The need for transferring individuals from a case manager's caseload once they reach capacity presents a significant challenge to person-centered care. Clients invest time and trust in forming a rapport with their case manager and this relationship is essential for effective support and progress. Disrupting this established connection through an administrative transfer, rather than a needs-driven one does not seem to be in the client's best interest. It undermines the very foundation of trust and continuity, causing potential setbacks and emotional distress.

The increasing emphasis on meeting predefined "intensity levels" presents a challenge to client-centered care. Spending staff time trying to ensure the client is in the right intensity level takes away from delivering optimal, individualized treatment. This system could unintentionally undermine the purpose of case management, leading to less effective outcomes for clients who deserve person-centered support.