“…These investigations have examined case management strategies aligned to the brokerage model (Bigelow & Young, 1991;Braun & Rose, 1994; Challis, Darton, Johnson, Stone, & Traske, 1991a; Challis, identified the client's potential for involvement. Evidence from research (Auton, 1995;Cahill, 1996;Carnaby, 1997;Davies, Laker, & Ellis, 1997;Gilmore, 1991;Hurst, 1996;Jirsch, 1993;Jones, Dougherty, & Martin, 1997;Kane, Caplan, Urv-Wong, Freeman, Aroskar, & Finch, 1997;Lathrop, Seufert, MacDonald, & Martin, 1991;Tidikis & Strasen, 1994) and observation of case managers who intuitively implement a more client-driven partnering approach to creating, implementing, and evaluating the service plan (Rose, 1992a(Rose, , 1992b suggests that more cost-effective service delivery may result. While recent investigations of client-centered hospital care strategies have produced mixed results (Jones et al, 1997;Snyder & Lathrop, 1995;Twyman & Libbus, 1994) the evidence suggests that such strategies are cost-justified, and increase quality and service levels (Snyder & Lathrop, 1995).…”