Case Management

Case management is designed to ensure that individuals with serious and persistent behavioral health concerns have access to support that will enable them to live in the community in a safe, stable and healthy manner.

Case managers partner with individuals and their support systems to achieve wellness and better manage symptoms. Case managers assist with setting goals, accessing services to meet those goals, and serving as an advocate in the recovery journey. 

Administrative Case Management

Administrative Case Management is a service that offers people support, community connection and access to entitlements. This service helps to ensure that people can reside and maneuver comfortably in their community. Case management staff will encourage you to be an active participant in your treatment, identify your needs, access supports and resources and develop wellness plans that promote your growth and recovery. 

• Recovery Support: Administrative case managers focus on the individual’s strengths and skills to assist in developing goals and plans that will support the individual’s attempts to work toward recovery. 
• Advocacy: Advocacy fosters dialogue between you and mental health professionals to promote mutual respect and understanding. We encourage you to advocate for yourself by facilitating connection to services. 
• Education: Educational materials can inform you about recovery principles and practices and help you to reach your fullest potential. 
• Referrals: Referrals assist you in gaining supportive housing, the ability to secure medications, the tools to maintain a healthy diet, entitlements, connections to primary care, transportation, education and employment. 
• Eligibility: Clients must meet certain diagnostic and treatment criteria to be eligible. If these criteria are met, you will receive either an administrative or a therapist who will be able to assist in the role of a case manager. 
• Duration of Services: Services are available to you as long as you remain open to treatment. The case manager must be able to meet with you on a regularly scheduled basis in order for services to stay in place. You and your case manager will mutually determine this. 

Targeted Case Management

Targeted case management (TCM) has two levels of care: Resource Coordination (RC) and Intensive Case Management (ICM). Services are tailored to fit individual needs through a service plan. Examples include:

• Assessments and service planning focused on needs and strengths
• Assistance and advocacy with access and use of community resources and services
• Problem-solving
• Informal support network building
• Creating supportive contacts in the community 

Eligibility

You must meet certain diagnostic and treatment criteria to be eligible.  If these are met, your doctor will write an order and you will be assigned to targeted case management. 

Duration of Services

Services are available for as long as they are needed. The case manager must be able to meet with you in order for services to stay in place. You and your case manager will mutually determine this.

InSHAPE

Individualized Self-Health Action Plan for Empowerment

A comprehensive program designed to improve the health and physical fitness of those with mental illness, InSHAPE’s primary focus is on wellness. The program provides access to a range of services to help participants improve their health, nutrition and physical fitness.

Program Benefits

• Education, medical care, and fitness resources
• Help with self-care: physical exercise, nutrition, and smoking cessation
• A comfortable, community-based atmosphere that encourages self-expression
• Weekly meetings with a health mentor to discuss wellness goals

The Health Mentor’s Role

• Attend fitness activities with the participant, such as water aerobics, yoga, walking and weightlifting
• Provide nutrition counseling and education
• Help participants set weekly goals to track their progress
• Motivate, encourage and cheer participants on during their journey to a healthier life

Who Qualifies

To qualify for the InSHAPE program, applicants must:

• Be at least 18 years of age
• Have been diagnosed with a serious mental illness
• Have a BMI of 25 or greater
• Have written approval from their primary care physician

Contact Us

If you or someone you know is interested in applying for InSHAPE, please contact:

Shannon Murphy
Supervisor
610-619-8782
shannon.murphy@crozer.org

Andrew Ross
Health Mentor
610-619-8748
andrew.ross@crozer.org

Gregory Rabuttino
Health Mentor
610-619-8749
gregory.rabuttino@crozer.org

Home at Last

Reducing Homelessness through Evidence-Based Practices

Home at Last is a county-wide program for individuals in transition. Jointly funded by Magellan Health and the Delaware County Office of Behavioral Health, the program uses evidence-based Critical Time Intervention (CTI) strategies to empower individuals to move from shelters and homelessness into permanent housing.

CTI is a focused, community-based, three-phase approach that fosters long-term ties and demonstrates successful outcome measurements in follow-up studies. With small caseloads and a decadelong track record of success, CTI’s long-term outcomes are more effective than traditional case management for the homeless and severely mentally ill populations.

Qualifications

• To qualify for Home at Last, individuals must meet all of the following criteria:
• Meet the definition of chronically homeless and have a severe mental illness
• Meet the definition of literally homeless and are being served in a permanent supportive housing program, or in transition from institution to community
• Age 18 years or older

Three-Phased Approach

Home at Last is a nine-month program that offers effective, lasting supports for clients as well as caregivers. It is offered in three phases – each one lasting three months.

Phase One: Transition

In this phase, the case manager provides support and connects the individual to resources such as home visits and collaborative assessments, as well as support and advice for the clients as well as the caregivers.

Phase Two: Try-out

In this phase, the case manager takes a less active, more observational role of monitoring the individual and their support network. The case manager also mediates conflict between the individual and their caregivers and makes adjustments to encourage the patient to take greater responsibility.

Phase Three: Transfer of Care

With the support network safely in place, discharge planning begins. The case manager takes a step back to ensure that the individual’s supports are functioning properly. Through two face-to-face meetings, the individual’s social worker will transition the patient to traditional blended case management.

Contact Us

For more information or to enroll in Home at Last, please contact Shannon Murphy by phone at 610-619-8782 or by email at shannon.murphy@crozer.org Monday to Friday, 8:30 a.m. to 5 p.m.