INDEPENDENT CHOICES: A National Symposium on Consumer-Direction and Self-Determination for the Elderly and Persons with Disabilities. A System in Transition: Dane County Moves From Case Managers to Support Brokers


Dane County, Wisconsin, has long evaluated the way it delivers case management to its citizens with developmental disabilities. While in the past some people received this service from the county case management unit, most had a case manager who was employed by the agency providing their residential or vocational support. Many, in and out of the system, saw the conflict inherent in this way of delivering support in planning, coordination, and advocacy. People with disabilities did not have a choice about their case manager or the work they wanted the case manager to perform with them and on their behalf.