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Meds, Money, and Manners

Associate Professor Jerry Floersch, Ph.D., has discovered that case managers utilize two important forms of knowledge in their work disciplinary knowledge (or case management textbook knowledge) of service models to help mental health consumers develop life-management skills, and situated knowledge (or practical knowledge) which they invent when the models that they are forced to use fail. The situated knowledge that Floersch has unearthed is actually a re-invention of clinical language that enables case managers to evaluate a consumer’s capacity to become an independent community dweller. It is also a language that enables case managers to evaluate the effectiveness of the interactions between themselves and the people they are trying to help. Ironically, by inventing this clinical language, case managers are recovering the clinical skills that academics have purposely omitted from and suppressed with service models that emphasize the acquisition of objects and ignore the development of the self.

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