TIP #27: Comprehensive Case Management for Substance Abuse Treatment: 2015 (revised)

2015·1.8 MB·English

by  Siegal, Harvey A.

Substance Abuse and Mental Health Services Administration

Center for Substance Abuse Treatment

Comprehensive
Case Management
for Substance Abuse
Treatment
Treatment Improvement Protocol (TIP) Series
27
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Acknowledgments Electronic Access and Printed Copies
This publication was produced under contract This publication may be ordered from or
number 270-95-0013 for the Substance Abuse downloaded from SAMHSA’s Publications
and Mental Health Services Administration Ordering Web page at http://store.samhsa.gov.
(SAMHSA), U.S. Department of Health and Or, please call SAMHSA at 1-877-SAMHSA-7 (1­
Human Services (HHS). Sandra Clunies, M.S., 877-726-4727) (English and Español).
ICADC, served as the Government Project
Officer. Recommended Citation
Center for Substance Abuse Treatment.
Disclaimer Comprehensive Case Management for Substance
The opinions expressed herein are the views of Abuse Treatment. Treatment Improvement
the consensus panel members and do not Protocol (TIP) Series, No. 27. HHS Publication
necessarily reflect the official position of No. (SMA) 15-4215. Rockville, MD: Center for
SAMHSA or HHS. No official support of or Substance Abuse Treatment, 2000.
endorsement by SAMHSA or HHS for these
opinions or for the instruments or resources Originating Office
described are intended or should be inferred. Quality Improvement and Workforce
The guidelines presented should not be Development Branch, Division of Services
considered substitutes for individualized client Improvement, Center for Substance Abuse
care and treatment decisions. Treatment, Substance Abuse and Mental Health
Services Administration, 1 Choke Cherry Road,
Public Domain Notice Rockville, MD 20857.
All materials appearing in this volume except
those taken directly from copyrighted sources HHS Publication No. (SMA) 15-4215
are in the public domain and may be Printed 2000
reproduced or copied without permission from Revised 2002, 2003, 2006, 2008, 2010, 2012, and
SAMHSA or the authors. Citation of the source 2015
is appreciated. However, this publication may
not be reproduced or distributed for a fee
without the specific, written authorization of the
Office of Communications, SAMHSA, HHS.

ii
Contents

What Is a TIP?............................................................................................................................................................ v

Editorial Advisory Board....................................................................................................................................... vii

Consensus Panel ...................................................................................................................................................... ix

Foreword.................................................................................................................................................................... xi

Executive Summary............................................................................................................................................... xiii

Case Management and Substance Abuse Treatment...................................................................................xiii

Interagency Case Management....................................................................................................................... xiv

Evaluation and Quality Assurance of Case Management Services ............................................................ xv

Case Management for Clients With Special Needs.....................................................................................xvii

Funding Under Managed Care.....................................................................................................................xviii

Chapter 1—Substance Abuse and Case Management: An Introduction.........................................................1

Why Case Management .......................................................................................................................................2

Case Management—A Brief History..................................................................................................................4

Definitions and Functions....................................................................................................................................5

Models of Case Management with Substance Abusers...................................................................................6

Chapter 2—Applying Case Management to Substance Abuse Treatment ...................................................13

Case Management Principles ............................................................................................................................13

Case Management Practice—Knowledge, Skills, and Attitudes ..................................................................15

The Substance Abuse Treatment Continuum and Functions of Case Management .................................17

Chapter 3—Case Management in the Community Context: An Interagency Perspective .........................29

Characteristics of the Three Models .................................................................................................................30

Forging the Linkages..........................................................................................................................................33

Identifying Potential Partners ...........................................................................................................................35

The Agency Environment..................................................................................................................................36

Potential Conflicts...............................................................................................................................................39

Chapter 4—Evaluation and Quality Assurance of Case Management Services ..........................................41

A Brief Overview of the Research Literature ..................................................................................................41

iii
Contents
Evaluating Case Management Programs.........................................................................................................43

Future Research...................................................................................................................................................49

Chapter 5—Case Management for Clients With Special Needs .....................................................................51

Minority Clients ..................................................................................................................................................51

Clients With HIV Infection and AIDS..............................................................................................................52

Clients With Mental Illness................................................................................................................................53

Homeless Clients.................................................................................................................................................54

Women With Substance Abuse Problems .......................................................................................................55

Adolescent Substance Abusers .........................................................................................................................57

Clients in Criminal Justice Settings ..................................................................................................................57

Clients With Physical Disabilities.....................................................................................................................62

Gay, Lesbian, Transgendered, and Bisexual Clients ......................................................................................63

Case Management in Rural Areas ....................................................................................................................64

Chapter 6—Funding Case Management in a Managed Care Environment..................................................65

Funding Case Management in a Managed Care World ................................................................................65

Preparing a Program for Managed Care..........................................................................................................68

Future Directions ................................................................................................................................................71

Appendix A—Bibliography...................................................................................................................................73

Appendix B—Practice Dimensions ......................................................................................................................87

Referral .................................................................................................................................................................87

Service Coordination ..........................................................................................................................................90

Appendix C—Managed Healthcare Organizational Readiness Guide and Checklist: Special Report...99

Introduction .........................................................................................................................................................99

Goals and Objectives ........................................................................................................................................100

Background........................................................................................................................................................100

Ways To Use the Guide and Checklist...........................................................................................................100

Managed Healthcare Organizational Readiness Checklist .........................................................................104

Summary of Answers.......................................................................................................................................111

Common Questions and Answers..................................................................................................................112

How Can We Design an Action Program for Change? ...............................................................................113

Summary and Conclusion ...............................................................................................................................113

References ..........................................................................................................................................................114

Appendix D—Resource Panel.............................................................................................................................115

Appendix E—Field Reviewers ............................................................................................................................117

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Editorial Advisory Board
Stephen W. Long Richard K. Ries, M.D.
Director Director and Associate Professor
Office of Policy Analysis Outpatient Mental Health Services and Dual
National Institute on Alcohol Abuse and Disorder Programs

Alcoholism
Harborview Medical Center

Rockville, Maryland
Seattle, Washington

Richard A. Rawson, Ph.D.
Sidney H. Schnoll, M.D., Ph.D.
Executive Director
Chairman
Matrix Center
Division of Substance Abuse Medicine
Los Angeles, California
Medical College of Virginia
Richmond, Virginia
Ellen A. Renz, Ph.D.
Former Vice President of Clinical Systems
MEDCO Behavioral Care Corporation
Kamuela, Hawaii
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Consensus Panel
Margaret E. Hanna, M.Ed. Duane C. McBride, Ph.D.
Executive Director Director of Research
Bucks County Drug and Alcohol Behavioral Science Department
Commission Andrews University
New Britain, Pennsylvania Berin Springs, Michigan
Albert Hasson, M.S.W. Sylvia M. Ryan, M.A., B.A.
Administrative Director Program Director
Matrix Institute on Addictions Rocky Boy Health Board
Pizarro Treatment Center Rocky Boy Chemical Dependency Program
Los Angeles, California Box Elder, Montana
Judith Levy, Ph.D.
Anne C. Sowell, A.C.S.W., L.I.S.W.
Associate Professor
Coordinator of Community Projects
School of Public Health
Miracle Village
University of Illinois
MetroHealth Medical Center
Chicago, Illinois
Cleveland, Ohio
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