Abstract
ABSTRACTThis paper summarises the author's impressions of the use of case management in programs for elderly people in America. The hopes for case management as independent brokerage able to organise the community and service system to meet the needs of individual elderly people has not been realised. This has not stopped its widespread establishment in community‐based long‐term care for relatively minor gains at high cost, but with a belief that it is doing much more. Australians are likely to embrace case management for the same reasons as Americans and will be just as disappointed. Despite this lack of real effectiveness of case management, a highly individualised response to elderly people's needs is still required but, this experience indicates, will only be achieved with a much broader strategy.
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