DRCM 4: Service Planning, Coordination, and Implementation
Each individual or family
participates in the development, implementation, and ongoing review of a recovery plan that is the basis for delivery of appropriate services and support.
The disaster recovery plan outlines time-limited tasks for both client
and worker to link the client with necessary resources and services for recovery, to guide decision-making priorities for advocacy
, and to establish a means to monitor progress and subsequent goal achievement and case closure.
Interpretation: Disaster specific services needed or requested by individuals and families that the case manager helps clients access can include, and are not limited to, the following:
- For all individuals and families: other services needed to maintain and preserve independence or to promote or recover optimum social, psychological, and physical development and functioning.
- For individuals, families, and children: mental health or other counseling services, group activity and/or recreation programs, volunteer or employment programs, homemaker services, foster care, intergenerational support services, vocational training, child care, and tutorial programs.
- For individuals with special needs: counseling, services for substance use conditions, transitional living arrangements, residential treatment or other out-of-home placement, education, day treatment or activity programs, nutrition services, vocational training or rehabilitation, and transportation services.
- For older adults: mental health or other counseling services, medical and rehabilitative services, escort/transportation services, social programs, volunteer or employment programs, in-home care services, skilled nursing services, senior companion or intergenerational support services, home delivered meals, telephone reassurance services, repair services, day care and respite services, and legal and financial services.
Case management services:
- directly provide, refer, contract, or otherwise arrange for individuals and families to receive needed services and resources identified in the recovery plan;
- advocate for the client; and
- utilizes a comprehensive, up-to-date list of community programs and services, and information on how to access them.
All individuals and families participate fully in ongoing planning that results in:
- an individualized recovery plan, or series of plans, that assists the client in achieving mutually agreed upon goals;
- direct provision of, or referral for services, as necessary; and
- service coordination.
Interpretation: Recovery planning is conducted such that individuals and families retain as much personal responsibility and self-determination as possible. Individuals with limited ability in making independent choices can receive help with making decisions for themselves and assuming more responsibility for making decisions. When the service recipient is a minor, or an adult under the care of a guardian, the organization should follow applicable state laws or regulations requiring involvement or consent of service recipients’ legal guardians.
When the population served is mobile, for example, in the aftermath of a disaster, an integrated service and exit plan may be initiated.
A recovery plan is developed in a timely manner and an expedited recovery planning process is available to address crisis or urgent need.
The recovery plan is based on the assessment, and includes:
- goals, desired outcomes, and successful case closure, and reasonable timeframes for achieving them;
- services and supports to be provided, and by whom;
- the individual’s or guardian’s signature, as appropriate; and
- documentation and verification needed for the provision and advocacy of services.
During the recovery planning process the client receives an explanation of:
- available options;
- how the organization can support the achievement of desired outcomes;
- the benefits, alternatives, and risk or consequences of planned services; and
- reasons for closing a case.
The recovery plan addresses, as appropriate, disaster service, support, and advocacy needs as documented in the assessment, to include:
- unmet service and support needs;
- possibilities for maintaining and strengthening family relationships; and
- the need for support of the individual’s or family's informal social network.
Recovery plan tasks are identified and completed by the client whenever possible and the plan indicates tasks to be accomplished:
- by the client;
- by the worker; and
- through worker facilitation of referral, assistance, or advocacy.
During disaster recovery planning and implementation, the organization:
- engages in active and collaborative participation with community recovery resource meetings, as appropriate;
- shares information at resource meetings regarding inventories of resources, such as available staff, money, or materials; and
- assures that organizational representatives have authority to allocate resources at the community recovery resource meetings.
Individuals and families who receive Disaster Recovery Case Management Services
access and use resources and support that build on their strengths and meet their service needs.