Service Coordination And Case Management

Table of Contents




Introduction to Substance Abuse Treatment

Case Management Models are frequently used in the medical and health research practices and service proving tasks. The main reason for which case management is applied frequently for various cases of health disorders and interventions as because the process is based on the single point responsibility of the clients from multiple agencies associated with the health care services. The application of proper case management models replaces the haphazard referral processes of agencies for single patients or clients. Instead the models provide a better scope for the health workers and the clients to achieve the desired outcomes from the suggested intervention methods within the training camps. The models also ensure that the case managers are abided with all the guidelines and procedures for undertaking the assessment trails or programs. Drug abuse is the one of the main reasons for the increasing health disorders and diseases within the indigenous communities. Hence it can be said that the health care workers and case managers need to implement the approaches of intervention with proper set of guidelines and legal authority to approach the individuals and diagnosing them with appropriate measures.

Main Body of Substance Abuse Treatment

Introduction to case management model

The Case Management Model is a frequently used model in the field of social services and medical services. There are various case management models that exist within the service framework of health-and medical settings (Rash, Alessi & Petry, 2017). The five most used and famous case management models are Clinical/Rehabilitation model, clinical rehabilitation model, assertive community treatment, intensive case management and strength based case management model. The model of Intensive Case Management is focused on the delivery of services that can be provided within short durations. In case of the Intensive Case Management approach the social workers are mainly addressed to deal with individuals with some specific problems due to their personal life and social constraints. In this approach the client mainly receives significant attention from the case manager (Rutkowski, 2019). The client and the manager meet on regular basis for tracking the progress of the client. The manager also accompanies the patient or clients towards their goals and ensures that the objectives are achieved successfully. The duration for the client to stay in rehabilitation can be determined along with the needs of the client and aim to achieve the recovery of the client from state of substance abuse and other drug use habits. Individuals especially with the signs of substance abuse are generally addressed towards the model of Intensive Case Management under case management approaches (Ncbi.nlm, 2019). This approach is regarded as the most perfect way of making people independent form the habit of drug or substance abuse.

Individuals with substance habits are do have concurrency of the mental and physical health diagnosis while addressing treatment. The probable reason for their drug abuse is generally due to some events or incidents in personal life that make them indulge with such kind of harmful drug or substance abuse. At the very beginning the case management model focuses on the steps of assessment by determining the potential strengths and weakness of the clients. In the next step the planning of the entire intervention program is required to be decided based on the strengths and limitations of the patient’s mental as well as physical health (Rash, Alessi & Petry, 2017). After this step the healthcare practitioners need to address the patient or client towards needful services such as counseling sessions and mental intervention programs. Regular monitoring of the patient or client is also a vital step for evaluating the progress of the patient. Advocacy and care services shall also be provided for patients with serious disabilities and symptoms for prolonged substance abuse. ICM is widely used for addressing cases that are based on the perspective of individual cases and is not applied for group situations. Social workers and other medical practitioners make use of this model to conduct case studies related with substance abuse, drug consumption within children and youths, old men and even help these people to quit the habit of in taking harmful substances. The care providers associated with this service model mainly applies some evidence based clinical interventions and counseling programs to reduce the consequences of substance intake. They are also informed and trained regarding the various practices that can help the people to reduce the intake of substances for mental satisfaction (Morgenstern et al., 2006). Hence it can be said that the ICM model of Case Management is very much effective measure that is applied for dealing with cases of substance or drug abuse in community or social group settings. The model addresses individual care through individual case assessment.

Strength and Limitation


The screening methods used for the purpose of diagnosis of the clients or patients in the service of substance abuse programs have a lot of benefits for the clients as well as the practitioners (Murer, Murer & Brick, 2013). ICM helps to guide the patient accordingly by identifying the specific set of symptoms within the patient and also suggests relevant ideas for the management of the services that would help in reducing the practice of substance abuse within a particular community. Intensive Case Management also helps in evaluating the patient and identifies the problems related to their substance abuse habits. Proper screening methods and techniques also help the practitioners to introduce different set of treatment suggestions and intervention methods that may be ideal for the individual. For example a youth has the habit of tobacco abuse. He is addressed by the case manager to access the programs that consists of information regarding the habits that helps in quitting tobacco consumption habits (McGeehan, 2015). This would be beneficial for the youth as well as his parents. This would help them by ensuring financial sustainability and also checking the occurrence of diseases such as cancer for the bad habits of tobacco consumption. Even for addressing chronic pain the patients are addressed towards several other techniques that consist of physical exercises and yoga. This would help the clients to recover from their pains without the intake of any substance that has other side-effects on the mental and physical status of the individual.


One of the major weaknesses of the ICM model is that it cannot be applied for large group settings that comprise of an entire community or society of people. Reporting errors and haphazard ways of data maintenance and client evaluation may result in service inconvenience. The data management and maintenance is very complicated for the ICM model or approach. A lot of data has to be considered as because the ICM is based on individual case assessment. For a drug or substance abuse prone community the service managers may not be able to apply the following model. ICM mainly deals with the techniques and methods of intervening individuals with the help of single case-study approach (Levy, Seale & Alford, 2019). It is not possible to determine the substance abuse symptoms of all the people separately within the entire community. As a case manager, an individual may not be able to address the problems of the community with the help of individual analysis. For this reason the process is considered to be vague and ineffective for large organizational or group settings. People with variety of cultural norms do exist within the several social groups. Thus it is not possible to judge the nature of an organization or society along with the application of the ICM approach in any setting. Apart from that substance abuse is sometimes considered as a part of the traditional beliefs and customs. For example the traditional practice of consuming marijuana is prevalent within various communities. This traditional custom is carried out and practiced all over the community and thus the side-effects of marijuana also start to develop within these people (Hayes, 2017). ICM specifically cannot be applied to this context as because the community or group will not accept the fact of hampering their traditional practices at any cost. Hence the motivational attempts used for reducing substance abuse cannot be applied for such type of indigenous communities and people.


Application of the ICM for specific community settings is not possible for some specific cultural and traditional issues. Hence the government may take necessary steps to intervene within the approaches of promoting safe health practices within indigenous communities. The local or state government should appoint an inspector for reporting the cases of substance abuse within various indigenous groups (Kavirajan, 2017). The implementation of ICM model shall be mandated for all the youth and adult population of the community. They shall be evaluated and screened effectively with the help of various diagnosis methods and treatment approaches. The consideration of data analysis for this particular model is also based on individual assessment. Therefore it is necessary to maintain the details of every member or client without any errors in the entry of the evaluation results. Hence for applying this approach in large group settings the health workers need to assess the latest technology and maintain the process of data recording. The healthcare agencies shall also take the initiative for launching and making their services available in the various indigenous communities with the initiation of local or agents or groups within the area of the communities (Finkelman, 2011). This would also ensure adequate reporting for the need or requirement of healthcare services for the individuals with serious problems of substance abuse. These sorts of implications are needed within the ICM approach for overcoming the limitations when applied for group settings. Hence it will be very much effective to implement the ICM for group settings with the application of the following recommendations.

Conclusion on Substance Abuse Treatment

The main objective of this write-up was to describe the advantages and limitations for the application of case management model in the service filed of substance abuse interventions. Some major trends and approaches related to case management has been explained along with the application of specific ICM model for evaluating and intervene the individuals addicted to substance abuse. The substance abuse is based on various psychological and social traits faced by an individual in their personal life. The use of ICM has been significant with individual case assessments but not quite useful or effective for large group or community settings. The implication of new technology and administrative approaches fr4om the state government to increase health promotion within the indigenous communities may help the practitioners to effectively apply this particular method for large groups in the future.

References for Substance Abuse Treatment

Finkelman, A. (2011). Case management for nurses. Boston: Pearson.

Hayes, H. (2017). Case Management for Substance Abuse | Heather Hayes & Associates. Retrieved 21 October 2020, from

Kavirajan, H. (2017). Is intensive case management effective for people with severe mental illness?. Cochrane Clinical Answers. doi: 10.1002/cca.1632

Levy, S., Seale, J., & Alford, D. (2019). Medicine, with a focus on physicians: Addressing substance use in the 21st century. Substance Abuse, 40(4), 396-404. doi: 10.1080/08897077.2019.1691130

McGeehan, S. (2015). Case management in integrated models of care.

Morgenstern, J., Blanchard, K., McCrady, B., McVeigh, K., Morgan, T., & Pandina, R. (2006). Effectiveness of Intensive Case Management for Substance-Dependent Women Receiving Temporary Assistance for Needy Families. American Journal Of Public Health, 96(11), 2016-2023. doi: 10.2105/ajph.2005.076380

Murer, C., Murer, M., & Brick, L. (2013). The case management workbook.

Ncbi.nlm. (2019). Chapter 2 - Applying Case Management to Substance Abuse Treatment. Retrieved 21 October 2020, from

Rash, C., Alessi, S., & Petry, N. (2017). Substance Abuse Treatment Patients in Housing Programs Respond to Contingency Management Interventions. Journal Of Substance Abuse Treatment, 72, 97-102. doi: 10.1016/j.jsat.2016.07.001

Rutkowski, B. (2019). Specific disciplines addressing substance use: AMERSA in the 21st century. Substance Abuse, 40(4), 392-395. doi: 10.1080/08897077.2019.1686726

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