CMSA’s Integrated Case Management

This book is a focused guide, written specifically by and for case managers on how to assess an individual, and together create a case management plan, designed with the individual’s goals at the center of the plan. It is intended to bring to case managers a relevant book to enable the care transition processes of integration, which are safe and well-coordinated. It is a reference manual for nurses and other health professionals and presents a Case Management Society of America (CMSA) tested approach toward systematically integrating physical and mental health case management principles and assessment tools. The book delves into the role of the case manager and unpacks how case managers assess and treat complex patients. The book is organized into four parts containing ten chapters. The first chapter details the evolution of case management and the professional case manager. The second chapter describes the mechanics of integrated case management, health complexity, and integration between behavioral health and physical health. The third chapter presents the global models of integrated case management. Chapters four and five discuss assessing the adult and pediatric patient using the integrated case management complexity assessment grid. Chapter six presents common physical and mental health conditions. Chapter seven addresses social determinants. Chapter eight discusses motivational interviewing and shared decision making for the medical complex patient and family caregiver. Chapter nine explores the role of interdisciplinary care teams fostering successful transitions of care. The final chapter presents professional case management accreditation care coordination measures and outcomes.