Disaster Recovery Case Management Definition
Purpose
Individuals and families who receive Disaster Recovery Case Management services access and use resources and support that build on their strengths and meet their service needs.Definition
Interpretation
This standard is unique in that it is only deployed in the aftermath of a disaster. Unlike other programs which may be operational for years, disaster recovery case management programs come into existence in response to a specific disaster and tend to be time limited, closing upon the community’s recovery or when disaster specific resources have been exhausted. In light of the uniqueness of this service delivery model COA may be assesing an organization’s capacity to efficiently and effectively respond when a disaster does strike. It is to the benefit of the organization, the clients, and the community for the organization to be well prepared to deploy case managers in disaster circumstances. Preparation is key to an effective and efficient response that maximizes resources and can move people to recovery as soon as possible.Interpretation
Although primary or short-term disaster case management is focused on emergency relief such as food, clothing, shelter, and information and referral, organizations should provide or coordinate services to address long-term recovery needs as well.Note:Please see the DRCM Reference List for the research that informed the development of these standards.
Note:For information about changes made in the 2020 Edition, please see the DRCM Crosswalk.
Disaster Recovery Case Management (DRCM) 1: Person-Centered Logic Model
The organization implements a program logic model that describes how resources and program activities will support the achievement of positive outcomes.
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Logic models have been implemented for all programs and the organization has identified at least two outcomes for all its programs.
Practices are basically sound but there is room for improvement, as noted in the ratings for the Practice Standards; e.g.,
- Logic models need improvement or clarification; or
- Logic models are still under development for some of its programs, but are completed for all high-risk programs such as protective services, foster care, residential treatment, etc.; or
- At least one outcome has been identified for all of its programs.
Practice requires significant improvement, as noted in the ratings for the Practice Standards. Service quality or program functioning may be compromised; e.g.,
- Logic models need significant improvement; or
- Logic models are still under development for a majority of programs; or
- A logic model has not been developed for one or more high-risk programs; or
- Outcomes have not been identified for one or more programs.
Implementation of the standard is minimal or there is no evidence of implementation at all, as noted in the ratings for the Practice Standards; e.g.,
- Logic models have not been developed or implemented; or
- Outcomes have not been identified for any programs.
DRCM 1.01
A program logic model, or equivalent framework, identifies:
- needs the program will address;
- available human, financial, organizational, and community resources (i.e. inputs);
- program activities intended to bring about desired results;
- program outputs (i.e. the size and scope of services delivered);
- desired outcomes (i.e. the changes you expect to see in persons served); and
- expected long-term impact on the organization, community, and/or system.
Examples: Please see the W.K. Kellogg Foundation Logic Model Development Guide and COA Accreditation’s PQI Tool Kit for more information on developing and using program logic models.
Examples: Information that may be used to inform the development of the program logic model includes, but is not limited to, the best available evidence of service effectiveness.
DRCM 1.02
The logic model identifies desired outcomes in at least two of the following areas:
- change in functional status;
- connection to formal and informal support systems;
- health, welfare, and safety;
- achievement of individual service goals; and
- other outcomes as appropriate to the program or service population.
Interpretation: Outcomes data should be disaggregated to identify patterns of disparity or inequity that can be masked by aggregate data reporting. See PQI 5.02 for more information on disaggregating data to track and monitor identified outcomes.
Interpretation: This standard promotes program evaluation to the greatest extent possible given the challenging circumstances under which disaster recovery case management services are delivered. COA Accreditation recognizes that it may be difficult to track individual outcomes given the nature and duration of DRCM services. If individual outcomes are not being tracked, the organization must be prepared to demonstrate how program-level outputs are used to build capacity, improve programs, and positively impact persons served. Additionally, the organization may speak to how it uses community-wide outcomes data collected by outside entities to make data-informed decisions within its program when appropriate.
Disaster Recovery Case Management (DRCM) 2: Personnel
- With some exceptions, staff (direct service providers, supervisors, and program managers) possess the required qualifications, including education, experience, training, skills, temperament, etc., but the integrity of the service is not compromised; or
- Supervisors provide additional support and oversight, as needed, to the few staff without the listed qualifications; or
- Most staff who do not meet educational requirements are seeking to obtain them; or
- With few exceptions, staff have received required training, including applicable specialized training; or
- Training curricula are not fully developed or lack depth; or
- Training documentation is consistently maintained and kept up-to-date with some exceptions; or
- A substantial number of supervisors meet the requirements of the standard, and the organization provides training and/or consultation to improve competencies when needed; or
- With few exceptions, caseload sizes are consistently maintained as required by the standards or as required by internal policy when caseload has not been set by a standard; or
- Workloads are such that staff can effectively accomplish their assigned tasks and provide quality services and are adjusted as necessary; or
- Specialized services are obtained as required by the standards.
- A significant number of staff (direct service providers, supervisors, and program managers) do not possess the required qualifications, including education, experience, training, skills, temperament, etc.; and as a result, the integrity of the service may be compromised; or
- Job descriptions typically do not reflect the requirements of the standards, and/or hiring practices do not document efforts to hire staff with required qualifications when vacancies occur; or
- Supervisors do not typically provide additional support and oversight to staff without the listed qualifications; or
- A significant number of staff have not received required training, including applicable specialized training; or
- Training documentation is poorly maintained; or
- A significant number of supervisors do not meet the requirements of the standard, and the organization makes little effort to provide training and/or consultation to improve competencies; or
- There are numerous instances where caseload sizes exceed the standards' requirements or the requirements of internal policy when a caseload size is not set by the standard; or
- Workloads are excessive, and the integrity of the service may be compromised; or
- Specialized staff are typically not retained as required and/or many do not possess the required qualifications; or
- Specialized services are infrequently obtained as required by the standards.
DRCM 2.01
- empathy, maturity, judgment, and alertness to warning signs of potential crisis;
- supportiveness and a strengths focus;
- sensitivity to the needs of individuals and families in crisis;
- awareness of the impact of the disaster on the community; and
- cultural and linguistic competence relative to the population served.
DRCM 2.02
- completion of a disaster recovery case management curriculum for supervisors; and
- human services experience including at least four years of supervised experience providing case management or disaster recovery case management services.
DRCM 2.03
- the role of case management in a disaster;
- linking clients and making referrals to community services;
- case advocacy and case presentation;
- disaster relief resources, planning, and procedures;
- disaster terminology;
- stages of disaster response and recovery;
- the disaster declaration process;
- local, state and federal responses to disaster to include the “sequence of delivery” for governmental assistance;
- long-term recovery groups;
- methods to promote empowering client recovery efforts;
- conducting disaster-related screening and needs assessments;
- developing disaster recovery plans;
- record keeping and data management for emergency situations; and
- self care.
DRCM 2.04
- how to determine eligibility; and
- specific registration or procedural application sequences required to avoid duplication or loss of benefits.
DRCM 2.05
- processing and debriefing with staff following a crisis or traumatic event;
- creating an atmosphere of problem-solving and learning;
- providing constructive ways to approach difficult situations with service recipients; and
- facilitating regular feedback, growth opportunities, and a structure for ongoing communication and collaboration.
DRCM 2.06
- the support and training needs and effectiveness of case management staff;
- the prioritization of client needs, and status and support of recovery plan goals;
- the development and processes of disaster specific resources; and
- the need for networking and collaboration with agencies and community providers.
DRCM 2.07
DRCM 2.08
- the qualifications, competencies, and experience of the worker including the level of supervision needed;
- the work and time required to accomplish assigned tasks and job responsibilities; and
- service volume, accounting for assessed level of needs of individuals and families.
Disaster Recovery Case Management (DRCM) 3: Access to Service
- Minor inconsistencies and not yet fully developed practices are noted; however, these do not significantly impact service quality; or
- Procedures need strengthening; or
- With few exceptions, procedures are understood by staff and are being used; or
- For the most part, established timeframes are met; or
- Proper documentation is the norm and any issues with individual staff members are being addressed through performance evaluations and training; or
- Active client participation occurs to a considerable extent.
- Procedures and/or case record documentation need significant strengthening; or
- Procedures are not well-understood or used appropriately; or
- Timeframes are often missed; or
- Several client records are missing important information; or
- Client participation is inconsistent.
- No written procedures, or procedures are clearly inadequate or not being used; or
- Documentation is routinely incomplete and/or missing.
DRCM 3.01
- follow national guidelines for seeking and securing resources and collaborating with partners;
- are clear on their local and, if applicable, national scope of responsibility; and
- adhere to decision-making guidance from the national organization first, then locally, as needed.
DRCM 3.02
DRCM 3.03
Disaster Recovery Case Management (DRCM) 4: Intake and Assessment
- Minor inconsistencies and not yet fully developed practices are noted; however, these do not significantly impact service quality; or
- Procedures need strengthening; or
- With few exceptions, procedures are understood by staff and are being used; or
- In a few rare instances, urgent needs were not prioritized; or
- For the most part, established timeframes are met; or
- Culturally responsive assessments are the norm and any issues with individual staff members are being addressed through performance evaluations and training; or
- Active client participation occurs to a considerable extent.
- Procedures and/or case record documentation need significant strengthening; or
- Procedures are not well-understood or used appropriately; or
- Urgent needs are often not prioritized; or
- Services are frequently not initiated in a timely manner; or
- Applicants are not receiving referrals, as appropriate; or
- Assessment and reassessment timeframes are often missed; or
- Assessments are sometimes not sufficiently individualized;
- Culturally responsive assessments are not the norm, and this is not being addressed in supervision or training; or
- Several client records are missing important information; or
- Client participation is inconsistent; or
- Intake or assessment is done by another organization or referral source and no documentation and/or summary of required information is present in case record.
- There are no written procedures, or procedures are clearly inadequate or not being used; or
- Documentation is routinely incomplete and/or missing.
DRCM 4.01
- how well their request matches the organization's services; and
- what services will be available and when.
DRCM 4.02
- include screening for level or intensity of service including screening for trauma exposure and/or trauma-related symptoms;
- gather information necessary to identify critical service needs and/or determine when a more intensive service is necessary;
- ensure equitable distribution of resources;
- give priority to urgent needs and individual emergency situations, including early recognition of vulnerable populations;
- support timely initiation of services; and
- provide for placement on a waiting list or referral to appropriate resources when individuals cannot be served or cannot be served promptly.
Interpretation: To ensure that transgender and gender non-conforming candidates for service are treated with respect and feel safe, service recipient choice regarding their first names and pronouns should be respected and intake forms and procedures should allow individuals to self-identify their gender.
DRCM 4.03
- promoting and complying with the standardization of forms used for information gathering; and
- sharing client information with necessary safeguards, including client consent for release of information to ensure confidentiality.
Examples: Sharing client information without necessary safeguards can result in identity theft and unintentional release of client information.
DRCM 4.04
- trauma-informed;
- completed within established timeframes;
- updated as needed based on the needs of individuals and families; and
- focused on information pertinent to meeting service requests and objectives.
Interpretation: Organizations that establish their own timeframes should be sensitive to the needs of individuals and families, ongoing recovery efforts and deadlines, and the need for timely development of a recovery plan.
Interpretation: The Assessment Matrix - Private, Public, Canadian, Network determines which level of assessment is required for COA’s Service Sections. The assessment elements of the Matrix should be tailored according to the needs of specific individuals or service design.
- safety;
- trustworthiness and transparency;
- peer support;
- collaboration and mutuality;
- empowerment, voice, and choice; and
- cultural, historical, and gender issues.
DRCM 4.05
- includes assessment of natural supports and helping networks; and
- promptly provides or makes arrangements for specialized assessments, as needed.
DRCM 4.06
- suicidal desire;
- capability;
- intent; and
- buffers/protective factors.
DRCM 4.07
Disaster Recovery Case Management (DRCM) 5: Recovery Planning and Monitoring
- For all individuals and families: crime victims services for victims of mass violence, applications for public benefits and insurance, crisis intervention services, and other services needed to recover optimum social, psychological, and physical functioning.
- For individuals, families, and children: mental health treatment or other counseling services, group activity and/or recreation programs, volunteer or employment programs, personal care services, foster care, respite care, intergenerational support services, vocational training, child care, and tutorial programs.
- For individuals with special needs: counseling, services for substance use conditions, transitional living arrangements, residential treatment or other out-of-home placement, education, day treatment or activity programs, respite care, nutrition services, vocational training or rehabilitation, and transportation services.
- For older adults: mental health or other counseling services, medical and rehabilitative services, escort/transportation services, social programs, volunteer or employment programs, in-home care services, skilled nursing services, senior companion or intergenerational support services, home delivered meals, telephone reassurance services, repair services, day care and respite services, and legal and financial services.
- Minor inconsistencies and not yet fully developed practices are noted; however, these do not significantly impact service quality; or
- Procedures need strengthening; or
- With few exceptions, procedures are understood by staff and are being used; or
- For the most part, established timeframes are met; or
- Proper documentation is the norm and any issues with individual staff members are being addressed through performance evaluations and training; or
- In a few instances, client or staff signatures are missing and/or not dated; or
- With few exceptions, staff work with persons served, when appropriate, to help them receive needed support, access services, mediate barriers, etc.; or
- Active client participation occurs to a considerable extent.
- Procedures and/or case record documentation need significant strengthening; or
- Procedures are not well-understood or used appropriately; or
- Timeframes are often missed; or
- In several instances, client or staff signatures are missing and/or not dated; or
- Quarterly reviews are not being done consistently; or
- Level of care for some clients is clearly inappropriate; or
- Service planning is often done without full client participation; or
- Appropriate family involvement is not documented; or
- Documentation is routinely incomplete and/or missing; or
- Individual staff members work with persons served, when appropriate, to help them receive needed support, access services, mediate barriers, etc., but this is the exception.
- No written procedures, or procedures are clearly inadequate or not being used; or
- Documentation is routinely incomplete and/or missing.
DRCM 5.01
- agreed upon goals, desired outcomes, and timeframes for achieving them;
- time-limited, recovery plan tasks to be completed by the client or worker, with additional tasks to be accomplished through referral, assistance, or advocacy;
- services and supports to be provided, and by whom;
- possibilities for maintaining and strengthening family relationships and other informal social networks;
- procedures for expedited recovery planning when crisis or urgent need is identified; and
- the individual’s or guardian’s signature.
DRCM 5.02
- directly provide or arrange for services and resources identified in the recovery plan;
- provide case coordination and monitoring of services;
- ensure they receive appropriate advocacy support; and
- mediate barriers to services within the service delivery system.
- sensitivity to the willingness of the person or family to be engaged;
- sensitivity to differences in presentation of needs over the phases of recovery and changes in availability of resources;
- a non-threatening manner;
- respect for the person, his/her autonomy, culture, and confidentiality; and
- flexibility.
DRCM 5.03
DRCM 5.04
- confirmation, usually within one or two working days, that a service has been initiated as scheduled;
- verification, usually within 15 working days, that the service is appropriate and satisfactory;
- follow-up every month at a minimum, or as needed; and
- immediate response to any complaints or problems that develop in the delivery of service or with individuals and families.
DRCM 5.05
- recovery plan implementation;
- the individual’s or family’s progress toward achieving goals and desired outcomes; and
- the continuing appropriateness of service goals.
Interpretation: Because disaster recovery case management is time limited, case reviews should be conducted within meaningful timeframes that take into account the nature of the disaster; issues and needs of individuals and families; the frequency, duration, and intensity of services provided; and resources available.
DRCM 5.06
- review progress toward achievement of agreed upon service goals; and
- sign revisions to service goals and plans.
DRCM 5.07
- engages in active and collaborative participation with community recovery resource meetings, as appropriate;
- shares information at resource meetings regarding inventories of resources, such as available staff, money, or materials; and
- assures that organizational representatives have authority to allocate resources at the community recovery resource meetings.
Disaster Recovery Case Management (DRCM) 6: Case Closing
- Minor inconsistencies and not yet fully developed practices are noted; however, these do not significantly impact service quality; or
- Procedures need strengthening; or
- With few exceptions, procedures are understood by staff and are being used; or
- Proper documentation is the norm and any issues with individual staff members are being addressed through performance evaluations and training; or
- In a few instances, the organization terminated services inappropriately; or
- Active client participation occurs to a considerable extent; or
- A formal case closing evaluation is not consistently provided to the public authority per the requirements of the standard.
- Procedures and/or case record documentation need significant strengthening; or
- Procedures are not well-understood or used appropriately; or
- Services are frequently terminated inappropriately; or
- Aftercare planning is not initiated early enough to ensure orderly transitions; or
- A formal case closing summary and assessment is seldom provided to the public authority per the requirements of the standard; or
- Several client records are missing important information; or
- Client participation is inconsistent.
- No written procedures, or procedures are clearly inadequate or not being used; or
- Documentation is routinely incomplete and/or missing.
DRCM 6.01
- is a clearly defined process that includes assignment of staff responsibility;
- begins at intake;
- involves the worker, the individual, a parent or legal guardian, and others as appropriate to the needs and wishes of the individual.
DRCM 6.02
DRCM 6.03
DRCM 6.04
- a resource or time-limited program closes, resulting in termination of services; and/or
- a transfer is requested by the client or when it is determined that transferring a case to another disaster case management organization is in the client’s best interest and the individual or family concur.