SICLDTF Care and Case Management Pilot June-November 2012

The six month pilot of care and case management will be reviewed at the end of November, following which a report will be released.

During the pilot the SICLDTF Care and Case Management Steering Group developed contacts and understanding between participating agencies and other organisations working with drug users with complex needs, both voluntary and statutory. The pilot took place with an awareness of other pilots, such as those linked to NDRIC, and the understanding that most service user’s needs will not be met only by the services particpating in the pilot, or only within the south inner city. The process will end with a report and recommendations, which will also cover future models of information sharing.

For information or to download the care and case management protocols and procedures please click here

Case Management involves interagency cooperation on an agreed care plan, for a service user who has complex needs which are being met by multiple agencies. At the service user’s request agencies agree one key worker nominated by that service user to act as case manager. The case manager then facilitates intensive engagement with the service user and ensures services are effectively coordinated to respond to those needs. The case management system is intended to maximise efficiency and outcomes while reducing duplication, confusion in service delivery, and inconvenience to the service user.

Services participating in the pilot have agreed common assessment and care plan forms – to be linked with their own forms where necessary – to ensure collection of the same information across services. This will allow smooth transfer of information (with informed service user consent) where a service user chooses to avail of case management.

Care Management involves the processing of Gaps and Blocks Forms, which are completed when a care plan stalls, due to an obstruction to service delivery or a lack of appropriate service availibility. Where case management responds to service users on an individual basis – assessing needs and developing care plans – care management involves sectoral review of policy, procedure and provision, to support case managers.

When an impasse is reached in a care plan, which cannot be resolved with managerial intervention, a Gaps and Blocks Form is forwarded to a project worker who has been nominated as the care manager, a worker nominated by the task force, who tries to resolve the situation. If this is not possible then the case is forwarded to the task force for review. If a solution cannot be reached at that stage the form will be forwarded to the National Drug Rehabilitation Implementation Committee.

Other agreements between services participating in the pilot cover confidentiality and sharing of information, interagency referrals and interagency care plan meetings.

Thanks to GP Coordinator,  Dr Margaret Bourke, Chief Pharmacist, Denis O’Driscol, Governor Mary O’Connor of the Dóchas Women’s Prison and her staff, and consultant child and adolescent psychiatrist specialising in addiction, Dr Bobby Smyth, who met with the steering group.

Thanks to all of the projects that have taken part.

Community Addiction Programme
Coolmine Therapeutic Community
Exchange House
Health Service Executive
Donore Community Drug and Alcohol Team
Dublin City Council Housing Welfare Department
Merchants Quay Ireland
Recovery through Arts Drama and Education
Ringsend and District Response to Drugs
Teen Challenge

If you would like more information on this pilot please contact the facilitator;

For information or to download the care and case management protocols and procedures please click here