BMJ 1996;312:1540 (15 June)

Letters

Case management confers substantial benefits

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 achieved by distinguishing them. The meaning of case management evolved rapidly, reflecting the context in which it operated and increasing understanding of its working. Initially the focus was on the coordination of care and obtaining access to support and benefits by an office based administrator, who often had no health or social services background. This model ("brokerage case management") was soon recognised to be of limited value in serious . . . [Full text of this article]


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Relevant Article

Case management: a dubious practice
Max Marshall
BMJ 1996 312: 523-524. [Extract] [Full Text]

This article has been cited by other articles:

  • Hodgson, R., Jamal, A., Gayathri, B. (2005). A survey of ward round practice. Psychiatr. Bull. 29: 171-173 [Abstract] [Full text]  
  • Roy, A. (2000). The Care Programme Approach in learning disability psychiatry. Adv. Psychiatr. Treat. 6: 380-387 [Full text]  
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