National Long-Term Care Channeling Demonstration. The Channeling Case Management Manual (Revised)

摘要

Case management is the process of integrating and synthesizing information from an assessment into a careplan. It involves working with a client and family to agree upon problems, goals and services necessary to support the client in the community. Case management also includes arranging for services, monitoring the client's situation on an ongoing basis, and adjusting the service package as needed. The manual contains an overview of the core functions of the Channeling program, the role of the case manager and describes support functions such as record keeping. It is a basic primer covering the principles of good practice for case managers. Channeling was an HHS initiative designed to test in ten sites in ten States, under rigorous experimental conditions, the extent to which a community-based long-term care system that combines case management, care planning and the delivery of health and social services is a cost-effective alternative to the present medical/institutional system of long-term care.