Corporate Strategy

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Almost Everything You Need to Know About

The Integrated Care Team

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Houskeeping

Cell phones Restrooms Emergency Exits

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Objectives Name different types of ICT Understand the differences between the

types of ICT Describe the roles of each activity

involved in ICT Describe the appropriate methods of

documentation Describe how an ICT functions

Integrated Care Team 2015 Training Institute

Corporate Strategy

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What is an Integrated Care Team?

Health Services + Disaster Mental Health + Client Casework

Sum is greater than the parts

Holistic approach

Addresses special disaster-related Health and Mental Health needs

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What is an Integrated Care Team?

Lead by Health Services

Generally in teams of three Occasionally accompanied by Disaster Spiritual

Care

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Three Types of ICT

Home/Hospital Visit (appointment) Condolence Team

Emergency Aid Stations (EAS) (fixed)

Outreach (mobile)

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ICT Home/Hospital Visits

Team goes to the client Visits are prearranged Never alone Proper identification Privacy/confidentiality

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ICT Home Visits – Health Services

Home safety checks Dressing changes Medication/eyeglass replacement Dentures and durable medical goods

replacement

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ICT Home Visits – Health Services

Blood pressure/blood sugar checks Health assessments Arrange transportation Referrals for follow up Patient education

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ICT Home Visits – Client Casework

Determine client’s eligibility for services Financial Assistance may be entered

into CAS directly and CAC issued on site Referrals to local services/organizations Promote recovery process Client advocacy

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ICT Home Visits - DMH

Assess psychological needs

Utilize Enhanced PFA

Whole-family emotional support

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ICT Home Visits - DMH

Refer to community resources and/or connect with provider

Psychoeducation materials

Help with coping strategies

Support the workers on the team

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ICT Hospital Visits Emotional support – client and family Medical advocacy Client casework (CAS) Disaster assistance Scalable

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Emergency Aid Stations

Fixed, temporary site Community-based, often highly visible May include Mass Care Same services provided as

Home/Hospital visits Community support and referral

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ICT Outreach Mobile services Typically “search and serve” in targeted

neighborhoods Full range of services May include community partner Eyes and ears for HQ, government

partners

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ICT Condolence Team Composition

No more than 2-3 team members

May include Disaster Spiritual Care

If possible, include local driver

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ICT Condolence At client’s home or place of client’s choosing Assist with funeral expenses Hospital/Morgue escort DNA collection support Support disaster site visits, memorials,

funerals and other activities

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ICT Condolence – Health Services

Work with local Coroner’s Office Complete DHS Mortality Report Assess general health and well-being of

family members Evaluate disaster-related health needs for

surviving members

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ICT Condolence – Client Casework

Death-related benefits from ARC limited to $500

Class V benefits On large DROs, where fund raising has occurred, amount

may increase Working on National standardization of policies/procedures

Referrals to local services/agencies

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ICT Condolence – DMH Provide compassionate presence and

emotional support Assist with practical needs Promote healthy coping, problem-solving Support family’s emotional needs

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ICT Condolence – DMH

Assist with family crisis communication Provide guidance for supporting children Offer community referrals Provide emotional support for Team

members

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ICT Condolence – Spiritual Care

Qualified, vetted Red Cross Chaplains Assess family’s spiritual needs Facilitate connection with local spiritual Provide grief counseling and support Assist clients and community with memorial

planning

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ICT – Locally

Meet with hospitalized burn victims Work with hospital discharge coordinator Welfare check Occasional funeral assistance

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Putting an ICT Together Assess client/family’s specialized needs Assign Project Manager/Team Lead Identify purpose of Team Identify composition of Team

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Putting an ICT Together Make a plan Expect the unexpected Only one person in contact with family

before visit Take ID, appropriate clothing

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Putting an ICT Together

Do your homework! Cultural considerations Confirm, communicate with family Be prepared

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Putting an ICT Together

Team safety End meeting Confidentiality

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ICT Documentation

HS can open a case in CAS and issue CAC

Documentation by HS and DMH in Client Health Record

CAS documentation very limited for HS and DMH

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ICT – Special Considerations

Travel to unfamiliar areas Possible communication challenges Work is often time-consuming Work is on client’s time schedule – often in

evenings or weekends

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ICT – Special Considerations

Risk of secondary traumatization Physically challenging Clients respond with varying grief reactions

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ICT – Care and Feeding

Limit two condolence calls per day Team support – talk with each other Closed meeting for team members after

each visit Family support – reassure your family Practice your own good coping skills

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ICT – Care and Feeding

Chocolate!

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Thank You!

Questions?

Janet Bailey jbailey@easystreet.net

Carol Grosscarol.gross@redcross.org