The Importance of Coordination of Care for Students and the Campus Community as a Whole

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The Importance of Coordination of Care for Students and the Campus Community as a Whole Presented by: UCI Campus Social Workers Brenda Lapinid, LCSW & Sheena Danesh, LCSW Stronger Together: California Colleges & Universities United for Student Mental Health September 9, 2014 Westin LAX Los Angeles, CA

About Us Brenda Lapinid, LCSW Sheena Danesh, LCSW Our work experience UCI Campus Social Workers

Introductions Who is in the room?

Learning Objectives Participants will be able to name potential on- or off-campus departments in which they can develop a partnership in order to effectively support at-risk students Participants will be able to identify benefits of care coordination Participants will be able to devise strategies of care coordination relevant to their own campus

UC Irvine at a glance

One of 10 universities in the UC system At a Glance Located in south Orange County Affluent area 4 year public institution Close to 30,000 students enrolled

2013-2014 University Statistics Enrollment 29,588 Students 23,530 Undergraduates 75 Post baccalaureates 5,983 Graduate students Workforce 10,404 Employees* 2,838 Faculty 2,615 Non-teaching academics 4,951 Campus staff *Does not include UCI Medical Center staff or student employees

History of Higher Education Case Management

Case management History of Higher Education Case Management Engages clients in a collaborative process in addressing their needs and goals while building upon their strengths and protective factors. Case management is a person-centered, assessment-based, interdisciplinary approach. Case managers advocate for clients rights to self-determination, privacy and access to supportive services and resources. University of Miami, 2000 Virginia Tech University, 2007 Case Managers departments Behavioral Intervention Teams Outreach, engagement, prevention, early intervention and supportive services

Addressing the whole individual medical, psychological, cultural, behavioral and spiritual Standards for Case Management Practice Collaboration Client-centered decision making Decrease fragmentation of care Evidence-based practices Improving outcomes Moving clients to optimal levels of health and well-being Improving client safety Improving care plan adherence

The mission of the Wellness, Health & Counseling Services cluster is to support the campus' goal of achieving greater levels of academic excellence. We believe that academic excellence is facilitated when students have a strong mind, a healthy body, an enlivened spirit and a clear aspiration nurtured in a supportive environment. In assessing and addressing the needs of our students, our focus is UC Irvine s Model placed not only on counseling and treatment plans, but also on the expectation that students will play an active role in developing strategies on their own behalf. Our units are committed to a holistic orientation to service delivery which involves impacting not only students, but the entire UCI campus community and academic climate.

UCI Campus Social Workers Departments Office of the Assistant Vice Chancellor for Wellness, Health & Counseling Services Counseling Center (CAPS) Services Outreach Advocacy Assessment Support Planning Monitoring Care coordination Clients Students Faculty and staff

On-Campus Partners Student Affairs Housing Financial Aid Hospitality & Dining Services Counseling Center Student Health Center Campus Assault Resources & Education Disability Services Center Health Education Center Student Conduct Veterans Services LGBT Resource Center International Center Career Center Child Care Services Registrar

On-Campus Partners Academic Affairs Academic Advising Deans & Associate Deans Professors Teaching Assistants Division of Undergraduate Education Graduate Division Other Departments Office of Equal Opportunity & Diversity (Title IX Coordinator) Office of the Ombudsman Police Department Human Resources

On-Campus Partners Committees Graduate Resource Center Advisory Board Mental Health Initiative Committee Alcohol & Other Drug Task Force Coordinated Community Response Student Affairs Emergency Funds Committee LGBT Resource Emergency Funds Committee UC Wide Student Food Pantry and Access Subcommittee

UCI Consultation Team Team Activation Core and Activated Members

UC Irvine Medical Center Memorandum of understanding Annual meetings with attending psychiatrists and unit social workers (social workers, Counseling Center, SHC) Working relationship with unit social workers Psychiatric hospitalizations Discharge planning for continuity of care

Off-Campus Partners Housing Local mental health providers and agencies Second Harvest Food Bank of Orange County CalFresh enrollment Community Service Programs, Inc. National Alliance on MentaI Illness Orange County Share Our Selves

Too many cooks in the kitchen Silos / lack of communication Fragmentation Challenges and Barriers Disagreement among multidisciplines Changes to resources, policies and programs Demand cannot meet needs Systemic barriers to access services Lack of social support for client Time consumption Meeting the client where he/she is at Privacy

Benefits of Coordination of Care

Prevention and early intervention Benefits of Coordination of Care Reduce symptoms Retention in treatment Reduce hospital use Improve overall well-being Increase level of functioning Student academic retention

Client engagement in planning and decision process Benefits of Coordination of Care Empowerment Cost-effective Time efficient Reduce the need for service coordination Duty of reasonable care De-stigmatization Protect health and safety

Outreach and marketing Building and nurturing relationships with partners How To... Feedback loop / reciprocity Dependability and follow-through Value partnership and expertise Respect others perspectives while balancing advocacy role Maintain privacy and safety Team effort: same message to the client

QUESTIONS?

Contact Information Brenda Lapinid, LCSW (949) 824-1418 brenda.lapinid@uci.edu Sheena Danesh, LCSW (949) 824-3680 sheena.danesh@uci.edu

Reference List: Anatas, J.W., Clark, E.J., Aufderhaar, L., Giddens, B., Holder, L., Mass, S., Matsuyoshi, J., Moxley, D., Rapp, R., Schwan, N.R., Solomon, P., Stefanelli, M., Whitaker, T.R., & Herman, C. (2013). NASW standards for social work case management. Publication of the National Association of Social Workers (NASW). Anderson, K. (2012, July 6). Virginia Tech survivor shares her story - Kristina Anderson. [Video file]. Retrieved from https://www.youtube.com/watch?v=sgbq92s51sy&feature=youtu.be Bedell, J.R., Cohen, N.l., & Sullivan, A. (2000). Case management: the current best practices and the next generation of innovation. Community Mental Health Journal, 36(2), 179-194. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/10800866 Bunger, A.C. (2010). Defining service coordination: A social worker perspective. NIH Public Access, Author Manuscript, J Soc Serv Res, 35(5): 385-401. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/pmc2992332/ Case Management Society of America (CMSA). (Revised 2010). Standards of Practice for Case Management. Retrieved from http://www.cmsa.org/portals/0/pdf/memberonly/standardsofpractice.pdf Mental Health America of Texas. (2011, August 31). ASK the question: Kurt s true story of help & hope for college suicide prevention. [Video file]. Retired from https://www.youtube.com/watch?v=ut50yltrdz8&feature=youtu.be Van Brunt, B., Woodley, E., Gunn, J., Raleigh, MJ, Reinach Wolf, C. & Sokolow, B. (2012). Case management in higher education. Publication of the National Behavioral Intervention Team Association (NaBITA) and the American College Counseling Association (ACCA). Wilson, C., Powell, A., Woodley, E., Nelson-Moss, T.M., Blamey, A., & Thibodeau, T. (n.d.). The History of case management in higher education. Publication of the Higher Education Case Managers Association (HECMA).