Community Aged Care Case Managers Transitioning to Consumer Directed Care: More Than Procedural Change Required

Carmel Laragy, Jacqueline Allen

Research output: Contribution to journalArticleResearchpeer-review

13 Citations (Scopus)


Abstract: Consumer directed care (CDC) is increasing in community aged care. However, limited information is available to successfully transition social workers and other case managers to their new role. This paper reports on a case study of six senior case managers who supervised staff in three Australian community-aged care agencies as they transitioned from agency directed care to consumer directed care. A change management framework was used to analyse the qualitative data collected in 12 semistructured interviews. A key finding is that changes in values, attitudes, and organisational culture are needed before staff can fully implement CDC principles of service user self-determination, empowerment, and choice. Process changes needed to assist staff transition to CDC are: using a change management strategy that maximises certainty; monitoring and responding to feelings of anxiety through ongoing consultations; and providing ongoing education and support in group sessions.

Original languageEnglish
Pages (from-to)212-227
Number of pages16
JournalAustralian Social Work
Issue number2
Publication statusPublished - 3 Apr 2015
Externally publishedYes


  • Case Managers
  • Change Management
  • Community Aged Care
  • Consumer Directed Care
  • Cultural Change
  • Workforce

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