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Case management from urban and suburban perspectives.
1Center for Social Work Education, Widener University, Chester, PA 19103, USA.
Journal of Case Management
|March 7, 2000
Summary
Urban case management clients face more barriers than suburban clients, impacting service accessibility. Environmental differences affect how case managers operate in urban versus suburban settings.
Area of Science:
- Gerontology
- Public Health
- Social Work
Background:
- Case management is crucial for older adults accessing essential services.
- Urban and suburban environments present distinct challenges for service delivery.
- Understanding these differences is key to improving support systems for aging populations.
Purpose of the Study:
- To identify factors influencing case management processes in urban and suburban settings.
- To compare client experiences and case manager practices across different environments.
- To inform strategies for enhancing elder care in diverse geographic locations.
Main Methods:
- Comparative analysis of random client samples in urban and suburban Pennsylvania.
- Direct observational studies of case managers' practices in both settings.
- Qualitative assessment of environmental barriers and facilitators.
Main Results:
- Urban clients encounter greater individual and structural barriers to service access.
- Case managers in urban areas face more complex challenges in service provision.
- Distinct environmental circumstances shape case management approaches in urban and suburban contexts.
Conclusions:
- Urban environments pose significant obstacles to effective case management for older adults.
- Tailored strategies are needed to address the unique challenges faced by urban clients and case managers.
- Policy and practice adjustments can improve service delivery in diverse settings.