Programming Connection

Health Promotion Case Management Program 

AIDS Vancouver
Vancouver, BC
2017

Challenges

  • Complex client needs. Originally, the program was meant to be a short-term intervention to bridge clients at risk for HIV infection to a long-term network of supports. Case managers have found, however, that the needs of clients are more complex—housing, substance use and mental health treatment, among others—and require longer-term engagement.
  • Increased use of stimulants. An increase in stimulant use among some populations has made the work of case managers more difficult. Stimulants, such as crystal meth, are highly addictive, treatments are inadequate, and as people become more active in their addiction it becomes more difficult to address their basic needs.
  • Systemic factors. Lack of adequate resourcing for income-assistance, housing, transportation and food security programs impacts the ability of the program to best support clients. Ongoing shortages of both competent primary care providers and counselling spots for substance use treatment and mental health also make it difficult to support clients effectively.
  • Working across multiple organizations. Although the HPCM program is coordinated by one organization, it is delivered across a number of organizations with different mandates. Open, mindful communication between administrators, managers and frontline services providers has been one way to overcome this challenge.