The term "case management" refers to the coordinated
provision of a wide range of interventions to a single patient.
Case management has been used with a wide variety of populations,
and systems of care using it include mental health, aging,
disabilities, primary care, and substance abuse. The coordinated
care of an HIV-infected individual who also abuses substances
or has mental health problems includes concomitant efforts,
by providers in different systems of prevention and treatment,
to care for the multiple psychosocial and physical needs
of that individual. Studies have suggested that case managers
who are cross-trained may improve health care access and
delivery
of services for clients with multiple diagnoses.
Flexible, open-minded staff are required to provide integrated
care effectively. Similarly, the clear and repeated message
from Cross-Training is that its success depends on providers'
recognizing the need for many individual clients to receive
services
from more than one system.
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