INDEPENDENT CHOICES: A National Symposium on Consumer-Direction and Self-Determination for the Elderly and Persons with Disabilities. I'm Not a Case and I Don't Want to Be Managed!"--Supporting Self-Determination


People with disabilities historically have had to rely on case managers to assist in planning and coordinating services. The term case manager retains the historical implications of the medical model and its depersonalization of individuals -- thinking of them as occurrences of diseases or conditions (i.e. "cases"). Today, the philosophy and practices associated with self-determination and those of case management are colliding to create and define new roles and responsibilities that are sometimes referred to as support or service coordinators, individual brokers, and other related terms.