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Frontline workers warn conflict-free case management rollout has created unsustainable caseloads
Summary
Frontline case managers and union representatives told the House subcommittee that the phased rollout of conflict-free case management at BHDDH and long-term support programs has increased workloads and turnover. Workers urged limits on caseload sizes, regionalization of assignments and more staffing to preserve person-centered casework.
Frontline case managers, supervisors and union representatives told the House Finance subcommittee that the state's implementation of conflict-free case management has increased worker caseloads and contributed to turnover, leaving some vulnerable clients with less consistent support.
Why it matters: Conflict-free case management is a federally driven model intended to separate assessment and support from service provision to avoid conflicts of interest. Workers said the rollout in Rhode Island has outpaced available provider capacity and staffing, producing unsustainable workloads for case managers responsible for person-centered planning.
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