Introduction to case management

Introduction to case management

Session outline Overall purpose of the case management sessions Introduction to case management - Participants’ experiences, Definition Case management process - Stages of process, Details of each stage, Considerations Key points

Overall purpose of case management sessions

Overall purpose of case management sessions Participants understand the entire case management process for child survivors Participants recognize the key differences between adult and child case management support Participants know how to ensure children and carers are empowered and placed at the center of the case management process

Introduction to case management

What experience do you have in case management? Who in this room provides case management support to children? Who provides case management support to children who have been raped, or otherwise sexually abused? What is your role in the process?

Case management Providing services whereby a social worker assesses the needs of the client, and for Arrange s a package of services to meet the specific needs of the client Coordinat es or provides MonitorservicesAdvocat s& es evaluat Throughout case worker provides information to the client (childes or carers) on services available,

Caseworkers Caseworkers must must have have in-depth in-depth knowledge knowledge of of the the services services agencies agencies can can provide, provide, including: including: for for medical medical care, care, safety safety assistance, assistance, legal legal counseling counseling and and assistance, assistance, and and psychosocial psychosocial services services And And share share this this information information with with the the child child // carers, carers, in in order order to to empower empower children children and and help help caregivers caregivers make make informed informed choices choices in in their their best best interest. interest. This This is is part part of of informed informed consent consent process process

Child centered case management – influencing factors Perpetra tor Type of abuse Child’s situation Child is always at the center of the process Age & developme nt stage Family dynami cs Context & resources available

Case management process

Stages of case management process activity

Stages of Case III. Case II. Intake & I. Introduction Management Action & engagement Assessment Planning IV. Implement Referral action services plan Direct services V. Follow up / Monitoring Progress VI. Case Closure Adapted from IA CP IMS Exchange/Learning Workshop – February 2010 VII. Evaluation

Overall process for child remains the same ADULT CASE MANAGEMENT 1.Intro. & engagement 2.Intake & assessment 3.Case action planning 4.Implement action plan 5.Follow-up / CHILD CASE MANAGEMENT 1.Intro. & Togethe Togethe engagement rr 2.Intake & assessment 3.Case action planning 4.Implement action plan 5.Follow-up / }

But the details are different Interviewing / communicating with child survivors Intake & Sharing information in way can be understood assessm Informed consent, confidentiality ent procedures & best interest of child Addressing mandatory reporting Develop Balancing decision making roles action Informed consent and referrals plan Advocacy & accompaniment of child survivors Impleme Involving caregivers/family in care & nt the treatment help plan Direct interventions provided

Impleme Referral nt the Coordinating with other service providers plan Re-assessment of safety and risk Followwith child survivors up & Advocacy on behalf of child clients review On going case coordination and review Case Criteria for when and how a case closure with child be closed Throughout all stages case management process for child survivors should give children & their caregivers information needed to empower them to make informed decisions

Overall key differences Balancing confidentiality & best interests of the child Involving parents / caregivers Nature of support needed and to be given – esp. with regards to care arrangements, and form of PSS Adaptation to age & stage of development - Communication methods - Level of involvement of child in decision-making

Case management process - break down of actions

Group work Participants break into 7 groups, 3-4 participants each Each group discuss assigned step of the process Discuss the following questions: - What documentation happens during this stage? - Who do you need to talk to? - What has to happen to allow you to move from this stage to the next stage in the process? 15 mins

Activity debrief Complex process - Not always linear - Varies from one case to another Decisions made through discussion: - In case meetings / conferences - With supervisor, with child and caregiver(s) - Child, & their wellbeing, is central Each step of process requires documentation so we have record of all actions taken & avoid child repeating

Considerations

Things to consider at each stage of process At each stage ask ourselves these key questions: What are the risks to the child’s safety? What will achieve the ‘best interests of the child’? At what level can the child participate at this stage? Who else (other than child) should be consulted?

Things to consider at each stage of process, cont. What decisions have been taken and why? What resources can be used to assist the child? - What is your organization’s plan for intervention? - What other organizations have suitable resources/ support? What is the timeline for action?

Key points

Key points Decisions made in case management based on communication & discussion with range of stakeholders (importantly including the child, who is at the center of the process) Empowerment, including through information sharing, important throughout Documentation is a key component of case management process Case management is not a linear process