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Case manager attitudes toward client-directed care

A Micco, A C Hamilton, M J Martin

Journal of Case Management

|January 1, 1995

Summary

This summary is machine-generated.

Independent Provider Care (IPC) shifts home support management to clients. A Canadian survey found case managers doubt IPC improves client well-being and raises abuse risks, increasing their job demands.

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Area of Science:

Healthcare Management
Disability Services
Home Care Policy

Background:

Advocates promote Independent Provider Care (IPC) for individuals with severe, long-term physical disabilities.
IPC model: clients manage personal care and home support services independently.
Previous research on IPC efficacy and risks is limited, particularly from the perspective of case managers.

Purpose of the Study:

To assess Canadian case managers' beliefs about the efficacy, benefits, and risks of Independent Provider Care (IPC).
To identify potential barriers and concerns among healthcare professionals regarding IPC implementation.
To explore factors influencing case manager perceptions of IPC for clients with disabilities.

Main Methods:

A survey was conducted among case managers in Canada.
The survey assessed beliefs regarding client well-being, quality of care, and potential risks associated with IPC.
Data analysis focused on identifying patterns in case manager perceptions and concerns.

Main Results:

Case managers generally believe IPC will not significantly improve client well-being or quality of care.
Survey indicates a perception that IPC poses risks of abuse to both clients and support attendants.
Case managers anticipate increased job demands with the implementation of IPC.

Conclusions:

Case managers express apprehension regarding the widespread adoption of IPC.
Identified concerns include client safety, quality of care, and professional workload.
Recommendations are discussed to address case manager concerns and facilitate potential IPC implementation.