Case management is a service that assists consumers to obtain services and supports that meet their dreams and recovery goals. Segue refers to their case management program as DREAMS. DREAMS provides 24-hour, seven-days a week emergency response capability. The majority of services are provided in the consumer’s home or other places in the community.
CSM Admission Criteria:
- Individual is 18 or older
- Individual resides in Jackson or Hillsdale County
- Individual has a Severe & Persistent Mental Illness, a Severe Mental Illness, a Co-Occurring Disorder.
- Individual has multiple service needs and difficulties accessing needed services and supports
Case management services include assessment, planning, linkage, advocacy, coordination and monitoring. Consumers are offered a choice of case managers. The Case Manager will monitor the service and update the assessment and treatment plan when needs change. The case manager will keep a detailed record of the services and outcomes. Case Managers are bachelor level prepared clinicians who are Qualified Mental Health Professionals (QMHP). Services and supports include:
- A person-centered planning process that results in the individual plan of service.
- Identifying what services and supports will be provided, who will provide them, and how the case manager will know the services and supports are delivered.
- Overseeing the individual plan of service, including supporting the consumer’s dreams, goals, and desires for increasing independence; promoting recovery; and assisting in the development of natural supports.
- Assisting the consumer to provide feedback on progress.
- Identifying and addressing gaps in service.
- Coordinating the consumer’s services with all providers, making referrals, and advocating for consumer needs.
- Assisting the consumer to access programs that provide financial, medical, and other assistance.
- Assuring coordination with health care providers.
- Assisting the consumer with crisis intervention.
- Facilitating the transition (e.g., from inpatient to community services, school to work, dependent to independent living) process, including arrangements for follow-up services.
- Assisting beneficiaries with crisis planning.