Utilization Management Programs Essay Example | Topics and Well Written Essays - 750 words

Utilization Management Programs - Essay ExampleServices did become better coordinated at the CMHC level, but the accountability for negotiating the emolument system and compliance of the treatment remained with the knob.Specific sheath focal point service guidelines vary somewhat as the individual states interpretation and implementation of federal mandates differs. The needs and resources of a large inner-city population vary considerably from those of a rural community.A clear and consistent service definition has not been reached, and in that location is no consensus on what does and what does not constitute case management. Some people describe case management as purely a brokering or gene linkage function while others include comprehensive skill teaching and hold up in addition to service linkage.Controversy also exists regarding who can best supply the service nonprofessionals, specified mental health professionals, or a combination of both in a team approach. Consume r case management, in which clients or consumer goof the mental health system act as case manager aides for those with less functional ability, is also being undertakenThe initial case management evaluation period is typically 30 days, during which it is desirable to gain as complete a picture as possible of the clients past and current functioning. The case manager must evaluate the clients status, needs, and goals in each of the following areas mental health, physical health, financial status, housing, living skills, leisure, vocational and educational activities, and availability of a support system.Because case management is designed to address the broad range of a clients needs for maintaining satisfactory and stable community living, the initial evaluation phase is detailed in identifying existing resources, skills, and strengths, as well as service and support needs and skill deficits. The overall goal of case management is help maintain the clients quality of life in the l east restrictive community environment possible therefore, evaluation data should assist the case manager in identifying factors that whitethorn have resulted in either the clients successes or failures in the past.Service Plan DevelopmentThe service curriculum is the case management equivalent of the treatment plan as used in traditional inpatient or outpatient setting. It identifies the clients goals and objectives for a specified time period, typically a six-month time period, and it must be updated at least that often, or as necessary, as goals are achieved or are deemed inappropriate or unrealistic at either point during that period.The format of the service plan varies, but generally it identifies the clients goals and the clients case management objectives and service activities for achieving each one. Because services are individualized, the number of goals appearing on the plan at any one time will vary.It is important to be realistic and set no more goals than can be acc omplished within a tending(p) time period. It is preferable to state the clients goals in his or her own words. Objectives must be measurable, have projected time frames, and be consistent with evaluation results and client goals. They should be realistic and broken down as necessary into tasks deemed achievable for the particular client.Placement ServicesCase management placement assistance may be defines as any support provided to the client