Increasing numbers of older persons, service provision within the home and shrinking resources have resulted in the need to evaluate service provision. This study examined agency process and client-perceived health in a single point of entry case managed program in a community health centre. The participatory evaluative model involved a dossier review, interviews with workers, and a description of client functioning using the SF-12(TM). Examination of files (N = 100) revealed that objectives were not being obtained: client involvement was low, services were late, and files were poorly completed. Only 14 (9%) of clients were referred for the SF-12(TM); further investigation revealed systemic difficulties such as lost clients (N = 4). Worker interviews (N = 12) explained that heavy caseloads result in reactive services, poor completion of case management functions, and service implications for clients. Strengths included the multi-disciplinary approach and single point of entry. Recommendations include a cost benefit analysis, an outcome measure, a caseload standard and a quality assurance model that assures accountability and monitoring.

Thesis (M.S.)--University of Michigan, 1986.

Thesis (M.S.)--University of Michigan, 1985.

Thesis (M.S.)--University of Michigan, 1988.

Thesis (M.S.)--University of Michigan, 1986.

Thesis (M.S.)--University of Michigan, 1988.

Thesis (M.S.)--University of Michigan, 1985.

Thesis (M.S.)--University of Michigan, 1991.

Thesis (M.S.)--University of Michigan, 1990.

Thesis (M.S.)--University of Michigan, 1994. / Thesis date from spine.