Intensive Case Management and Court Accountability
Wrap-around services for substance abuse clients are fundamental to the overall success of each client. Case Managers serve as the point-of-contact providing wrap-around services; they have access to the community resources such as employment services, educational counseling, substance abuse, mental health resources, housing, food, child care, transportation, and various other client needs. Case Managers are responsible for networking with the community and referring clients to community resources that will enable them to transition successfully into a recovering lifestyle.
Case Managers are encouraged to use a strength-based perspective when interacting with clients. This mode of case management draws attention to the clients’ ability to have input into the resources they need, while case manager encourage and motivate clients into taking action to obtain what they need. This method also promotes a healthy relationship between the client and case manager, facilitating a successful recovery process.
Strength-based case management has been identified for substance abuse clientele to help clients access services, promoting the belief that substance abusers are worthy of assistance, and empowering clients to have input into their recovery plan and take action. According to the article, “there is evidence that the approach can be integrated with the disease model of treatment and that its presence leads to improve outcomes for clients including employability, retention in treatment, and reduced drug use.”
Case Managers utilize a version of the APIC Model outlined by SAMHSA. The model encompasses four parts: assess, plan, identify, and coordinate.
Case Managers first completes a comprehensive intake during the Assess stage. The intake consists of an overview of the client’s clinical and societal needs. Once chemical abuse/dependency or mental health needs are determined, a referral is made to a community contract provider. Contract providers offer a wide array of services to accommodate cultural diversity, sexual orientation, disability, literacy, and primary language. Necessary wrap-around services are also identified during this process, such as the need for supportive living, homeless shelter, food assistance, medical assistance, financial support, public transportation, or drug screen vouchers.
In the Plan/Identify stage, case mangers and clients work together to develop a case plan where the client signs confidential releases, the case manager provides information about the referral provider, and the first contact appointment is made. Once the client arrives at their first appointment for substance abuse or mental health counseling, the treatment provider develops a clinical assessment and master treatment plan. Copies of both are given to case mangers and incorporated into the case plan. Contract providers are required to provide case mangers with a revised plan every 90 days.
The Coordinate stage is highlighted by weekly staffing sessions with the court team (Presiding Judge, Public Defender, Prosecutor, Program Coordinator, Case Managers, Probation Liaison, Parole Liaison, Community Transition Coordinator and Treatment Provider), weekly contact with the client in court, provider contact of 2-3 times a week (depending on level of care assessed for), random urine drug screens 1-2 times a week, home and employment site visits for parole participants and ongoing assessment by the court team as well as the provider to avoid gaps in the continuum of care. The case manager is ultimately responsible for ensuring that clients are in compliance with all levels of the program.
The final section of the Coordinate stage is handled by the Program Coordinator. The Program Coordinator is responsible for overseeing and coordinating courts activities as well as managing the integration of court staff, treatment providers, grant preparation, and supervision of staff to ensure that program objectives are met, and securing future funds.
In addition, the Coordinator meets individually with clients who not responding to interventions, and together they develop a revised plan of action to present to the team. The revised plan often includes increased treatment, switching treatment providers, or attendance at more 12-step support groups. If a client requires supportive housing, the Coordinator arranges for the admission, transportation, and payment of services.
Approved Substance Abuse Treatment Providers
Essential components for a successful problem-solving court include affordable access to services and a comprehensive continuum of care. The Marion County Reentry Court maintains memoranda of understanding and/or service contracts with the following local treatment providers:
All contract organizations are expected to provide evidenced-based services. The following practices are currently being utilized: