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By Di Gursansky

-- David P. Moxley, Wayne country University

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5). In Australia, the first initiatives were in the disability and aged care sectors through the federally-funded Community Options Program in the mid-1980s (Davies 1992; Ozanne 1996). By the late 1980s, similar initiatives had been documented in European countries and in Canada, and there was emergent interest in New Zealand (Davies 1992). As previously argued, case management has been popular because the concept has some ambiguity, enabling different stakeholders to identify the aspects most congruent with their agendas.

We have explored the history of case management and the difficulties of definition, and introduced conceptual frameworks through which the approach can be examined. All too often, the focus of discourses about case management is on the minutiae of practice, neglecting critical analysis of its central positioning in contemporary health and human service delivery. Certainly, a significant number of writers do pursue these broad perspectives and we will draw on their work in this chapter. However, we postulate that the demands of practice distract from the task of critique.

Finally, Davies emphasises the need to review and adjust at each level of implementation. This overview presented by Davies captures the enormity of major realignment of service arrangements under community care policy. CASE ILLUSTRATION: PROGRAMS FOR THE LONG-TERM UNEMPLOYED, AUSTRALIA Policy or program context Although high unemployment levels have been a recurrent issue since the 1970s, the complicating aspect has been their persistence despite economic recovery and increased numbers of jobs (Eardley and Thompson 1997, p.

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