This study examines case management service allocations to a clinical, nonrandom sample of
persons with Alzheimer's disease (N = 822). Service allocation rules are estimated using logistic
regression. The latent index of the likelihood of providing case management services is regressed
on patients' enabling, need, and predisposing characteristics and organization affiliation.
Significant predictors include patient unmanageability, memory problems, gender, previous case
management use, no other service use, family problems, and center affiliation. Less functional
patients may receive case management services when more functional patients may not, thus
indicating a temporal dimension to case management allocation because people later in their
disease trajectory are more likely to be directed toward case management services. This suggests
that the efficacy of case management services may depend on the timing of the help in relation
to the client's disease severity.
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