Styles of case management: The philosophy and practice of case managers

Joseph G. Hromco, John S. Lyons, Robert E. Nikkel

Research output: Contribution to journalArticlepeer-review

16 Scopus citations


A great deal of discussion and research has gone into defining and clarifying the role of 'case manager' (CM) for persons with severe mental illness. This three state survey examines the philosophy and activities of practicing CMs in an attempt to identify current styles of case management. A cluster analysis based on CM rankings of five CM functions suggested four styles of case management: 'supportive social worker', 'individual therapist', 'therapist broker', and 'community advocate'. Overall, CMs rated supportive interventions as most important and formal psychotherapy as relatively unimportant. CM style was related to CM activity (i.e., distribution of effort). Differences between states are noted and implications for future research are discussed.

Original languageEnglish
Pages (from-to)415-428
Number of pages14
JournalCommunity Mental Health Journal
Issue number5
StatePublished - 1997

Bibliographical note

Funding Information:
The contents of this publication were developed under a grant from the National Institute on Disability Rehabilitation and Research, Department of Education cooperative agreement number H133B0001, and the National Institute of Mental Health, Systems Development and Community Support Branch. The contents of this publication do not necessarily reflect the view of the Institute and do not imply endorsement by the U.S. Government. Joseph G. Hromco,Ph.D., is affiliated with Ceres Behavioral Healthcare Systems, and John S. Lyons, Ph.D., is affiliated with Northwestern University Medical School, Chicago, Illinois. Robert E. Nikkei, M.S.W., is affiliated with the Oregon Mental Health and Developmental Disability Services Division, Salem, Oregon. Address correspondence to Joseph G. Hromco, Ph.D., c/o 5608 N.E. 37th, Portland, OR 97211.

ASJC Scopus subject areas

  • Health(social science)
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health


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