Children's Targeted Case Management
Practice Guidelines

QUALITY MANAGEMENT – OUTCOMES

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Policies and Procedures
Research/Evaluation

POLICIES AND PROCEDURES 

Each agency must have written policies and procedures in place, which ensure that each child/family is provided with quality services. The policies will clearly delineate how the Individual Support Plan outcomes will be measured, documented, and utilized. Support outcomes must be: 

·        Targeted

·        Objective

·        Observable

·        Measurable 

The agency must have written policies and procedures which govern when and how the Individual Support Plan will be evaluated. Best practice guidelines for targeted case management recommend ongoing evaluation of the ISP; however, compliance with contractual agreement, mental health licensing, and MaineCare rule requires evaluation of the ISP minimally every 90 days.   

The evaluation must include: 

·        Review of a child’s status or progress in the support plan or service interventions;

·        Documentation of changes or modifications in the ISP if there is little or no change or progress in the above;

·        Level of Care status;

·        Changes in child/family strengths/needs; and

·        Documentation of the evaluation of the ISP. 

Agencies are required to submit data to the Department which measure, record, and reflect their overall process of case management delivery. These may include but are not limited to: 

·        Utilization of crisis services

·        Discharge criteria of ISP goals or objectives

·        Implementation of Wraparound values, principles

·        Number of children moved from the wait list to active case management

·        Number of children moved from more restrictive environments to less restrictive environments 

An agency’s reporting requirements are stipulated in their contractual agreement with DHHS-CBHS and include the following forms: 

·        Children’s Enrollment Form (CEF)

·        Children’s Change of Status Form

·        Quality Improvement Plan

·        Monthly Status Report for Case Management Services 

In addition, each agency must have policies and specific procedures used for measuring and evaluating child and family satisfaction with services provided to them.

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RESEARCH & EVALUATION

 (Outcome Evaluation Systems) 

For suggestions of best practices regarding Outcome Evaluation Systems, the following source is referenced:  Grealish, M. (2000). The Wraparound Process Curriculum, Competency Development for Supervisors and Managers:  Community Partners, Inc. 

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