4.4 Caseload

Depending on client characteristics, needs, and PCM activities provided, an ideal caseload for a full-time prevention case manager may range from 20 to 35 clients (Rubin 1992). Caseload will vary based on the complexities of individual cases and the length of time clients are served. In service areas where fewer resources are available, prevention case managers may be expected to go beyond the HIV risk-reduction counseling and resource-linking roles and become providers of other direct services, if they have the appropriate skills. Such circumstances will decrease the number of clients each case manager can effectively serve.

When case managers deliver many direct services and/or when clients are younger, harder to engage in treatment, or more vulnerable to negative social forces such as poverty or homelessness, smaller caseloads are expected (Rubin 1992). Also, with smaller, more intensive caseloads, case managers may develop a more therapeutic relationship with the client. In contrast, if case managers are working primarily with low-need clients, the caseload would be expected to be higher.

Go to 4.5 Coordination of PCM with Ryan White CARE Act Case Management