I agree with all of the comments that eliminating casemanagement from service delivery is not providing full systems approach.  Even an outpatient therapist provides some resource managment, linkage and referrals when providing a service.  IIHS has been through many changes, separating out services will only confuse, hinder the clients and limit services.  It could also lead to fruadulent services by new vendor trying to capture and take advantage of the, unprivilaged families and seriously mentally ill population forcing them into a new category of serivces which they may not required.