EDITOR,—Max Marshall claims that case management is “a dubious practice…underevaluated and ineffective…bedevilled by a tendency to lump two different approaches under one name.”1 He then bedevils it further by equating care programming with “standard” case management, and what is frequently referred to in the American literature as case management as “assertive community treatment.” In a recent editorial on the subject in the Lancet “case” and “care” were used interchangeably.2

These terms are not difficult to distinguish, and much is to be …