Ashery R S
J Case Manag. 1994 Winter;3(4):179-83.
Although case management has been successfully used in medical settings, its use for the delivery of multiple services for the substance abuser is questioned. An overview of the research suggests that low client-to-worker ratios, frequent and intense contacts, and chronic client relapse often contradict the emphasis on cost-containment, cost-effectiveness, and "successful" outcomes. The implementation of case management programs for substance abusers should proceed with caution. More emphasis should be placed on a community systems advocacy approach.
尽管病例管理已在医疗环境中成功应用，但其用于为药物滥用者提供多种服务的做法受到质疑。研究综述表明，低客户与工作人员比例、频繁且密切的接触以及客户长期复发，往往与对成本控制、成本效益和“成功”结果的强调相矛盾。为药物滥用者实施病例管理项目应谨慎行事。应更加强调社区系统倡导方法。
