Autonomy Issues in Case Management

摘要

This report begins with an overview and history of the concept of autonomy,followed by an outline of competing and complementary values and principles. The relevance of these principles for community-based case management is discussed, with suggestions for expanded definitions of autonomy. Factors limiting or influencing autonomy of case management client are presented, including agency and regulatory constraints, manpower issues, and family demands and values. The report then turns to an exploration of the importance of perceptions of control and personal decisionmaking, followed by a discussion of current practices in determining client preferences and values. The report concludes with a consideration of the requirements of informed consent, and its relevance and application to case management. Finally, suggestions for education and in-service training of case managers are provided.