The book is unique in two distinct ways. First, it focuses on improving quality of life in contrast to other books that have tended to focus more on its conceptualization and assessment. Second, it deals with improving quality of life in a variety of disabled populations, not just one, and includes chapters on people with chronic mental or physical conditions and those without disabilities at all (i.e. so-called normal people). The book outlines some of the challenges and controversies in the quality-of-life domain and attempts to synthesize the key issue and to draw generalizable conclusions. The book is mainly for university students and faculty and practitioners from various disciplines working in the field. It will also interest those members of the general public who wish to improve their own quality of life or that of their relatives or friends.
The point of departure for Managing to Care is widespread concern that the present delivery of health and social welfare services is fragmented, uncoordinated, inefficient, costly, wasteful, and ultimately detrimental to clients' health and wellbeing. Dill traces the evolution of case management from its start as a tool for integrating services on the level of the individual client to its current role as a force behind the most significant trends in health care. Those trends include the entrenchment of bureaucracy, the challenges of once dominant professions, and the rise of corporate control. The author's purpose in adopting this analysis is to invite further scrutiny of the case management profession, and at the same time to identify new possibilities for its application.This volume brings together thoughts developed over many years of observing and participating in case management programs. It provides a multilayered perspective of case management, showing linkages among its social and historical contexts and the ways it is practiced today in diverse service settings. The author emerged convinced about the essential need for care coordination, and that present ways of providing care can work against our highest objectives in doing so. The paradoxes and contraindications embedded in case management practice became a major theme of the book.Managing to Care is highly critical of the ways case management has come to absorb and reflect the organizational flaws of the very service systems it was intended to reform. Too often management of the case comes to dominate care. The author does not call for a rejection of professional systems in favor of a resurrected informal community. While much can and should be done to strengthen our ties to one another, there will always be people whose problems require more expert help. Dill argues here that case management can provide such help, and provide it well, but only if it is grounded in the human dimension of a caring relatio
Discover a culturally competent model of clinical case management in mental health practice settings. In The Cross-Cultural Practice of Clinical Case Management, author Peter Manoleas synthesizes some of the existent thinking on case management in cross-cultural psychotherapy settings and develops an effective model of clinical case management for mental health practitioners. The person-in-environment approach leads mental health professionals to realize that case managers and their clients must deal with a variety of cultures within the treatment environment. Rehabilitation programs, substance abuse programs, public assistance, the police, and especially psychiatry itself, are each characterized by their own 'cultures.’These may, at times, conflict with or present significant dissonance with the client's own ethnic culture. The Cross-Cultural Practice of Clinical Case Management advocates that the role of “culture broker” be added to the list of activities for effective clinical case managers. Several of the major ethnic groups represented in public mental health populations are examined, as well as other topics relevant to the daily practice of mental health professionals: Effective cross-cultural crisis intervention The culture of homelessness Women and the mental health system Asians and Pacific Islanders Latinos African Americans Native Americans Seriously Emotionally Disturbed Children The Cross-Cultural Practice of Clinical Case Management is of interest to practicing mental health professionals in the public sector as those systems convert from individual therapy to case management models of service delivery. Increasing numbers of ethnic minorities in public systems and the emphasis on cultural competence will make all of the topics of interest to many readers.