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| Part 5: Referrals and Active Coordination of Services with Follow-Up |
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| CRCS clients have multiple, complex issues and are likely to need referrals to a number of services, such as mental health, substance use treatment, or housing, to name a few. If your clients are already enrolled in case management services, or if you can refer them to case management services, then you, as the CRCS counselor, will typically not serve as your clients’ case manager. You will be able to concentrate on risk reduction. You may refer clients to services that they need that aren’t covered by existing case management services.
Remember that substance use and mental health services are the most frequent challenges to risk reduction faced by CRCS clients. Your clients may need to access these highly specialized services before CRCS can be an effective risk reduction program for them.
| The SAMISS Screener in Appendix P is a good first-line screening tool for substance use and mental health needs screening. It misses few cases and is easily incorporated into a busy setting. Keep in mind that persons screening positive require a more rigorous confirmatory mental health evaluation. Also, see Pence et al. (2005). Validation of a brief screening instrument for substance abuse and mental illness in HIV-positive patients. JAIDS 40(4):434-444. |
Go to section 2 part 5A |
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