The client will first receive a comprehensive assessment by a Counselor.  In addition, a client may also receive an evaluation conducted by our Medical Director. A treatment plan is then developed with specific and measurable goals. The Counselor then discusses the case with his her peers in a multidisciplinary meeting. Additional supports may be added at this time such as Peer Mentoring or Housing Asssistance.

The components of DHS programming includes:
Relapse prevention skills
Signs and symptoms drug abuse (alcohol included)
Signs and symptoms of Mental Health issues
Co-Occurring Disorders screening
Stress Management skills
How to deal with feelings in the recovery process
Play Therapy
Family Therapy
Coping with loss
Anger Management
Domestic Violence


Epigenetic trauma
Cognitive Behavioral


Alcohol, Drug & Mental Health Assessments
Comprehensive substance abuse evaluations pertaining to custody, which may be A&D related. DUII cases are included.
Court Testimony
Peer Mentoring
Community based alternatives that may facilitate early release from institutions.
Pre-Sentence Investigations
Comprehensive reports that focus on treatment alternatives
Domestic Relations: Blended families, divorce, domestic violence, child custody, separation
Expert witness and client advocacy, testimony at sentencing hearings, written reports
Client Population


Outpatient  therapy is provided to families of DHS involved clients with presenting problems such as:
Breakdown in family communication
Partner conflict
Parenting skills
Grief and loss issues
Chemical Dependency
Mental Health
Outpatient therapy is provided to DHS involved individuals with presenting problems such as:
DUII & other Chemical Dependency
Poor impulse control
No Insurance
Housing – I have nowhere to go

FIT Case Manage Description and Expectations

Definition of Case Management:

Case management is a collaborative process of providing services, through non-clinical assessment, planning and facilitation of the needs of the client and client family when appropriate.  The case manager arranges, coordinates, monitors and advocates for services to meet a specific client need and works to eliminate potential barriers to treatment which may include lack of housing, court appearances and transportation issues.  Case managers are not responsible for providing counseling to clients, but rather to utilize and/or provide access for client to all available resources to promote successful outcomes.

Core Job Responsibilities:

  1. Coordinate with the Core Team to engage individuals who have been screened and referred to a treatment agency.
  2. Assist individuals in removing barriers to access or engagement in treatment services.
  3. Assist in making a smooth transition from one level of care to another or from one agency to another.  Services will be tracked until an individual has completed formal treatment or has successfully transitioned to another agency.
  4. Monitor regularity and frequency of parent child visits and assist in problem solving to assure visits take place.
  5. Function as a member of the multidisciplinary treatment team, including primary counselors, for collaboration, communication and consulting with all parties involved to ensure optimum standards of treatment and care.
  6. Represent treatment agency at court hearing, Family Decision Meeting and Team Decision Meetings as schedule allows or arrange for alternative representation in person, by letter or by phone.
  7. Attend and participate in all monthly case manager meetings and collect, organize and distribute all monthly treatment reports and submit as required.
  8. Manage the communication flow between treatment and allied agencies inclusive of Child Welfare caseworkers, Core Team, attorneys, probation/parole officers, and primary treatment counselors.
  9. Assist client in understanding the process with court hearings, treatment planning meetings, Family Decision Meetings, and document all case management activities (e.g. transportation, case management sessions, court appearances, meetings, etc.) in accordance with agency standards, and convey in monthly reports.
  10. Coordinate and assist individuals to address barriers by providing them with access to community services and resources which will help to achieve and sustain recovery and self-sufficiency.
  11. Assist individuals with completion of application forms for healthcare, employment, identification, etc. and scheduling necessary appointments. Act as a liaison between the treatment center and community resource agencies including attendance at necessary meetings.

Minimum Contract Standards

Enrolled Treatment Level

Level 1 Outpatient                                                           Be accessible

Level 2 Outpatient                                                           (2) 30 minute face to face monthly

Level 3 Residential                                                           (2) 30 minute face to face monthly

Case management services will, in most cases, not be provided to clients in Level 1 care.  Case managers will need to be accessible to them in the event of unique situations that would warrant services.

Policy and Procedure for FIT Case Managers


  • Once a client has been referred to one of the treatment agencies within the FIT collaborative, the FIT A&D specialist will fax a completed screening to the appropriate treatment agency.  This screening information will allow the case manager, as well as the counselor and other treatment staff, to better assess the individual needs of the person.  The document also provides basic contact information inclusive of child welfare caseworker, legal representation, pending legal issues, probation, etc.  Once this screening information is received, the case manager will schedule a time to meet with the individual as close to entry in the treatment program as possible.
  • The FIT case manager will contact the DHS Child Welfare caseworker to notify them of the admission of the individual, who the primary counselor will be, availability of the case manager to provide support and assistance and all contact information.  This is the ideal time to schedule a meeting with all those involved in the team (DHS caseworker, primary counselor, FIT case manager) to meet and share preliminary information and begin collaborative joint planning with the individual in attendance.  Ongoing staffing of the case is strongly encouraged.
  • The FIT case manager shall also request the DHS Child Welfare caseworker notify them of all court hearings, Family Decision Meetings (FDM), visitation requirements/guidelines/expectations for children within the treatment facility, reunification plan and case planning.   Discharge planning and transitional treatment to lower level and recovery planning should begin at admission.
  • Case managers will coordinate and connect with outreach workers to mutually design a plan that will support the individuals’ engagement in treatment.  Case managers are encouraged to utilize outreach workers when appropriate.  It is important to keep in mind that Primary Counselors are responsible for ALL clinical treatment and decisions regarding care of the person while they are in treatment.
  • FIT case managers will maintain contact with other outside service providers which may include outreach workers, probation/parole officers, mental health providers, parent educators/mentors, therapists, primary care physicians and other community involved members.
  • Case Managers are responsible for monthly reports that are to be sent to DHS Child Welfare caseworkers, probation/parole officers, client attorney, FIT Core Team and other services providers as requested, or as appropriate.  There reports are due to the Core team no later than the 0th of every month.  They need to be proof read, corrected and signed off by a supervisor.
  • FIT case managers will document phone and face to face interactions with DHS Child Welfare caseworkers.  This should also include phone calls to the DHS Child Welfare caseworkers that are not returned.  This should all be documented in the client file and on the 30 day report.
  • FIT Case Managers are required to attend all monthly case managers meetings.  Following this meeting, one case manager from each agency will be required to attend the Operations meetings.  Other meetings may include special trainings, FIT orientation meetings and DHS Child Welfare branch unit meetings which will help build relationships with Child Welfare staff.  These are considered as mandatory attendance.
  • FIT Case Managers should help facilitate referrals to after-care, recovery support services and any housing related difficulties when an individual is transitioning to the next lower level of care or when they are completing their formal treatment episode.  All discharge planning, including stable or transitional housing plans should be started when the individual enters formal treatment at whatever level of care is appropriate.
  • If there are changes or recommendations for changes in treatment for the individual receiving services, whether that is transfer to another program, administrative termination, etc., the FIT case manager is responsible to help facilitate new placement in coordination with the primary counselor.  It is also the duty of the FIT case manager to communicate with all parties, community partners, DHS Child Welfare caseworkers, etc. to facilitate a smooth transition for the individual involved.
  • In order to problem solve difficult situations, FIT case managers may contact FIT Core Team members, other FIT case managers, DHS Child Welfare caseworkers or their DHS supervisor, and the primary counselor to arrange a meeting to staff all issues and problem solve



Minimum Qualifications

  1. High school diploma or its equivalent. Depending on the agency, if the case manager is in a billable position, the case manager must have a CADC certification and other educational requirements may be required.
  2. Understands alcohol and drug use criteria for treatment and diagnosis, the effects on the family, and basic recovery skills.
  3. Ability to recognize and articulate client needs to the treatment agency, DHS Child Welfare, the courts, and community resources in both oral and written reports.
  4. Experience with community resources and social service agencies are preferred.
  5. Ability to use interpersonal skills to convey a positive and supportive attitude in interactions with clients and co-workers.
  6. Commitment to understanding and valuing individual differences, fostering an environment of fairness and mutual respect.
  7. Respects the dignity and rights of the individual/family regardless of social or economic status, race, religion, national origin, sex, sexual preference, health problems or disability.
  8. Ability to act as an advocate for the individual/family within the structure of the multidisciplinary team.
  9. Basic computer skills, including correct, professional use of email, text, voicemail, forms, documents, reports and templates.