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Providing an exit from case management: programs need to promote self-sufficiency.

Publication: Behavioral Healthcare
Publication Date: 01-MAY-09 		Format: Online
Delivery: Immediate Online Access
Full Article Title: Providing an exit from case management: programs need to promote self-sufficiency.(TOOLS FOR TRANSFORMATION)

Article Excerpt
Have you ever noticed that most case management programs don't provide a way for people to leave or graduate because they have become so much better as a result of the services they received? Once a person is in case management there seems to be no planned way to exit. We think this is a carryover from the days before we knew about recovery. We didn't expect people to recover, so we more or less planned on them being with us forever. Many ACT programs were built on the premise that case management teams had an open-ended responsibility for achieving and sustaining progress.

Before the concept of recovery started to take hold we described people as being "chronically mentally ill" and saw them as having "poor prognoses." The only way case-managed participants could escape was to drop out in a way that was not part of our plan. They had to leave town with no forwarding address or find other ways to avoid us until we closed their cases with "unable to locate" entered into the notes. In...

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