DISABILITIES & CASE MANAGEMENT

1. DISABILITIES & CASE MANAGEMENT Alabama Veterans Conference May 2012

2. Profile of Today’s Soldiers All Volunteer Average Age 27 – 28 Many Married With Families High Number of Guard and Reservists

3. Profile of Today’s Soldiers More Women in Combat More Than One Deployment Technology Improvements On & Off The Field

4. WWII 1 soldier killed = 1.6 wounded Viet Nam 1 soldier killed = 2.6 wounded • OIF/OEF 1 soldier killed • = 16 wounded High Number of Survivors Better care on the field & better armor

5. Viet Nam 35 – 40 days OIF/OEF 35 – 40 hours High Number of Survivors Transport field to U.S. Hospitals

6. QUOTE "In the history of the Republic, never has so much been placed on the shoulders of so few for so long," said Brigadier General Loree K. Sutton, director of the Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury, "We have no reference population to compare with the addiction and mental-health problems facing today's military personnel.”

7. Frequent Types of Disabilities Amputations Hearing Loss Visual Impairments Mental or Emotional Disorders ~ Anxiety Disorders -including PTSD ~ Depression Traumatic Brain Injury Burns

23. COPING Denial/Isolation Anger Depression Acceptance Hope

24. CASE MANAGEMENT Using the service delivery strategies to place with warriors

25. Assessment Red Flags Strategies J

26. Elements of Case Management • Assessment • Case Notes • Develop and Document a Plan • Case Notes • Referral to Support Services • Case Notes • Follow up and Modification • Case Notes • Facilitate Job Placement

27. Definition:Case Man-age-ment Case Management , as the framework for Intensive Services is the facilitation and coordination of services at the community level. The purpose of case management is to provide an individual with specific resources to take control of his / her life. It requires the case manager to focus on the long and short term goals an individual has and empower him / her to make educated decisions about his or her future.

28. Nine Key Concepts 1. Comprehensive and client centered 2. The service provider and the client are partners 3. There is mutual respect between clients and service provider. 4. A client has only one IDP

29. Nine Key Concepts (Continued) 5. Relates the client’s actions to outcomes 6. Involves creative problem-solving 7. Relies on a network of services and support 8. The service provider and the system are accountable 9. Requires partnership at the systems level

30. INITIAL ASSESSMENT Gather Relevant Information Establish Rapport Use Whole Person Concept Analyze Information Identify Barriers to Employment

31. One on One facilitation skills Body Language Reflection Open-Ended Questions Closed-Ended Questions Active listening Non Judgemental Para-Phrasing Taking Effective Case Notes

32. E D U C A T I O N I N T E R E S T S & T R A I N I N G P O T E N T I A L T R A N S F E R A B L E S K I L L S S K I L L S S O C I A L & L E I S U R E T I M E E C O N O M I C A C T I V I T I E S F A C T O R S P E R S O N A L P H Y S I C A L T R A I T S C A P A C I T I E S

33. Case Notes SDATE anything you write S QUOTE exactly as stated SRecognizePERTINENT information SWrite inSPECIFIC, OBSERVABLE and MEASURABLE terms SIf yourOPINION, say so

34. Writing The Individual Plan Determine Employment Barriers to Address Set Goals Establish Plan as a Team Review Implement Monitor Modify If Needed

35. Criteria For Goals S-M-A-R-T Specific Measurable Attainable Realistic Trackable

36. Steps to IDP Goal Setting 1. Change problem statements into goal statements 2. Brainstorm solutions and options 3. Balance options with reality; Choosing one or more options 4. Sequence and assign responsibility on the IDP

37. FACILITATING JOB PLACEMENT • Establishing Business Relationships Through the Business Services Team Through the Local Veterans Employment Representative On Your Own Critical when placing individuals who have been in Case Management Critical when working with someone who has a disability needing accommodations

38. COMMENTS FROM BUSINESSES • Veterans may need more time after returning home • Awareness of the needed mental and physical skills of a job • Be there after the hire • New challenges may arise for the veteran • Be willing to educate my staff and/or supervisors • Are absent from work for on-going treatment, not disclosed • *Institute on Rehabilitative Issues

41. Supported Employment Mentors On the Job Training Specialized Programs Creating Jobs Alternative Job Development Techniques

47. Connecting with the Business Community Business Perspective Being Aware Creating a Job Developing Proposals Alternative Job Development Technique

48. The Business Proposal Identify problem / issue within a business Explain how this could be addressed Provide a description of someone you know who could fill the proposed position Enclose a list of references Contact Information

49. POSSIBLE ACCOMMODATIONS Several Apps for the Phone Reduce Distractions Provide Private Space Lighting Divide Work into Smaller Tasks Work from Home Allow for Flex Time Disability Awareness Training to Co-Workers

50. What is Your Role? Recognize possible problems, if un-diagnosed and make referrals Know the resources and options for employment in your area Help research accommodations Understand the frustrations Be creative when thinking employment