HACM Model of Case Management
HACM Model combines definitions and standards of case
management recommended by CMSUK and BABICM, CSCI Domiciliary
Care Standards, the best evidence based practice and a firm
belief that community based rehabilitation helps adults and
children, with an acquired personal injury, to move towards
This is achieved by planning and coordinating
multi-disciplinary team working and training support workers
to carry activities out with clients in liaison with their
families. It requires an understanding of the availability of
resources and specific professional roles, so as to facilitate
evaluation and audit.
Rehabilitation is carried out in real life settings, such
as going to the shops, carrying out personal and functional
activities of living, and taking part in recreational,
vocational, and leisure opportunities, which are of interest
to the client.
To facilitate effective input HACM use these community
activities and valued life roles, to promote the personís
potential to be as independent as possible, by their engaging
in meaningful and satisfying activities and to promote their
decision making and choices.
Evidence obtained during this period can be used to
identify the degree of support the person will need in the
future and the type of support programme that best meets their
individual needs in the short and long term.
This approach uses the strengths of the person and what
they do well, because to fail would have a detrimental affect
on the client, who has to work so much harder to achieve usual
daily activities that were previously taken for granted.
Clients are taught strategies to relearn and compensate for
their acquired difficulties. Programmes are individual with
specific goals agreed, evaluated and changed as necessary.
Programmes are formally reviewed by a multi-discplinary
case review meeting. Those attending are usually the client
and family, the multidisciplinary professionals and other
identified interested parties. Meetings evaluate progress made
and identify new goals. If required, a formal reassessment
report follows each of the case reviews.
In addition, during the rehabilitation period, therapists
are asked to provide the Case Manager with an outline of
intervention following each client visit. The Case Manager
usually meets with support staff and client on a monthly basis
to review progress.
The Model recognises that the client may not be able to
return to the way they were before the injury but that the
person can be enabled to reach their maximum potential. When
maximum gains have been made, the client is supported to
maintain skills learned. Each client is provided with an
individual portfolio of activities, targets and evaluation