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BJSW Advance Access originally published online on July 11, 2005
British Journal of Social Work 2005 35(7):1039-1062; doi:10.1093/bjsw/bch219
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© The Author 2005. Published by Oxford University Press on behalf of The British Association of Social Workers. All rights reserved.

The State of Care Management in Learning Disability and Mental Health Services 12 Years into Community Care

Paul Cambridge, Rachel Forrester-Jones, John Carpenter, Alison Tate, Martin Knapp, Jennifer Beecham and Angela Hallam

Paul Cambridge and Rachel Forrester-Jones, Tizard Centre, University of Kent.

John Carpenter and Alison Tate, Centre for Applied Social Studies, University of Durham.

Martin Knapp and Jennifer Beecham, Centre for the Economics of Mental Health, Institute of Psychiatry, King’s College, London.

Angela Hallam, Scottish Executive, Health and Community Care Research, Analytical Services Division.

Jennifer Beecham, Personal Social Services Research Unit, University of Kent.

Martin Knapp, Personal Social Services Research Unit, London School of Economics, London.

Correspondence to Paul Cambridge, Senior Lecturer, The Tizard Centre, University of Kent, Beverley Farm, Canterbury, Kent CT2 7LZ, UK. Email: P.Cambridge{at}kent.ac.uk

This paper reports on the organization of care management from a longitudinal study of community care for people resettled from long-stay learning disability and psychiatric hospitals. The findings from a 12-year follow-up of care management arrangements in 12 learning disability and eight mental health study site services are described. The diversity of care management arrangements found at earlier points in the evaluation remained evident. Also, many of the former ‘care in the community’ service users were excluded from mainstream care management arrangements in their localities. The difficulty of developing person-centred arrangements in learning disability and the lack of integration of the Care Programme Approach and care management were evident. The findings and observations are placed in the wider policy and practice context, with suggestions for taking care management forward nationally and locally.

Keywords: Care management, CPA, community care, PCP


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