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Key working versus the whole-team approach 

Key working versus the whole-team approach
Key working versus the whole-team approach

Tom Burns

, and Mike Firn

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date: 12 July 2020

In ACT, it was originally proposed that every patient should be looked after by the whole team and not have an individual case manager or key worker. Its originator, Len Stein, was convinced that key working fostered pathological dependence, and the idea has gained considerable prominence. We reject this proposal and explore the practical differences between the whole-team approach and more usual forms of multidisciplinary care. There is clearly a range of practice that can be adapted for different teams depending on the specific needs of their group of patients.

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