BJSW Advance Access published online on October 31, 2006
British Journal of Social Work, doi:10.1093/bjsw/bcl339
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1 Senior Lecturer, Tizard Centre, The University, Canterbury, Kent CT2 7LZ, UK
* To whom correspondence should be addressed. 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.
Article
The Case for a New Case Management in Services for People with Learning Disabilities
Paul Cambridge 1 *
Paul Cambridge, E-mail: P.Cambridge{at}kent.ac.uk
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