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HACM Model of Case Management

Case Management
What is a Case Manager?
What is the role of a Case Manager?

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 optimal independence.

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 sheets.


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