INDEPENDENT CHOICES: A National Symposium on Consumer-Direction and Self-Determination for the Elderly and Persons with Disabilities. Training Future Case Managers: Moving to a Support Approach


Case management, as a way of helping people more thoroughly benefit from services, began in the anti-poverty programs of the 1960s, and then moved into the rehabilitation field. It was embraced in developmental disabilities services in the mid to late 1970s as community integration became more popular, as people were less often placed in settings where a single agency was responsible for all aspects of their lives, and as a functional approach to defining developmental disabilities became more widespread. The federal Developmental Disabilities Assistance and Bill of Rights Act of 1978 established the policy rationale for case management by including, as part of the criteria for a developmental disability, that it "Reflects the person's need for a combination and sequence of special interdisciplinary or generic care, treatment or other services which are life-long or of extended duration and...are individually planned and coordinated."