Clients in this program tend to have more acute mental disorders than clients in CAP, and because they live independently, they require more intensive support from case managers. Most clients have histories of multiple hospitalizations, failure to connect with treatment, and severe disruptions in their lives due to effects of their illness. Most clients also have substance abuse problems, which adds to the instability and chaos they experience. A case manager will help his or her client navigate the confusing and chaotic mental health system. Case managers also help clients obtain chronically scarce resources for medical treatment, housing, and other support services.
Clients meet case managers in their natural settings, often in-home or at their day treatment sites.
Case managers must be skilled at engaging clients who have been reluctant to enter treatment. They assess clients' most urgent needs, which often involve securing housing and public benefits. Case managers also connect clients to needed psychiatric and medical services. Medication is often the most effective intervention for improved functioning. Case managers monitor and encourage medication compliance by working in tandem with psychiatrists, nurses and other specialists.