How does our case management program work?

You must be referred—but anyone who knows you can send in a referral form.
You must be diagnosed with a serious mental illness, and at risk of homelessness or hospitalization.

  1. Case management starts with an assessment.
  2. After the assessment, you will be given the name and phone number of your case manager.
  3. You call to set up your first appointment.
  4. The first thing you and your case manager will work on is a plan—an individualized recovery plan identifying:

    • The goals you will meet.
    • Your strengths and skills—what you’ve got to help you meet goals.
    • The steps you will take to meet your goals.
    • What your case manager will do to help you.
  6. You and your case manager will meet regularly to work on your goals, according to your recovery plan.
  7. Every six months you and your case manager review your progress and adjust your recovery plan.
  8. You finish up with case management when you have met the goals on your recovery plan.

Case Management = Connecting
Your case manager will help you make connections to:


  • Getting into a shelter or crisis bed.
  • Applying for housing assistance.
  • Finding food, clothing and household goods.
  • Trouble shooting your needs.


  • Understanding your illness and how to handle it.
  • Managing your illness so that you can have a good life.
  • Working with the professionals you need, such as a psychiatrist or therapist.


  • Connecting to a primary care physician.
  • Understanding and following through on your doctor’s advice.
  • Getting the medication your doctor or psychiatrist prescribes.
  • If you abuse alcohol or other drugs, talking about it.


  • Getting into a supported employment program.
  • Helping you find a job.
  • Applying for benefits like Social Security and food stamps.
  • Helping you learn to manage your money.


  • Helping you spend your time on activities that mean a lot to you.
  • Continuing your education.
  • Reminding you not to give up, and helping you believe in yourself.
  • Finding places you might want to volunteer.


  • Finding support groups and building friendships.
  • Speaking up for yourself.
  • Repairing relationships.
  • Helping you access transportation benefits

What can I expect from my case manager?

  • Making appointments in advance, and arriving pretty much on time.
  • Breaking down big goals into small steps, and then supporting you in taking each step.
  • Listening to what you have to say. If you are an adult, treating you like an adult.
  • Giving you information and support.
  • Returning your calls the next business day. (They get time off on the weekends.)
  • Helping you with a ride after an appointment.
  • Going to bat for you when needed.
  • Keeping good notes that you can see, check and sign.

What will my case manager expect from me

  • Keeping your appointments, and being pretty much on time.
  • Treating him or her with respect.
  • Naming the goals that you really care about.
  • Staying in touch and keeping your phone working.
  • Working hard to take the steps you need to turn things around.
  • Using your strengths and talents to help yourself.
  • Asking questions when you don’t understand.
  • Giving the case manager’s ideas a chance.
guidestar our organization facebook twitter youtube linkin