Individuals with complex clinical profiles often have large teams of professionals working with them to address a range of specific needs. While this approach can help ensure an array of therapeutic needs are met, it can also create communication challenges and at times, be confusing to family members.
OPG’s Case Management and Care Coordination Services facilitate an open dialogue between therapists, psychiatrists, Dialectical Behavioral Therapy (DBT) coaches, therapy group leaders, nutritionists, and other treatment team members. OPG Case Managers work to organize and centralize information from disparate parties to ensure that decisions around a client’s care are made collectively and in an informed manner. Our services can be offered in person or remotely and can be used as monitoring tools for advisors, trustees, and employers.
Below is a comprehensive list of possible services; an initial consultation determines which services are appropriate for a specific case.
- Assistance in forming a comprehensive treatment team in the client’s local area (if one does not exist) that includes relevant clinical professionals (e.g., specialized therapist, psychiatrist, nutritionist, addiction counselor)
- Assigned Case Manager to provide guidance through regular in-person or remote meetings, as well as frequent phone contact
- Connections to appropriate community-based resources for client that cover holistic needs (e.g., social, recreational, housing, educational, clinical, vocational, self-help, medical/health)
- Creation of a case management plan with short- and long-term goals, and tracking of progress
- Implementation of drug testing, alcohol monitoring and other monitoring services (review “Monitoring Services” for more information)
- Development of a therapeutic or behavior contract with specific consequences for noncompliance and ongoing monitoring of contract
- Identification of appropriate local clinical groups or self-help meetings
- Facilitation of meetings with professionals for long-term planning needs (e.g., special needs financial planners, guardianship attorneys)
- Weekly updates to treatment team, family members, advisors or employers
- Interface with insurance companies or other funding sources
- Compilation of medical records from past inpatient and outpatient providers
- Coordination of treatment team meetings
- Assistance finding appropriate housing and move-in support
- Crisis management and after-hours support
- Connections to medical specialists and communication with medical providers as needed
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