The Community Case Management Service (CCMS) is the initiative of the Agency for Integrated Care (AIC). With the support from AIC, THK Community Case Management Service was established on the 1 April 2023 to help seniors facing multi-faceted care needs that have grown increasingly complex as Singapore’s population ages rapidly. 

THK CCMS adopts a holistic approach to provide person-centric care and offers comprehensive support to improve seniors’ well-being living in the community. THK CCMS also provides care coordination and service linkages to connect seniors with our Active Ageing Centres and community partners, which help strengthen their social support, improve care outcomes and quality of life.

As part of Healthier SG, THK CCMS plays a pivotal role in promoting healthy living for our seniors and enables them to age in place gracefully. Thye Hua Kwan Moral Charities operates three THK CCMS Centres in Ang Mo Kio, Bedok and Geylang.

Mission 

THK CCMS assists in enabling vulnerable seniors with limited or non-existent family support to age in place and remain integrated within the community for as long as possible.

Objectives

The main objective of THK CCMS is to promote ageing in place by providing comprehensive care tailored to the individual needs of seniors with complex care requirements. The care approach includes:

• To provide community-based care by making efficient use of the community resources
• To empower elderly individuals to live independently with the social support of their families and caregivers
• To optimise our seniors’ health and quality of life to prevent or delay institutionalisation

Desired Outcomes

1. Vulnerable seniors receive adequate, timely and coordinated care and support.
2. Vulnerable seniors have access to community resources and social support to live safely and independently in the community.

Target Clientele

THK CCMS assists residents within the identified service boundary who meet the following criteria:

1. Individuals aged 60 and above facing issues from one or more of the following domains:

• Complex Medical Issues
• Functional Impairment
• Psycho-Social Impairment

2. Assessed to have limited or non-existent family support and in need of continued assistance.
   
3. Requires coordination of services for issues relating to emotional support, medical compliance and/or self-care, which includes their ability to carry out their Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs).