International Centre for Certification and Education of Addiction Professionals (ICCE)

The Universal Treatment Curriculum for Substance Use Disorders (UTC)

Curriculum 6

Case Management for

Addiction
Professionals
MODULE 3MODELS OF CASE
MANAGEMENT
Review

Review Post-its
Discuss individually
Discuss in group

3.2
Module 3 Learning Objectives

Describe 4 models of case management

Identify which models are currently used in
your programs
Identify ways in which changes may be
appropriate
Analyze your work within the context of these
models

3.3
Models of Case Management

Brokerage/generalist
Strengths-based case management
Clinical/rehabilitation
Assertive community therapy

3.4
Definitions of
Brokerage/Generalist

Brokerage: Process of negotiating services on

behalf of someone else
Generalist: Someone with knowledge in a
wide range of services

3.5
Brokerage/Generalist Model

Focus is on identification and response to

clients needs
Limited to early contacts
Limited relationship between client and case
manager
Appropriate when services in a community are
integrated
Suitable when the need for monitoring or
advocacy is limited
3.6
Features of Brokerage/Generalist
Model

Case manager can support more clients

Effective for clients who can work the system
Appropriate for clients who are self-motivated
Not appropriate for clients with late-stage
SUDs or in very early recovery

3.7
Features of Brokerage/Generalist
Model

Quick-response approach
May be method of choice for programs with
narrowly defined services
Inadequate advocacy

3.8
Example

Quick-response approach
Link with other programs
Little to no followup

3.9
Question

Catch paper
Pick an answerer
Ask question
Answer question
Discuss

3.10
Strengths-Based Case Management
Model

Origin: Institutionalized care to independent living

Clients take control over search for resources
Examines clients strengths
Helps clients take control and find their strengths
Case manager is more consultant than broker

3.11
Features of Strengths-Based Case
Management

Encourages use of informal networks

Provides active, aggressive outreach
Is not appropriate for clients with late-stage
SUDs or in very early recovery

3.12
Use in the SUD Treatment
Setting

Access to resources
Counter stigma
Counter disease models

3.13
Example: DasimaProblems

SUD
Limitededucation
Estrangement from family
Association with others who have SUDs

3.14
Example: DasimaStrengths

Motivation
Intelligence
Verbal
skills
Some social contact with stable people

3.15
Example: DasimaCase Managers
Role

While always drawing from strengths:

Identify resources
Direct her to these resources
Encourage her
Advocate for her

3.16
Example: DasimaOther Ways To
Help

Encourage her to shift focus to positive people

Find a 12-Step group
Address family issues
Be available as a resource

3.17
Ways To Be an Ongoing
Resource

Encourage the client to seek more social

contacts who are not using substances
Help identify new opportunities
Answer questions about a service
environment
Build on clients strengthsencourage and
reinforce awareness of those strengths
Keep assessing and supporting progress to
build confidence
3.18
Question

Catch paper
Answer question
Discuss

3.19
Break
15 minutes

3.20
Clinical/Rehabilitation Model

Treatment and resource acquisition

Same individual provides both treatment and
case management
Often model used by default

3.21
Advantages of Clinical/ Rehabilitation
Model

Effective
for clients with co-occurring disorders
May be more economical
May best be combined with another model

3.22
Example

Facility
for women with SUDs
Emphasizes relationships and empowerment
Meets special needs
Focuses on individuals needs

3.23
Question

Catch paper
Pass to another
Answer question
Discuss

3.24
Assertive Community Treatment
Model

Meets at clients home and in clients

environment
Focuses on problems of daily living
Requires frequent contact
Shares caseloads with team
Provides long-term commitments
Relies on advocacy

3.25
Features of Assertive Community
Treatment

Includes direct counseling, possibly including

family counseling
Helps improve life skills and coping abilities
Includes specific time limits and goals

3.26
Disadvantages of Assertive
Community Treatment

Requires light caseloads

May require team approach
May involve transportation time

3.27
Typical Services of Assertive
Community Treatment

SUD treatment
Employment services
Medical care
Support networks

3.28
Example

Multidisciplinary
staff works as a team
Provides services needed to support
community-based living
Case manager coordinates all activities
Services provided in clients environment

3.29
Question

Volunteer
Read question
Answer question
Discuss

3.30
Small-Group Exercise

Stretch your legs

Talk to your neighbors
Count off

3.31
Small-Group Exercise Topics To
Discuss

What models are currently used in your

program?
What works well?
What does not?
What now?

3.32
Journal

How do the models fit into your programme?

Did you learn anything that might help improve
the case management your program
provides?
How might you want to modify your programs
approach?

3.33
Lunch
60 minutes

3.34