On Being and Having a Case Manager ─ A Relational Approach to Recovery in Mental Health

"On Being and Having a Case Manager" stresses the importance of the "process" of building relationships in helping clients realize independent lives. Based on a two-year study of Marilyn and her case managers, this book emphasizes the "intentional" exchange of attention and information between case managers, clients, and others within the caring network and clearly outlines a practical method for all service providers, clients, family members, and close friends to follow.

Throughout the day, from moment to moment, relationships fluctuate among "doing for," "doing with," "standing by for support," and "doing for oneself." By observing Marilyn and her case manager, the authors prove the value of mutually and continuously monitoring these fluctuations within three primary domains-feeling, thinking, and acting-while carrying out daily activities. These findings show that managers are often stuck in "doing-for" modes of relating. Indeed, this may be one of the factors that contribute most to case manager and client burnout. While some clients with severe and persistent symptoms may, in fact, frequently require others to "do-for," some like Marilyn may not require as much. They may need more "doing-with" and "standing-by" to encourage mastery and the internalization of confidence.

Jeffrey Longhofer is an associate professor at the Rutgers University School of Social Work and has served as editor and associate editor of journals for the American Anthropological Association and the Society for Applied Anthropology.

Paul M. Kubek is director of communications at the Center for Evidence-Based Practices at Case Western Reserve University. He specializes in translating the knowledge of researchers and practitioners from multiple disciplines into useful dissemination tools.

Jerry Floersch is associate professor at the Rutgers University School of Social Work and the author of Meds, Money and Manners: The Case Management of Severe Mental Illness, and is the recent recipient of a career development award from the National Institute of Mental Health.