A social work-developed and -implemented case management program (Project SAFe) is designed to improve adherence to diagnostic follow-up among targeted low-income women with abnormal mammogram or Pap screens. Research shows that less than optimal or non-adherence to abnormal screening follow-up can range as high as 60% among ethnic minority, poor, and older women. Project SAFe's case management model has been pilot-tested in two clinical sites with nearly 800 women. An MSW/Peer Counselor team provides services, with the MSW providing Peer Counselor supervision as well as clinical services to the women with serious psychosocial needs. The SAFe program derives from 4 evidence-based components: 1) evidence of need, providing the rationale for the target group selected for case management services; 2) structured assessment tools for identification of individual risk factors and assignment to service level; 3) evidence-based intervention components derived from clinical efficacy trials; and 4) patient and program outcomes, by which to judge results of the program.
Learning Objectives: At the conclusion of the presentation, participants will be able to: 1) Identify generic components of evidence-based social work practice; 2) Describe sources of information to guide construction of evidence-based models; 3) Apply strategies from Project SAFe to other populations and problems.
Keywords: Access to Health Care, Case Management
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: CDC; LA Co.+USC Medical Center; Mt. Sinai Medical Center
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.