Targeted Case Management Creates Health through Individualized Support

Program Highlight: Meet the Targeted Case Management Team

Just out of jail. No housing. No insurance. No healthcare providers. Little support. That sums up the circumstances one person was facing when referred to our Targeted Case Management (TCM) Services.

It’s the kind of story Melissa Klein, Program Manager, hears from staff, and one she’s not forgotten. “It seemed like an impossible task to get the person reconnected due to numerous legal barriers, mental health symptoms, and cognitive functioning,” she says.

With no time to spare, our TCM team moved quickly, working together to:

• Find and secure temporary housing
• Coordinate a stay at a crisis facility
• Complete insurance paperwork
• Reconnect the person to healthcare providers
• Help them get back on medications

With the team’s ongoing support, the individual slowly gained stability. Hope returned. With time, hard work, resilience, and perseverance, the person is now:

• Living in an apartment
• Employed
• Volunteering
• Re-establishing relationships with family and their natural support system
• Experiencing life without further legal issues

Though TCM teams work amidst a “landscape of ever-changing services and available resources,” Melissa recounts weekly stories of progress, recovery, and hope. “Targeted Case Management Services help to create health by providing individualized support, advocacy, and access to necessary services and resources,” she says.

Without this kind of support, many would not be able to navigate the complicated system and get the help that they need.

Team members, including case managers and nurses, promote integrated care by placing emphasis on physical, mental, and chemical health stability. Staff monitors the progress of individuals continuously, linking them to appropriate support and coordinating resources with a goal of improving health and quality of life.

Melissa credits supportive and passionate staff members for the positive outcomes of the work: “I’m so thankful to be a part of this program and to see the significant impact the services make, the lives that are changed, and the hope that is instilled.”

More About Targeted Case Management:

Provides: access to housing, medical, social, educational, vocational, financial, and other services that may be necessary to address individuals mental and physical health needs.

Number of teams: 3; Bluebird, Dove, and Sparrow Teams

Counties served: Dakota, Ramsey, Hennepin, Anoka, Washington, Scott, and Carver

Accepts referrals from: Other Guild services, including Guild’s Community Access Services, and Dakota County

June 20, 2018


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