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.
| Identifer | oai:union.ndltd.org:LACETR/oai:collectionscanada.gc.ca:QMM.20943 |
| Date | January 1998 |
| Creators | Grenier, Amanda. |
| Contributors | Duder, Sydney (advisor) |
| Publisher | McGill University |
| Source Sets | Library and Archives Canada ETDs Repository / Centre d'archives des thèses électroniques de Bibliothèque et Archives Canada |
| Language | English |
| Detected Language | English |
| Type | Electronic Thesis or Dissertation |
| Format | application/pdf |
| Coverage | Master of Social Work (School of Social Work.) |
| Rights | All items in eScholarship@McGill are protected by copyright with all rights reserved unless otherwise indicated. |
| Relation | alephsysno: 001641261, proquestno: MQ50698, Theses scanned by UMI/ProQuest. |
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