Delivering case management using a community-based service model of drug intervention

FRANÇAIS :
Cette étude présente un modèle d'intervention permettant des opérations coordonnées et cohérentes en direction des toxicomanes au sein de communautés. Ce modèle comporte deux points : un ensemble de stratégies permettant de réduire, voire de supprimer la dépendance à des produits ; une équipe constituée d'un responsable de gestion de cas et d'un travailleur opérant sur le terrain qui prodigue conseils, défense juridique et services appropriés. Une seconde stratégie élabore un travail de groupe avec des pairs encourageant l'abstinence et les comportements favorisant une réduction de risque de transmission du VIH.
ENGLISH:
Although case management is being widely adopted as an intervention strategy to ameliorate a multitude of human problems, the philosophy and practical application of the term vary widely by program, service provider, and target population (Bachrach 1989). The authors' study, the Neighborhood Outreach Demonstration Project (NO DP), is engaged in longitudinal research to develop and evaluate a community-based service (CBS) model for use with drug-dependent populations. The CBS model incorporates two components designed to stop or reduce drug dependency among active and recovering substance abusers. The first strategy uses case management techniques to promote drug-free living and prevent relapses to drug use. A service team consisting of a case manager and an indigenous outreach worker provide counseling, advocacy, and referral services; linkages to medical and social service providers; and preventive materials and education for stopping the spread of the human immunodeficiency virus (HIV). In the second strategy, the team works with project participants to organize and facilitate the latters' participation in a peer-support self-help group designed to encourage drug abstinence and the adoption of patterns of behavior that reduce HIV transmission. [Extract]