ABSTRACT

There can be little doubt that at the service delivery end of the operation, case management has been seen as a means to the effective management of resources. In a sense, case management might be evaluated as standing or falling by whether or not the process delivers with respect to effective resource management. In this, case management bears the stamp of the business orientation and philosophy that has engendered the approach. Some critics, such as Jack (1992), have suggested the essential political aims of case management are ideological, i.e. ‘to reduce public expenditure…and… dismantling the ‘inefficient’ state monopoly of health and welfare provision’

The concept of a case manager has been introduced as a professional advocate to undertake or arrange individual assessments of need, and to plan and arrange the provision of the most appropriate and economic package of care; co-ordinated monitored and reviewed.