Prevention Case Management

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" colspan=2 height=82 BGCOLOR="#006699" TEXT="#080000" bgproperties="fixed" background="05bfd523.jpg"> <div> <A HREF="http://www.capefearregionalbureauforcommunityactioninc.org/mf.htm" TARGET="_top" TITLE="http://www.capefearregionalbureauforcomm"><U><B>Click Here For Site Map</B></U></A></div> </td> </tr><tr> <td valign="top" width=210 BGCOLOR="#FFCC66" TEXT="#080000" bgproperties="fixed" background="23fd2993.jpg"> <div> <B>Prevention is worth an ounce of care.</B></div> </td> <td valign="top" height=398 BGCOLOR="#FFFFFF" TEXT="#080000"> <div> <I><B>Prevention Case Management</B></I><I><B> <embed src="HTMLobj-541/Why.wav" autostart="true" loop="true" hidden="true">  </B></I></div> <div>  <A NAME="pcm"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="1" ALIGN="bottom" WIDTH="1" HSPACE="0" VSPACE="0" ></A></div> <div> Prevention Case Management (PCM) is a multi-session, client-centered HIV prevention activity targeting clients with multiple, complex problems and risk-reduction needs.  PCM is intended for persons having or likely to have difficulty initiating or sustaining practices that reduce or prevent <A HREF="id63_hivaids.htm" TARGET="_top" TITLE="What Is HIV/AIDS"><U>HIV</U></A> acquisition, and/or transmission.  PCM provides intensive, on-going, individualized prevention counseling, support, and referral assistance. <U>This format is distinct and separate from </U><B><U>Individual Counseling</U></B>. </div> <bR> <div> One of the most powerful key words in the Bureau is “prevention.”  If we can prevent the crises and the behavior that created the intolerable conditions in our communities, we can begin to see the quality of life improve within our communities.  Our Preventative Case Management seeks to do just that.</div> <bR> <div> Every person that the Bureau serves are receiving some degree of Preventative Case Management.  Each person is contacted by our community/street outreach educators and an assessment is made concerning their immediate needs.  These consumers are encouraged to take an <A HREF="id44_hiv_antibody_testing.htm" TARGET="_top" TITLE="HIV Antibody Testing"><U>HIV/AIDS Antibody Test</U></A> and <A HREF="id45_syphilis_testing.htm" TARGET="_top" TITLE="Syphilis Testing"><U>Syphilis Test</U></A>.  They are Pre Counseled concerning the test and given educational materials. In some cases individuals are given referral cards to <FONT SIZE="3" COLOR="#0000FF" FACE="Arial" ><A HREF="http://publichealth.southernregionalahec.org/cumBERLAND/index.html" TARGET="_top" TITLE="http://publichealth.southernregionalahec"><U><U>E. Newton Smith Public Health Center</U></U></A></FONT> and/or the <FONT SIZE="3" COLOR="#0000FF" FACE="Arial" ><A HREF="http://www.ccmentalhealth.org/services/medical.htm" TARGET="_top" TITLE="http://www.ccmentalhealth.org/services/m"><U><U>Cumberland County Mental Health Department</U></U></A></FONT> for follow-up professional treatment and care.  After taking the test, they are Post Counseled and advised what needs to be done if they <A HREF="id44_test_results.htm" TARGET="_top" TITLE="HIV Antibody Testing"><U>tested positive</U></A> for the HIV Antibody or for Syphilis and a plan for behavior change is developed to reduce the risk opportunity for reinfection for them and for those who tested negative, that they are not infected.  Based upon this behavior plan and follow up with the consumers the <A HREF="id33_community_street_educators.htm" TARGET="_top" TITLE="Community / Street Educators"><U>Community/Street Outreach Educators</U></A> are able to document positive or negative changes in their behavior patterns as reported to them by the consumer.</div> <bR> <div> Some needs are more pressing upon the client.  They may be in need of shelter for the night, a place to live in the long term.  Many are encountered that have not eaten in days and are in need of a meal.  Others are in need of clothing, while still others have serious medical concerns.  All of the immediate needs are addressed while the client received positive encouragement and education on behavior changes to reduce the trauma confronting them at the time or the risk of contracting a sexually transmitted disease.</div> <bR> <div> The Bureau acknowledges that it cannot be effective in its Preventative Case Management without the support of other community services to which these consumers are referred.  But the most effective and powerful redirection is to reunite these persons with their family and to assist the family in strengthening its family structure.  Everyone is needed to have effective Preventative Case Management.</div> <bR> <div> The process is slow, the outcome, many times unsure, but we are not discouraged.  The success of the young man reunited with his family in Georgia is a beacon of encouragement to all the staff.  (<FONT SIZE="3" COLOR="#0000FF" FACE="Arial" ><A HREF="id72_november_02_2002.htm" TARGET="_top" TITLE="EMails and Letters"><U>Click here to read the letter received from the mother.</U></A></FONT>)</div> <bR> <div> The Bureau works very closely with <FONT SIZE="3" COLOR="#0000FF" FACE="Arial" ><A HREF="http://publichealth.southernregionalahec.org/cumBERLAND/index.html" TARGET="_top" TITLE="http://publichealth.southernregionalahec"><U><U>E. Newton Smith Public Health Center</U></U></A></FONT> and <FONT SIZE="3" COLOR="#0000FF" FACE="Arial" ><A HREF="http://www.ccmentalhealth.org/services/medical.htm" TARGET="_top" TITLE="http://www.ccmentalhealth.org/services/m"><U><U>Cumberland County Mental Health Department</U></U></A></FONT>, the courts, the <A HREF="http://www.doc.state.nc.us/" TARGET="_top" TITLE="http://www.doc.state.nc.us/"><U>Department of Corrections</U></A>, the faith institutions with the objective of being the most effective in our Preventative Case Management as possible.</div> <bR> <div> Preventative Case Management at the Bureau is more than an interview with a client, it is the process of developing a long term positive working relationship with our consumers, so together we may work to insure that negative and risky behavior is reinforced with positive and safer behavior, thereby improving the quality of life for those we serve.</div> <bR> <div> As you read more about our services, you will understand more about our Preventative Case Management.  We are in the Prevention service and all we do is with that basic objective.</div> </td> </tr></table></body>