Case management in the human services. Reflections of public policy.
One way to examine how case management has become a favored tool of public policy is to explore how it has evolved in various human service settings. This article compares, describes, and analyzes case management in six program categories: (a) for persons suffering from chronic mental illness; (b) in child welfare; (c) in community-based long-term care; (d) for children and adolescents suffering from severe emotional disturbance; (e) for individuals experiencing substance abuse problems; and (f) in the public welfare system. Case management in these settings is compared along three dimensions: legislative ad programatic origins; models; and outcome measures. The analysis reveals the extent to which case management has become a cornerstone of public policy--characterized by cost containment accomplished through substantial and continuing reduction in public support for human service programs.
Austin
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CD
Faulty of Social Work, University of Calgary, Alberta, Canada.
McClelland
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RW
D000328:Adult; D019090:Case Management / Q000458:organization & administration*; D002648:Child; D002669:Child Welfare; D002908:Chronic Disease; D003153:Community Health Services; D006291:Health Policy / Q000331:legislation & jurisprudence; D006801:Humans; D008134:Long-Term Care; D001523:Mental Disorders / Q000628:therapy; D012946:Social Welfare / Q000331:legislation & jurisprudence; D019966:Substance-Related Disorders / Q000628:therapy