It is clear this is in the best interest of the people receiving this service.

  • Relationship with other providers- It is imperative that the community case manager strives to maintain quality relationships with community supports and community providers. This will facilitate access to services for the people they represent. If conflicts or dissatisfaction occurs for the consumer with other community supports or providers it is the role of the community case manager to assist the consumer and family to work through those problems.

  • Relationship with community- you will see in the description of this service a very heavy emphasis on community. There is a strong belief that people providing case management who know the local community and the possibilities that exist for people is vital. Thus, maintaining a positive professional relationship with member of the local community and working to access opportunities for people with disabilities is an essential part of this work.

These Case Management Standards have been developed by the Office of Aging and Disability to provide guidance to people with disabilities, families, state departments, community providers, individual support coordinators, and community case managers providing case management services to adults with intellectual disabilities and autism.