HIV Medical Case Management Certificate
The DMS HIV Medical Case Management (MCM) Certificate Program consists of eleven online trainings and two full-day workshops. The certificate curriculum is based on input from AIDS Service Organizations, the Denver Transitional Grant Area (TGA), Boston College Graduate School of Social Work and others in order to meet the new HRSA MCM definition requirements: Medical case management services must be provided by trained professionals, including both medically credentialed and other health care staff. DMS presented the MCM Certificate Program at the 2011 National HIV and Social Work Conference to a diverse audience of MCMs, program supervisors and system administrators. DMS has been asked to present the Certificate Program at the HIV and Social Work Conference again in 2012. In addition to the Arizona Part B system, the program was delivered to the Denver TGA in 2011. The program will be offered to Iowa Part B & Arizona Parts A & B MCMs 2012, and other national and local programs are expected to be finalized for delivery in 2012.
The goal of the MCM Certificate Program is to provide attendants with a strong knowledge base and the clinical skill set necessary to succeed with the diverse set of client needs inherent to work in HIV/AIDS. To accomplish this, DMS implements a combination of online and in-person workshops tested with case managers in both urban and rural settings. DMS manages the web-based training through a learning management system that allows user progress reports. Attendants are asked to complete the web-based portion of the program before attending the in-person workshops. For more information about the online and in-person trainings, please see below. Please note that the workshops are presented in order of recommended completion.
Online Training:
Helper as a Person in HIV: Sometimes it is difficult being human in human services. This workshop gives the attendant basics self-care skills in MCM. At the end of the workshop attendants will be able to: (1) Define appropriate professional boundaries; (2) Identify Transference and Counter Transference; (3) Identify the dynamics of burn-out; (4) Understand the serious health dangers of burn-out; (5) Define vicarious trauma, secondary trauma, and compassion fatigue; and (6) Understand how to maximize wellness in the helping field.
Therapeutic Communication in HIV: This workshop enhances the MCM’s ability to communicate with clients who have HIV/AIDS. At the end of the workshop attendant will be able to: (1) Identify the basic elements of therapeutic communication; (2) Identify the obstacles to effective communication; (3) Increase knowledge about the fundamental skills for therapeutic communication; and (4) Learn new communication techniques to utilize immediately.
Multiculturalism in HIV: Working with people diagnosed with HIV/AIDS means working with a very diverse group of clients. At the end of the workshop attendants will be able to: (1) Define key terms, such as culture, ethnicity, race and cultural competence; (2) Understand what it means to be a culturally competent helper; (3) Describe the impact of culture on personal development; and (4) Utilize new approaches to cultural competence in work with clients.
Approaches to Difficult Situations in HIV: MCMs deal with many challenging situations including client struggles with mental health and substance abuse. This workshop teaches the attendant how to deal effectively with difficult situations involving clients with HIV/AIDS. At the end of the workshop attendants will be able to: (1) Identify the facts about escalation; (2) Manage the verbal escalation continuum; and (3) Identify therapeutic strategies in dealing with difficult situations.
HIV 101: The better MCMs understand HIV, the better they can support and educate clients. Research shows that client understanding of HIV increases adherence and health outcomes. At the end of the workshop attendants will be able to: (1) Explain the life cycle of HIV; (2) Identify HIV transmission and risk factors; (3) Identify the dynamics and limitations of HIV testing; (4) Identify different labs; (5) Explain the basics of HIV treatment; and (6) Explain the basics of HIV medication and side effects.
HIPAA in HIV: As a helping professional, it is essential that MCMs understand confidentiality and HIPAA. At the end of the workshop attendants will be able to: (1) Identify the key components of HIPAA; (2) Define what HIPAA does; (3) Understand the guidelines for releasing protected health information; and (4) Understand the guidelines for technology.
Mandatory Reporting in HIV: Learn about Mandatory Reporting and other requirements as a helper working in the HIV/AIDS field. At the end of the workshop attendants will be able to: (1) Define Informed Consent; (2) Identify the elements of Duty to Warn; (3) Understand Mandatory Reporting; and (4) Understand reporting as it relates to At-Risk Adults.
Service Planning and Monitoring in HIV: Learn how to effectively and efficiently utilize service plans and monitor client progress. Critical to funding and service delivery, this training examines best practices in utilizing paperwork to improve client outcomes. At the end of the workshop attendants will be able to: (1) Identify the service planning cycle; (2) Name the reasons for service planning; (3) Write measurable objectives; and (4) Write a service plan for re-engagement in care.
Stages of Change in HIV: Learn about the stages of change and how to utilize them with clients diagnosed with HIV/AIDS. At the end of the workshop attendants will be able to: (1) Identify key attributes of clients in each stage of change; and (2) Describe the Helper’s tasks in working with clients in each stage of change.
Harm Reduction in HIV: Learn how to apply harm reduction approaches to client-centered care with those diagnosed with HIV/AIDS. At the end of the workshop attendants will be able to: (1) Apply Harm Reduction theory; (2) Identify key tenets of Harm Reduction; and (3) Recognize Harm Reduction approaches to client-centered care.
Motivational Interviewing (MI): Introduces the theory and skills in applying MI approaches. The training offers specific MI approaches (e.g. FRAMES) and strategies for maximizing client outcomes. Specifically, this workshop seeks to enhance skills and confidence in assessing, engaging, and supporting clients toward positive life changes. At the end of the workshop attendants will be able to: (1) Define Motivational Interviewing (MI); (2) Identify the 4 fundamental principles of MI; (3) Identify “The Fundamental” helping skills; (4) Understand tools to assess readiness for change; (5) Assess where to start with the many goals participants present; and (6) Understand methods to evoke change. talk.
Motivational Interviewing for Supervisors (Optional for Supervisors or other interested parties): This workshop is intended to enhance the knowledge, skills and confidence in applying MI approaches as a Supervisor. MI for Supervisors builds off the MI Web-based Training and incorporates management theory to enhance the ability of Supervisors to support workers in implementing MI approaches, and to provide key skills in managing workers. At the end of this workshop attendants will be able to: (1) Increase understanding of MI approaches; (2) Enhance ability to support MCMs in applying MI approaches; (3) Understand the use of MI approaches in the supervision/management of employees.
In Person Training:
Best Practices in MCM: A brief overview of a nation-wide study of medical case management both in HIV and in other chronic diseases. At the end of the section attendants will be able to: (1) Identify best practices in MCM; (2) Understand the role of MCMs in increasing health outcomes; and (3) Understand the role of MCMs in decreasing health costs.
Positioning Clients to Succeed: This section will set the foundation for the therapeutic aspects of the MCM Certificate Program, giving the attendant the knowledge to conceptualize clients and how to position them for success. At the end of the section attendants will be able to: (1) Identify reasons the impact of trauma and stress; (2) Recall aspects of neurobiological research on change; and (3) Utilize Stages of Change to assess how clients are positioned for change.
Motivational Interviewing: Building upon the conceptualization and assessment skills learned in the previous section, this section provides a review of MI theory with a significant amount of skills practice to build confidence and abilities. At the end of the section attendants will be able to: (1) Better understand MI theory; (2) Explain the 4 fundamental principles of MI; and (3) Willing to implement at least 1 MI approach with clients.
Medical Self Management: Client self management of their medical condition is the goal of most MCM programs. In this section, attendants will learn strategies associated with health literacy and adherence. These strategies and approaches will connect best practices with MI skills learned in Day 1. At the end of the section attendants will be able to: (1) Understand the connection between medical self management and change; (2) Better understand how to enhance health literacy; and (3) Utilize MI techniques to discuss adherence with clients.
Thrive: Being the best MCM Possible: The final section of the training will focus to the MCM as a professional and a person. One often overlooked skill is the ability to stay healthy and effective in an extremely stressful job where burnout and secondary trauma are real threats, and can negatively impact the very people we are serving. This section will give the attendants strategies to keep themselves healthy and increase their overall performance. At the end of the section attendants will be able to: (1) Define robustness; (2) Identify the impact of stress, trauma or burnout on the helper; and (3) Implement self care strategies to enhance robustness or resiliency.
