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Case management: who needs it? Does it work?

Carol D Austin1

  • 1University of Calgary, 2500 University Drive N.W., Calgary, Alberta T2N 1N4. austin@vcalgary.ca

Care Management Journals : Journal of Case Management ; the Journal of Long Term Home Health Care
|July 10, 2003
PubMed
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Identifying who needs case management and its effectiveness remains complex after 30 years. This study explores contextual factors and client perspectives to better understand case management practice and its impact.

Area of Science:

  • Health Services Research
  • Social Work Practice

Background:

  • Case management practice has been established for decades.
  • Persistent questions remain regarding client identification and program efficacy.

Purpose of the Study:

  • To examine the influence of policy, system, community, and organizational contexts on case management.
  • To explore the disparity between who needs case management and who receives it.
  • To incorporate qualitative client perspectives on case management effectiveness.

Main Methods:

  • Literature review and conceptual analysis.
  • Examination of contextual factors influencing case management delivery.
  • Emphasis on qualitative client feedback.

Main Results:

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  • Case management effectiveness is influenced by multiple contextual layers.
  • Discrepancies exist between client need and access to case management services.
  • Client perspectives offer crucial insights often overlooked in traditional evaluations.

Conclusions:

  • The questions of 'who needs it' and 'does it work' are complex and context-dependent.
  • Integrating client voices is vital for a comprehensive understanding of case management.
  • Re-evaluating the core questions guiding case management research may be necessary.