Enhancing Case Management System in San Francisco: Strategies and Impact
Explore the assessment of the case management landscape in San Francisco, including gaps and barriers, through key informant interviews and data collection activities. Implementations and planned strategies focus on bolstering data collection, training, and addressing complex client needs, with projected impacts of wage increase, staff additions, and improved service delivery.
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Case Management System Assessment April 2021 OAC Presentation May 16, 2022
Case Management Assessment Guiding Questions 1. What is the case management landscape in San Francisco? 2. Where / how does the DAS case management system fit into the broader case management landscape in San Francisco? 3. What gaps / barriers exist in the San Francisco case management landscape?
Research and data collection activities Key informant interviews - DAS, DPH, HSH Survey DAS, DPH, HSH case managers, program administrators, service recipients Challenge of shelter-in-place focus groups eliminated and direct interviews with case managers and program administrators
Recommendations & Strategies implemented Bolster data collection, monitoring, and sharing Reviewed pending client protocol with Clinical Collaborative and case managers to ensure clients are on boarded in a timely manner or removed before service if no longer interested in case management service Intake HUB re-launched calling waitlisted clients as they approach the top to confirm contact info, need and interest in case management Let clients know that MSSP program also may be an option for CM services if they qualify
Recommendations Strategies Implemented & Planned Build capacity to address complex client needs. Currently: Mental Health Association of San Francisco In late April DAS launched new skills and resources training series sessions include: Challenging Clients and Difficult Situations Depression and suicidal Ideation Advanced techniques for complex situations Substance Use Personality Disorders Mental health/social isolation Case Manager training series on DPH Behavioral Services in FY22/23
Planned Strategies & Projected Impact 1. Across the board wage increase to Case Management programs 2. Additional increase to lowest compensated 3. Additional case manager added to the system Allow for more rapid filling of current vacancies with qualified and skilled case managers Retain seasoned and dedicated staff who provide high quality case management services Additional staff will lower current waitlist and serve populations identified as underserved in the 2022 Dignity Fund Community Needs Assessment
