Case Management

Case Management provides services to older individuals, disabled adults and their families to assist them to access or coordinate services to keep older individuals in their home.

Activities include:

  • Assessing needs (including the physical, psychological, and social needs of the individual)
  • Developing service plans (such as hospital discharge plans)
  • Coordination and monitoring service delivery (including coordination and monitoring to ensure that services specified in the plan are being provided)
  • Providing follow-up and reassessment (revision of the status of the older individual, or if necessary, a primary caregiver or family member of the older individual)
  • In accordance with the wishes of the older individual, advocacy for needed services or resources
  • Training in medical adherence apps such as trackmystack, a medical tracker.


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Living Well In Idaho

The Chronic Disease Self-Management Program (CDSMP) is a workshop-based program given for two and a half hours, once per week for six weeks in the community setting. Participants are adults experiencing chronic health conditions such as hypertension, arthritis, heart disease, stroke, lung disease, and diabetes. Their family members, friends and caregivers can also participate. Workshops are facilitated by trained leaders who are also living with chronic diseases themselves.

The program provides information and teaches practical skills on managing chronic health problems. The CDSMP gives people the confidence and motivation they need to manage the challenges of living with a chronic health condition.

The overall goal is to enable participants to build self-confidence to assume a major role maintaining their health and managing their chronic health conditions. The CDSMP focuses on problems common to individuals suffering from chronic diseases. Coping strategies such as action planning and feedback, behavior modeling, problem-solving techniques, and decision making are applicable to all chronic diseases.

Individuals are taught to control their symptoms through:

  • Relaxation techniques
  • Managing sleep, fatigue, pain, and frustration
  • Using medications correctly
  • Exercise to maintain and improve strength, flexibility, and endurance
  • Communication with health providers, family, and friends

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