This post addresses some of the recent changes in Intellectual Disabilities (ID) Case Management.
The job of a case manager has changed significantly in the last 10 plus years. Everything from the terminology to the amount of paperwork required has changed dramatically. Some of the changes have been necessary but many of the changes have resulted in frustration. The source of much of the frustration has been largely due to the steady increase in responsibilities of case managers and service coordinators. Many case managers feel that the changes in requirements do not take into account the large amount of work that case managers already have on their plates. In my state of Virginia, the changes have been constant over the last 2-3 years. A lawsuit from the Department of Justice has lead to the downsizing of most long-term training centers for the disabled.
Who’s responsible for finding all of these residents placement in the community? Of course the answer is the case manger. In addition handling caseloads that can reach up to 50 in some cases, case managers are also responsible for coordinating community placements for residents who have spent most of their adult lives in state operated facilities. Many of these residents are medically fragile in addition to having mental health and developmental disabilities. This makes it even more difficult to find providers that are suitable to meet their complex needs. The move to downsize the state facilities is to provide support in the community under the least restrictive environment. This is a move I fully support.