I was talking to somebody in this room earlier about having too many case managers.
Case management starts with an assessment. It's a very holistic assessment of what that individual client's needs, wants, and even dreams are for living a fruitful and productive life. It's based on that critical assessment, which is different from a nursing assessment versus an OT assessment. It's an all-inclusive assessment of their health and social needs. I think that's where case management's strength lies, in pulling together the health care and the social service needs of an individual client.
How many case managers does somebody need? It does become problematic to have one, two, or three leading the parade. Sometimes I don't think that's the problem. It is a problem that the client and the case managers have, but it's a problem created by the system, not to help identify who is going to be the collaborative leader. You need a collaborative leader in that case.