Case Management Procedures Research Articles

Preliminary Observations on Implementation of the Pilot Program of the Civil Justice Reform Act of 1990

The RAND Corporation's Institute for Civil Justice is evaluating the pilot program of the Civil Justice Reform Act of 1990 at the request of the Judicial Conference of the United States. This article reviews the design of the evaluation and presents RAND's preliminary observations about the implementation of the pilot program. RAND's primary interim conclusions are that case-management procedures vary greatly among the various district courts, and that one result of the pilot program has been to increase this variation. Some districts have moved aggressively to implement the policies of the pilot program, while others remain more cautious. However, the authors note that even in those districts whose explicit policies have changed the least under the pilot program, the implementation process has heightened the sensitivity of lawyers, judges, and clerks to the problems of litigation costs and delay.

Borderline Personality Clients in University Populations

Abstract Border personality disorder symptomatology is described as it may appear within a university population. The etiology of the disorder is examined from a Kohutian self-psychology perspective. Case-management procedures are outlined with a view to preventing inappropriate contracting with severely disturbed borderline clients. Recommendations are made regarding diagnosis procedures and the use of referrals. The impact of borderline clients on university staff is also discussed.

Borderline personality clients in university populations

Abstract Border personality disorder symptomatology is described as it may appear within a university population. The etiology of the disorder is examined from a Kohutian self-psychology perspective. Case-management procedures are outlined with a view to preventing inappropriate contracting with severely disturbed borderline clients. Recommendations are made regarding diagnosis procedures and the use of referrals. The impact of borderline clients on university staff is also discussed.

Development of a Paraprofessional Home Visiting Program for Low-Income Mothers and Infants

This article reports the development of a paraprofessional home visiting program based upon empirically documented client needs, maintenance of the qualities of mutuality and cooperation found in the indigenous paraprofessionals, and methods of ongoing program revision. Three studies are described that suggested four areas of program emphasis: (1) continuity of services from pregnancy through infancy, (2) needs assessment procedures sensitive to a broad range of health and social problems, (3) an ongoing personal relationship with an indigenous paraprofessional, and (4) reduction of barriers to prenatal care inherent in the health care system itself. We provide examples of program application and revision through training of paraprofessionals, case management procedures, and interventions within the perinatal health care system.

Disfluency in Childhood: It's Not Always Stuttering

The purpose of this article is to describe possible reasons for childrens' disfluent speech, present typical case profiles for different types of disfluency, and suggest appropriate case management procedures.