Abuse of trust

Abstract

Following a summary of proposed changes to Community Care in the United Kingdom, this paper focuses on case management as a key component of social work skill. Associations between marketplace interaction and the relationship between caseness and care are followed by an analysis of issues and psychological defenses to which case management is liable. These are addressed at the interpersonal level and in terms of boundaries between organizational systems. A hypothesis is proposed that case management is particularly susceptible to conflicts around issues of dependence, independence and interdependence. Finally, initial suggestions are made regarding the role that a psychodynamic understanding can play in addressing these problems.