Langley Intensive Case Management (ICMT) Team
What is the Langley ICMT?
The Langley ICMT is a multi-disciplinary team that engages with clients that meet eligibility criteria through street outreach with a primary focus on client engagement, housing stability and brokering services, including provision of and access to health care including mental health services. They work with clients where they are at, to create a plan to improve and stabilize their lives. The team consists of 9 staff from a variety of backgrounds and experiences. 4 Case Managers; 1 peer Support Worker, 2 Nurses, 1 Addiction Specialist, 1 Housing Specialist, 1 Nurse Practitioner (1 day/week), 1 Psychiatrist (1 day/week) and a Team Lead.
The ICMT is not to respond to, nor provide crisis management to the community. This program has been developed to reduce crisis/emergency incidents by creating a scope of health equity by bringing services to the population with a goal of transitioning them to current “mainstream” programs in the community.
Who does the ICMT serve?
The team specifically works with clients 19 years and older, who have problematic/chronic or dependent substance use (with or without mental illness, concurrent disorders or coexisting functional impairment). These individuals may also be experiencing homelessness either chronically or episodically. Clients who are assigned to the Langley ICMT may be referred by a community professional, families or clients can self refer. Clients who are integrated into services must meet eligibility criteria and will be screened into the program.
When are services accessible?
Services are provided 7 days a week, 12 hours a day. Services include housing support; substance use counselling and/or access to treatment; Rent supplements; Life skills support/skill building; Connecting individuals to community resources; Connecting clients to income services; Assessing need for/and facilitating access to medical care; Medication management if required; Supporting and encouraging healthy lifestyle choices, personal hygiene and short/long term goal setting.
Who are the partners?
The Langley ICMT is a coalition of partners that include Fraser Health, Langley Community Services Society, and Stepping Stone Community Services Society. We feel this community response was needed for Langley as expertise and relationships with the population served by the ICMT already exist.
What are the goals of the ICMT?
- To engage and establish therapeutic relationships and provide client centered/individualized services with individuals who meet the ICMT criteria.
- To reduce avoidable hospitalizations
- Reduce the harms of substance use for individuals/families
- Improve coordination of services/enhance integration of services for clients
- Increase reach to health and psychosocial services for marginalized individuals/families.
- To enhance the provision of housing and other community supports to assist the client to live in the community.
Admissions Criteria
Not all Clientele referred will meet specific criteria for ICMT services. As a part of a continuum of care, the
ICMT service is intended to reach both those individuals that:
a) have high needs for care, but may be
infrequent users of services; and
b) have a high need for services and frequent service use, but don’t
meet the criteria for more intensive services (i.e. ACT, Inpatient Services). Some individuals may be
experiencing homelessness, substance use and/or mental health problems, but are demonstrating the
ability to access or integrate into other community services independently or with less intensive support.
1. Individual must meet Core Criteria
- At least 19 years of age
- Voluntarily agree to service
- Reside, or consider themselves to primarily access services in Langley.
AND
2. Individual has problematic to chronic dependent substance use (with or without mental illness) that
seriously interferes with their ability to live in the community AND may include one of the following:
- Is Chronically Homeless (homeless for 6 months or more in past year, OR
- Is Episodically Homeless (experienced homelessness 3 or more times in the past year); OR
- Has recently been released from incarceration or hospital into unstable housing (within past 6
months);
ADDITIONALLY
Individual has significant functional impairments that interfere with integration in the community and
needs significant assistance that may include, but are not limited to;
- Navigate and self-manage necessary services;
- Maintain personal hygiene
- Meet nutritional needs
- Care for personal affairs (business, appointments etc.)
- Obtain or maintain medical, legal and housing services
- Recognize and avoid common dangers to personal health
- Perform daily living tasks such as cooking, laundry, childcare…
- Obtain or maintain employment at a self sustaining level
- Maintaining a safe living situation without threat of eviction
- Obtaining, taking and complies with directions of prescribed medications
- Following a crisis or safety plan
- Maintaining community integration
- Keeping appointments with needed services which have resulted in the exhibition of two or
more of the following within the past 12 months
o Hospitalization
o Incarceration
o Homelessness or other Crisis Services (Emergency, Ambulatory, Fire)
Individual is;
- Frequently seen in emergency room (3 or more times within past 12 months) for behavioral
needs; OR
- Transitioning or have been recently discharged from Intensive Community Services such as
ACT;
- Is transitioning or recently discharged from a psychiatric inpatient setting; OR
- Is frequently admitted to a psychiatric inpatient facility (3 or more times in previous year) for
behavioral needs;
Click here for a printable Admissions criteria sheet.
How do we access/refer to the ICMT?
You can contact the ICMT at 604-546-9044 their team outreach phone at 604-209-0023 for referral information. Referral documentations are available at request or download here: Referral Form
Community Resources
Substance Use Services Langley 604-534-7230 ext 1108
Community Counselling Program 604-534-7921
Fraser Health Crisis Line 604.951.8855 | 1.877.820.7444
Salvation Army Gateway of Hope (604) 514-7375
Langley Food Bank 604-533-0671
BC 211
