Models of Case Management

There are a large number of case management programs around the country composed of service elements and philosophies borrowed from different program models. Despite this diversity, a number of identifiably unique models of case management exist and can be defined.

Solomon (1992) identified four general types of commonly practiced case management:

1. Expanded broker model

2. Rehabilitation model

3. Strengths model (Rapp, 1998)

4. Full support model (assertive community treatment).

A short explanation of each of these models is provided in the following subsections. These models have many common characteristics. When actually applied to the real world, program administrators and staff may combine one or more of these models. On the other hand, they may choose not to employ a particular element of a given model.

The full support model is given the most attention. Currently, it is most commonly referred to as assertive community treatment (ACT) or program of assertive community treatment (PACT). ACT is an evidence-based practice.

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