Gilson S F, Casebolt G J
School of Social Work Virginia Commonwealth University, Richmond 23284-2027, USA.
J Case Manag. 1997 Spring;6(1):13-7.
Case managers can serve a vital role in the coordination and support of consumer-driven personal assistance services (PAS) for people with disabilities. Personal assistants provide services such as assistance with mobility needs, transferring in and out of a bed or wheelchair, bathing, dressing, grooming, toileting, preparing meals, check writing, and communication interpretation. Maximum independence and autonomy are often achieved when disabled people manage the services that they need. By focusing case management on doing what the individual directs, the case manager can enhance independence, autonomy, and accommodation. In response to needs identified by its members, the Paralyzed Veterans of America (PVA) began to develop a comprehensive PAS training program for institutions, agencies, families, and individuals. The Independent Living Training Program is based on an approach to PAS that incorporates a case management model that supports the principles of consumer empowerment and self-determination.
个案管理员在为残疾人协调和支持以消费者为导向的个人协助服务（PAS）方面可以发挥至关重要的作用。个人助理提供诸如行动需求协助、进出床或轮椅的转移、洗澡、穿衣、梳洗、如厕、准备膳食、开支票以及沟通口译等服务。当残疾人管理他们所需的服务时，通常能够实现最大程度的独立和自主。通过将个案管理重点放在按照个人指示行事上，个案管理员可以增强独立性、自主性和适应性。为回应其成员所确定的需求，美国瘫痪退伍军人组织（PVA）开始为机构、机构、家庭和个人制定一项全面的PAS培训计划。独立生活培训计划基于一种PAS方法，该方法纳入了一种支持消费者赋权和自决原则的个案管理模式。
