1. I’m learning some revealing things about case management. Case managers attempt to coordinate what is really a nonsystem of services. If we had a real system, we wouldn’t need to pay people like me and we could put those resources toward client services. We are investing a lot in institutionalizing case management when it often just covers up the real problem—that we don’t have an accessible service delivery system in place. Change will require engagement in organizational and community arenas to get agencies to collaborate in establishing a coordinated and accessible system of services. Who should be involved in a communitywide coalition to work toward a more integrated system of care for aged and disabled persons?
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