chapter  1
40 Pages

Culture and Case Management

The period from the mid-1970s to the present has seen the emergence of case management as a viable modality for the rehabilitation and treatment of the seriously mentally ill. A plethora of publications have described the tasks of mental health case managers (Rose, 1992; Harrod, 1986; Rapp and Chamberlain, 1985; Morin and Seidman, 1986; Goldstrom and Manderscheid, 1983); the effectiveness of the approach (Bond et aI., 1988; Deitchman, 1980; Goering et al., 1988); and the refinement of the model to clinical case management (Surber, 1994; Lamb, 1980; Kanter, 1988; Harris and Bachrach, 1988). The same period has witnessed the growth of literature devoted to examining the impact of culture and ethnicity on service utilization (Snowden and Cheung, 1990; Cheung and Snowden, 1990; Scheffler and Miller, 1989); the development of cross-cultural approaches to counseling and psychotherapy (Jones and Korchin, 1982; Gibbs and Huang, 1989; Acosta, Yamamoto, and Evans, 1982; Wilkinson, 1986; Pederson and Pederson, 1989; Comas-Diaz and Griffith, 1988); and cross-cultural considerations in psychiatric diagnoses (Loring and Powell, 1988; Adebimpe, 1984; Westermeyer, 1985; Pabrega, 1987). The contributions to these parallel literature streams have been multidisciplinary in nature, with the fields of psychiatry, social worlc, psychology, sociology, and anthropology being abundantly represented. While covering the same time span, however, the trends in the literature have tended to speak to the topic of cross-cultural work or of case management with the seriously mentally ill. These two separate and distinct liter-

work on ethnic culture more useful to them. Some contributions from the fields of linguistics and medical anthropology are included and the resultant fresh approach to case management is illustrated with case vignettes.