Certification for HIV/AIDS Case ManagementElizabeth Boyce, LCSWMatthew Harwood, LCSWVicki Nagata, MSW

County of Los AngelesDepartment of Health ServicesOffice of AIDS Programs and Policy

www.LAPublicHealth.org/AIDS May 30, 2003

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Background 1997Concern about Possible Duplication

of ServicesNeed to Standardize Case

Management ServicesCommitment to Enhance

Paraprofessional Model of HIV/AIDS Case Management

Developed Standards of CarePrioritized and Allocated CARE Act

Funding

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ChallengesParaprofessional Model of Case

Management Insufficient for High-Acuity Level Clients

Minimal Guidance for Clinical and Administrative Supervision Mandates

Inconsistent Protocols and Documentation

Lack of Ongoing Skills Building and Reinforcement

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Implementation

1998

199920012003

Hired Licensed Clinical Social Worker

Implemented Advisory Group

First Certifications Conducted

Re-Certifications Implemented

Case Management Supervisor Training Implemented

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Program Goals

Increase Case Managers’ SkillsEnhance Paraprofessional

Service ModelEnsure Standard of CareStandardize Case Management

Services

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Key Concepts of Certification Master Essential Components of

Case ManagementUnderstand Standards of Care Identify Impact of Psychosocial

StressorsEstablish Appropriate Boundaries

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Skills BuildingAssessment and Service

PlanningResponding to Client Safety

IssuesHarm Reduction ServicesTreatment Adherence ServicesDocumenting Services

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Evaluation

Pre- and Post-Evaluation of Case Management Knowledge and Skills Increase HIV/AIDS Case Managers Post

Test Scores by >10%

Re-Evaluation of Case Management Knowledge and Skills Every 2 Years Case Managers Must Score 88% or

Greater to Be Re-Certified

Participants’ Evaluation of the Certification Program

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Certification ProgramsIn Development

HIV Prevention Case Management HIV/AIDS Substance Abuse

CounselingPeer Support / Self Help