title: The value of case management in the publicly funded substance abuse treatment system. The perspective of program directors, case managers and clients.
abstract: The many purposes of this article is to understand the role and value of case management from the perspective of program directors, case managers and clients. A survey of program directors from publicly funded substance abuse treatment programs in Boston was administered, and in-depth interviews with a sample of program directors, case managers, and clients were conducted. Case management allowed programs to serve more complex clients and increased time available for counselors to focus on the clinical needs of clients. From the perspective of case managers and clients, much of the value of case management came from educating clients about steps they could take to meet their needs and then supporting them in their efforts as they took these steps. Successful steps taken to deal with these needs helped lay the foundation necessary to confront the challenges of treatment. Program directors, case managers, and clients considered case management a valuable enhancement to substance abuse treatment.
authors.affiliation: School of Management, Boston University, 595 Commonwealth Avenue, Boston, MA 02215, USA.
authors.forename: M
authors.initials: M
authors.lastname: Shwartz
authors.forename: D A
authors.initials: DA
authors.lastname: Stone
authors.forename: J
authors.initials: J
authors.lastname: Camp
authors.forename: K P
authors.initials: KP
authors.lastname: Mulvey
authors.forename: M
authors.initials: M
authors.lastname: Kane
authors.forename: A
authors.initials: A
authors.lastname: Plough
mesh_terms: D001291:Attitude of Health Personnel; D001294:Attitude to Health; D001900:Boston; D019090:Case Management / Q000191:economics* / Q000592:standards*; D005380:Financing, Government / Q000458:organization & administration*; D006302:Health Services Research; D006801:Humans; D020380:Needs Assessment; D008486:Physician Executives / Q000523:psychology*; D015397:Program Evaluation; D012944:Social Support; D016320:Substance Abuse Treatment Centers / Q000191:economics* / Q000592:standards*; D019966:Substance-Related Disorders / Q000523:psychology* / Q000628:therapy*; D011795:Surveys and Questionnaires