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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 relationship. Ann E. P. Dill, associate professor of sociology and gender studies at Brown University, is a medical sociologist and social gerontologist. Her research examines issues affecting the long-term provision of health care and social services, both in the United States and in countries formerly part of Yugoslavia.
Here is new information on the development of international and intercultural research on self-help groups. This book reflects the many developments which have occurred in the field over the past decade, emphasizing empirical research. Self-Help and Mutual Aid Groups provides specific research findings and honed concepts to help health professionals learn more about self-help groups and work effectively with such groups. More countries and ethnic groups are now involved in the self-help movement, and this volume increases knowledge of how different cultures react to and participate in self-help mutual aid and how self-help groups can be adapted to fit different racial or ethnic populations. Self-Help and Mutual Aid Groups explores the definition of self-help, the centrality of culture as a major factor explaining variability in self-help, the development of appropriate methodological tools, and the role and involvement of professionals. It brings together different traditions of research for the study of cross- and intercultural and inter- and intraorganizational aspects of self-help groups. Contributors who represent various disciplines, including psychology, sociology, social work, and nursing, discuss: a paradigm for research in self-help the development of self-help groups in Japan, Hong Kong, and the former East Germany the participation of blacks in Alcoholics Anonymous the participation of Mexican Americans in groups for parents of the mentally ill relationships between self-help groups and health professionals predictors of burnout in self-help group leaders characteristics of effective groups ways individuals change their world view through self-help participationSelf-Help and Mutual Aid Groups is an informative and helpful resource for self-help researchers and teachers, students, and professionals who want to be more effective in their work with self-help groups across cultural and national lines.
Identifies and describes specific government assistance opportunities such as loans, grants, counseling, and procurement contracts available under many agencies and programs.
For the first time in history, behavioral health providers are expected to understand and participate in activities intended to access and improve the quality of services they provide. This handbook is designed as a general resource in the field of behavioral health quality management for a very diverse group of readers, including graduate and undergraduate students, payors, purchasers and administrators within managed care organizations, public sector service system planners and managers, applied health services researchers and program evaluators. This volume provides a comprehensive context for the development of quality management (QM) in health services - behavioral health in particular - as well as an overview of tools, techniques, and programs reflecting QM in practice. It also offers perspectives on both internally- and externally-based QM activities.