Engaging significant others: the Tom Sawyer approach to case management.
نویسنده
چکیده
I recent years, case management approaches with severely mentally ill clients have focused on assertive, in vivo interventions by case managers with small caseloads (1,2). Although these interventions are demonstrably effective (2), economic pressures have led many programs to increase caseloads and decrease intensity of case management services. In this column, I will discuss ways in which social workers and other case managers can address these challenges by more effectively engaging significant others-relatives, neighbors, volunteers, and other agencies-in a coordinated caregiving effort. The clinical challenges of engaging significant others have been largely neglected in the case management and social work literature. The concept of linking clients to community resources has been a central component of “case management” since this term came into usage two decades ago (3), but little attention has been given to the practice skills involved in this work. Some authors have recommended empowering case managers with administrative and financial clout to facilitate this engagement through the purchase of services (4), but this approach has rarely been implemented or empirically studied. Without such coercive or financial
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عنوان ژورنال:
- Psychiatric services
دوره 47 8 شماره
صفحات -
تاریخ انتشار 1996