[Overview: Coordinating Services in the AIDS Epidemic] Page: 1 of 6
3 p. ; 28 cm.View a full description of this text.
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COORDINATING SERVICES IN THE AIDS EPIDEMIC:
An Overview of the Case Management System in Use by
the AIDS ARMS Network of the Community Council of Greater Dallas
Case Management has typically been either medically modeled or
practiced within the framework of traditional social work. In
the former case, a case manager's primary emphasis is on securing
home health care to permit earlier-than-usual discharge of a
hospital inpatient. Medical case managers are often R.N.s., are
usually employed by hospitals or private insurance carriers, and
their activities are in large part driven by cost containment
considerations.
Social work case management generally deals with community-based
clients meeting specific definitions, e.g. the mentally retarded
or mentally ill, or frail and vulnerable elderly people. Mas-
ters-level social workers usually fill these positions and work
for "systems" agencies such as Mental Health/Mental Retardation
Authorities having a legally mandated responsibility to meet the
needs of a particular client population.
All case management systems have certain common elements, which
include:
" conducting a needs assessment
" developing a comprehensive care plan to meet identified
needs
" providing the client or his/her significant other with full
information necessary to access recommended services
" intervening directly with service providers in situations
where clients cannot assume an active role in securing
assistance
" maintaining on-going contact with the client/caregiver to
identify emerging needs, revise the care plan, and make
appropriate referrals
Because Persons with AIDS present such a broad range of social
and health care needs and have not (as a class) been legally
"assigned" to any systems agency, the Dallas case management
program was designed with deliberate departures from traditional
models. It is an effort to provide the best of both approaches
and fill the gaps in the two.
Unique aspects of the case management system operated by the AIDS
ARMS Network include the following:
" case management is centrally administered, rather than being
delivered through positions contracted to other agencies
" a network of formally affiliated provider organizations was
formed to reinforce public commitment by agencies to serving
PWAs/PWARCs
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Community Concil of Greater Dallas. [Overview: Coordinating Services in the AIDS Epidemic], text, 198X; (https://texashistory.unt.edu/ark:/67531/metadc825009/m1/1/?q=%22Government+and+Law%22: accessed June 18, 2024), University of North Texas Libraries, The Portal to Texas History, https://texashistory.unt.edu; crediting UNT Libraries Special Collections.