ABSTRACT
This chapter provides some indications of the types of individuals for whom case management might be the most appropriate form of intervention. Cost function analysis was used to identify factors which caused the costs of care to vary, an approach used in previous evaluations of case or care management. The approach to financial modelling adopted by the Lewisham Case Management Scheme (LCMS) has the capacity to take account of client and career views as distinct. However, as Greene and colleagues acknowledged, although a net reduction in long-term care costs and in nursing home care is an important outcome in the evaluation of an intervention programme. Arguably the inclusion of client and career outcomes in the analyses of costs described in this chapter is a proxy for this. These conclusions from the LCMS and the programmes described by Greene and colleagues have the capacity to promote informed commissioning and service development.
