Meds, Money, and Manners: The Case Management of Severe Mental Illnessby Jerry E. Floersch
As case management has replaced institutional care for mental health patients in recent decades, case management theory has grown in complexity and variety of models. But how are these models translated into real experience? How do caseworkers use both textbook and practical knowledge to assist clients with managing their medication and their money? Using ethnographic and historical-sociological methods, Meds, Money, and Manners: The Case Management of Severe Mental Illness uncovers unexpected differences between written and oral accounts of case management in practice. In the process, it suggests the possibility of small acts of resistance and challenges the myth of social workers as agents of state power and social control.
This book provides a fascinating albeit bleak insight into the daily routine of practitioners.
What People are saying about this
This is the most intensive and thorough study of case management practice that I have ever read.
Rich in theory and compelling and illuminating description, Meds, Money, and Manners challenges conventional understanding about the working and effect of disciplinary power as it guides readers through the confusing and contradictory landscape of deinstitutionalization. Social workers and policymakers, as well as historians and sociologists of mental illness and its treatment will find much of interest in this engaging book
Anthropologists will find this ethnographic and historical study of social workers and their practices in mental health an invaluable contribution to our understanding of how Foucauldian disciplinary knowledge and power operates in the everyday lives of human service workers.
Paying close attention to language and meaning, Jerry Floersch's study documents how practitioners find ways to work around the limitations and inconsistencies of practice models to meet unique service needs while seeking to stay within the spirit of the model. The book is vivid and astute, wonderful as history, as critique, and as a framework for future research.
This work provides essential insights into the helping process, identifying those elements that are fundamental but often are not incorporated into our intervention models.
Meet the Author
Jerry E. Floersch is an assistant professor at the Mandel School of Applied Social Sciences at Case Western Reserve University.
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