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Related Experiment Videos

Client-centered case management. A survey of state programs

W Leutz1, M Sciegaj, J Capitman

  • 1Diversity and Long-Term Care Institute for Health Policy, Heller Graduate School Brandeis University, Waltham, MA 02254, USA.

Journal of Case Management
|April 1, 1997
PubMed
Summary

Few states provide case managers with training or written guidelines to promote client autonomy in elder care planning. This study highlights a gap in supporting self-determination for seniors in long-term care.

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Area of Science:

  • Gerontology
  • Public Health Policy
  • Social Work

Background:

  • Client autonomy is crucial in long-term care planning for elders.
  • Existing state-level programs may lack adequate support structures for case managers.
  • Promoting self-determination in care planning is a key aspect of elder rights.

Purpose of the Study:

  • To assess the availability of written guidelines and training for case managers.
  • To document practices that promote client autonomy in care planning for elders.
  • To identify policy gaps in state-administered elder care programs.

Main Methods:

  • A 1994 survey of state administrators of programs serving elders across 24 states.
  • Interviews with state respondents and review of provided written materials.

Related Experiment Videos

  • Exploration of client information access, input structures, and feedback mechanisms.

    • Main Results:

    • A limited number of surveyed states have developed and implemented guidelines.
    • Few states provide case managers with training on promoting client autonomy.
    • Significant variation exists in structures for client input and feedback in care planning.

    Conclusions:

    • States generally fall short in equipping case managers to foster client autonomy.
    • Policy recommendations are proposed to enhance client self-determination in elder care planning.
    • There is a need for improved state-level initiatives supporting autonomy in long-term care.