個案管理

Course introduction and grouping Presentation and selection of common cases 跨領域健康照護方案媒合會-概念評估

The role and function of case manager ● Definition of case management ● Introduce process of case management ● Case management model in community ● The role and function of case manager ● Case management Vs care management

The process of case management: Engagement ● Establish relationship with individual and their caregivers ● Communication The process of case management: Assessment ● Strengths based assessment of assets, needs and barriers to care ● Engaging individual and their caregivers in the assessment process ● Culturally-competent assessments

The process of case management: Goal setting and service plans ● Client-centered service plans ● Maximizing strengths and minimizing barriers ● Developing SMART service plans (Specific, Measurable, Agreed upon, Realistic, Time-based)

The process of case management: Intervention ● Direct services (implementing plans, teaching, guiding, processing, providing information, supporting) ● Indirect services (linkage, advocacy, coordination, network)

Dimension of case management: Relationship ● Building a trusting relationship ● Ethics (including confidentiality, boundaries) ● Elder abuse, exploitation and neglect Dimension of case management: Relationship ● Reducing conflict ● Crisis management ● Difficult conversations

Case report 1: The process of case management: Special topic Case management on DM, metabolic symptom, and obesity in community

Case report 2: The process of case management: Special topic Long-term care

Student presentations

Program development, designing and managing programs

Resources assessment, mobilization, utilization, and referral

The process of case management: Monitoring and coordination ● Enhancing motivation ● Developing and enhancing professional network to enhance service delivery

The process of case management: Evaluation of progress on goals ● Ongoing assessment ● Care transitions/ referal ● Termination

Evaluation in individual, program, and system

Dimensions of case management: Documentation ● Integrated documentation with all phases of case management process ● Computerized information systems

Dimensions of case management: Supervision, quality control and utilization review ● Ensure individuals are receiving appropriate services ● Ensure organization is providing appropriate level of care ● Working in a multidisciplinary team

Student Presentation (2 hours)

Student Presentation (1 hours) Course Evaluation (1 hour)