Journal Article

The Case for a New ‘Case’ Management in Services for People with Learning Disabilities

Paul Cambridge

in The British Journal of Social Work

Published on behalf of British Association of Social Workers

Volume 38, issue 1, pages 91-116
Published in print January 2008 | ISSN: 0045-3102
Published online October 2006 | e-ISSN: 1468-263X | DOI:
The Case for a New ‘Case’ Management in Services for People with Learning Disabilities

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Micro-organization is currently fragmented in services for people with learning disabilities. Care management, person-centred planning (PCP) and direct payments have developed through separate policy strands, with tasks and agency responsibilities blurred. A wide diversity of care management arrangements currently operate, with the relationship between care management, PCP and direct payments imprecisely defined. PCP and direct payments have also been variably implemented. This paper argues for a new ‘person-centred case management’, with these different devices better integrated and decision-making and action more person-centred. Drawing on practice experience from the original British case management experiments, the new ‘case’ management would be centred on the needs and wants of individuals, be conducted independently from assessment, operate outside the public sector and be able to access personal budgets. It would consequently have the capacity to further de-institutionalize services and support and transfer more control to people with learning disabilities.

Keywords: assessment; direct payments; person-centred planning; care management; case management

Journal Article.  9886 words.  Illustrated.

Subjects: Social Work

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