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Integrated Case Management Initiative

This information was current when the 2001 Children's Cabinet Annual Report was released.

What has been accomplished:

What we have learned about the initiative so far: While entrenched disciplinary perspectives and categorical funding of services work against the integrated delivery of services, there is a groundswell of support for moving towards collaboration across disciplines and service systems. The ten Findings listed in the ICM Assessment Report summarize the lessons of the ICM pilot, key points include:

What more there is to do (recommendations for the future): Attached to each of the ten Findings of the ICM Assessment Report are numerous Recommendations and Next Steps for moving forward with integration of service delivery systems. Key among those recommendations are:

Vision of the initiative: Provide Maine families and children with access to services that are planned for, managed, and delivered in a holistic and integrated manner in order to improve their self-sufficiency, safety, economic stability, health, and quality of life.

Description of the initiative: Integrated Case Management Systems (ICMS) is a medium for collaborative service delivery across departmental and community-based services for Maine families. An interdisciplinary venture, ICM collaborates across the four disciplines of child welfare, domestic violence, mental health, and substance abuse, as well as across the public and private sectors where often both state government and local service providers are working with families. The key features of the integrated case management model are that the case is comprised of the entire family, a comprehensive family plan is developed through a facilitated team approach which includes family participation, and one person assumes the role of Lead Case Manager.

Legal basis for the initiative: As an initiative of the Maine Children’s Cabinet, the legal basis for the initiative lies in Public Law #2679 which charges the cabinet to "collaborate to create, manage and promote coordinated policies, programs and service delivery systems that support children, families and communities…"

Oversight authority: The Children’s Cabinet through the Integrated Case Management Systems (ICMS) Steering Committee.

Source and amount of funding: During the pilot stage funding for ICM was provided through the Region III Children’s Cabinet for the Bangor site, through the Community Services Center for the Bath site, and through a Child Welfare Training grant to Muskie for ICM training (this grant ended 9/30/00). In the ICM cases in Bangor the RCC funded ICM facilitation (up to 25 hours per case) for cases where the facilitation hours were not covered by a departmental budget (for example, the DMHMRSAS provided a facilitator for at least four cases and supported their staff for those hours). Three cases utilized a total of $1,625 in RCC funds. RCC funds are also being utilized to produce additional ICM brochures and to provide Cross-Disciplinary Training in other counties in the Region. Thus, the RCC budget includes $20,500 for ICM facilitation as well as for other neutral facilitation services in the Region. In the Bath region the CSC has provided $10,000 per year for Coastal Economic Development (CED) to provide ICM Lead Case Manager services and to provide administrative support to the Bath Steering Committee.

Lead agencies responsible for assuring outcomes: Region III Children’s Cabinet for the Bangor pilot; CED for the Bath pilot; and Muskie in Augusta for the training grant outcomes.

Collaborative partners: DOC; DoE; DMHMRSAS; DHS (ASPIRE, BEAS, BCFS, BFI, BMS, and Public Health Nursing); Office of Substance Abuse; Community Service Center; DOL; Region III Children’s Cabinet; ISPI; Maine State Housing Authority; Bangor Public Schools; Catholic Charities Maine St. Michael’s Center; Child Development Services; Community Health & Counseling Service; MSAD #22; OHI; Old Town Regional Program; Penquis CAP, Inc.; Spruce Run; Training and Development Corp.; The Arcadia Hospital; United Maine Families; University of Maine’s Institute for At Risk Students; WINGS for Children & Families; Coastal Economic Development; Addiction Resource Center; Bath Housing Authority; Bath-Brunswick Child Care Services; Brunswick Housing Authority; Family Crisis Services; Literacy Volunteers; Mid-Coast Family Mediation; Parent Resource Center; Sweetser/Shoreline Community Mental Health Services; Tedford Shelter; and United Way of Mid Coast Maine.

Physical location from which initiative is administered: Bangor’s pilot is physically located at the RCC office at DHS in Bangor; Bath’s pilot is located at the CED offices in Bath; and the ICM Steering Committee is located at the Deputy Commissioner’s office at DHS in Augusta.