Case management is one model of care that aims to address complex health needs through a structured approach to health care delivery, promoting self-management and the integration of health services (Gage et al., 2013; Hudon et al., 2015; Swan & Conway-Phillips, 2019). The case management model is typically comprised of assessment, planning, implementation, evaluation, termination and post-transition (Taube et al., 2018). These steps are undertaken as a collaborative partnership process between health professionals, clients and, where appropriate, carers/families/significant others. Partnership in health care refers to the concept of shared responsibility for the treatment outcome, placing the individual at the centre of the care delivery rather than simply being a passive recipient of care. This chapter describes why case management is used, identifies its phases and discusses its benefits and outcomes.

Case management is one model of care that aims to address complex health needs through a structured approach to health care delivery, promoting self-management and the integration of health services (Gage et al., 2013; Hudon et al., 2015; Swan & Conway-Phillips, 2019). The case management model is typically comprised of assessment, planning, implementation, evaluation, termination and post-transition (Taube et al., 2018). These steps are undertaken as a collaborative partnership process between health professionals, clients and, where appropriate, carers/families/significant others. Partnership in health care refers to the concept of shared responsibility for the treatment outcome, placing the individual at the centre of the care delivery rather than simply being a passive recipient of care. This chapter describes why case management is used, identifies its phases and discusses its benefits and outcomes.

Ethical issues are of central importance in the study of discourse, as in other fields. In some respects, these issues are given greater emphasis today than in the past, partly as a result of the rise of ethical regulation, but also because of some fundamental debates among researchers about the politics and ethics of their work. While the issues vary somewhat across the discourse field, here, as elsewhere, there are certain central values that underpin the practical decisions that researchers make. In this chapter, a distinction is drawn between epistemic and non-epistemic values. The first concern the process of enquiry itself – for example, the obligation to pursue worthwhile knowledge, and to do this effectively; to provide sufficient evidence in publications; to be honest about how the research was done; and to engage genuinely with critics. Non-epistemic values include minimizing harm; respecting autonomy; and maintaining reciprocity; and these represent essential constraints on how research is pursued. The chapter examines how all these values relate to discourse research, exploring the complexities involved. It is emphasized that ethicality is not a matter of following a set of rules; rather, it necessarily involves judgment, in which relevant values, along with prudential and methodological considerations, are taken into account, as they relate to the specific situations faced. The chapter ends with a consideration of ethical regulation and the problems generated by the proceduralist approach to research ethics that it tends to encourage.