Case management means a number of different ways of managing care, ranging from client advocacy on one hand, to managing services and resources on the other. These, and other issues, are explored in the context of three experimental projects supported by KEHFL. The book reviews a number of dimensions of managed care: the different types of case management; the relationship between case management and orthodox service responses; the issue of accountability to existing services and to users; and the skills and abilities which seem essential to successful case management, and their training and staff development implications.