Care And Case Management

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Meeting of the SICLDTF sponsored care and case management implementation steering group 15/11/11
Present; Teresa Weafer, RDRD; Colm Folan, Casadh; Una Scully, Teen Challenge; Fearghal Connolly, Donore CDT; Sarah Benson, Ruhama; Celine Maurer, HSE; Carol Finlay, DCC; Suzanne White, Coolmine TC; Caroline O’Reilly, Exchange House; Richard Cunningham, Merchant’s Quay Ireland; Malcolm MacClancy, Occam.
Apologies; Yvonne Booth; Coolmine TC.

Having had two workshops on protocols for care and case management, highlighting areas of importance in terms of localisation, the group met as a steering group for implementation of a system.

It was agreed that the objective of the steering group is:
To set up an infrastructure to improve care and case management in the south inner city area.

•    All present agreed that their services would commit to being part of the steering group.
•    Malcolm MacClancy (Occam) will facilitate and support the group.
•    It was agreed that it is very important that SIC services who were not present but are involved in care planning of service users should be part of the steering group going forward.
o    In particular it was stressed that FÁS and Probation Services should be represented as they will be key players in many care plans.
•    It was noted that the task force will discuss service user representation for  the group.
•    Carol Finlay (DCC) noted that she will need to go back to her Dept. to clarify lines of communication re the SE and SIC areas as well as re assessments for the housing welfare and homeless services  etc.

The following expectations were agreed from members of the group;

  • Prepared; Members are ready for meetings, having read documentation, completed actions etc.
  • Present; Members attend meetings or if they cannot be there send someone in their place who is empowered to make decisions on their behalf.
  • Action-oriented; Meetings are directed to achieving outcomes and do not become ‘talking shops’.
  • Communicate and process; Members work with their local teams to integrate agreements from meetings and bring feedback from teams to meetings.

It was agreed that others should be kept informed of the work of the group, such as the National Drug Rehabilitation Co-ordinator at the H.S.E. and others who are overseeing care and case management pilots in the Dublin area.

Where work has been done and is ongoing in other initiatives we should share our work and learn from their work – such as adopting or adapting templates where relevant – to ensure there is no unnecessary duplication of effort.

It was agreed that achievement of the following would demonstrate the work of the group had been effective;

  • Care and case management protocols agreed and adopted.
  • Common assessment form in use: A core document which can travel with service users, with supplementary sections to be added as needed by individual services
  • Common care plan in use: A core document which can travel with service users, with supplementary sections to be added as needed by individual services
  • Gaps and blocks mechanism in place
  • Production of a ‘road map’ that illustrates all of the services that impact on the care plans of service users
  • Care and case management information available for services, staff and service users
  • GP’s are available and involved in the case management mechanism
  • Sharing of data between services
  • System to collate data to observe trends (common forms will help)
  • Other agencies in the area, such as the policing forum will have useful data to integrate
  • Ideally to have an on-line system
  • The work of the group culminates in a gaps and blocks report that can be used as a lobbying document.

Colm Folan kindly agreed for Casadh to be the venue for forthcoming meetings and the base for steering group activities.Meetings of the whole steering group will take place about every six weeks.

Working Groups
Groups will prepare documentation to circulate to members and process feedback between meetings. Meetings will be used to finalise agreements and plan implementation.

Periods between meetings will allow work to be done with local teams and feedback assimilated.
March 2012 – protocols and documentation agreed.
April  2012 – selection of service users to be tracked for three months to evaluate working of the system.
June 2012 – marks the end of the work to be done by this group and review.

Next Meeting  10.30, 25/01/12, Casadh
Working Groups
Assessment Forms; Celine Maurer (HSE), Suzanne White (Coolmine TC), Malcolm MacClancy (Occam)
Care Plans; Sheila Crowley (Ruhama), Colm Folan (Casadh), AN Other (Merchant’s Quay Ireland), AN Other (RDRD), Malcolm Mac Clancy (Occam)
Road Map; Teresa Weafer (RDRD), Carol Finlay (DCC)

Fran Giaquinto to be invited to make a presentation to the meeting of research she has done for the task force on trends of drug use in the SIC area.

Provision of training for staff in case management will be a key requirement for success of this initiative.