Analysis of the Integrated Case Management Supervision System and Operation Plan of the Integrated Case Management Supervision Model : Focusing on the Ecological Perspective and Legal Hierarchy

This study aimed to understand the institutional identity of integrated case management in Korea and to suggest an integrated case management supervision system with an integrated case management supervision model operation plan that could support integrated services throughout life in a delivery system where the responsibility for social care could be expanded due to the enactment of the Care Integration Support Act in 2024. To this end, the integrated case management supervision system supported by the state was analyzed. Literature, social welfare laws, and previous studies were also analyzed for the operation of the integrated supervision model. Results of this study showed that integrated case management, which brought about the reorganization of legislation and delivery systems, could comprehensively link and provide social security benefits supported by the social security agency and social services from the private sector according to Article 42-2 of the Social Security Benefits Act. Changes in the delivery system for the efficient operation of integrated case management supervision require data and evidence-based reflection and an integrated approach. Main areas of linkage included self-reliance case management introduced with the enforcement of the National Basic Livelihood Security Act in 2000, medical aid case management pursuant to the establishment of Article 5-2 of the Medical Aid Act in 2011, case management of families of disabled persons pursuant to Article 30-2 and case management of public-private cooperation pursuant to Article 32-7 of the Welfare of Persons with Disabilities Act in 2017, case management for the protection of victimized children pursuant to Article 22-4 of the Child Welfare Act enacted in 2020, youth case management in the integrated support system for youth in the local community pursuant to Article 9 of the Youth Welfare Support Act, and case management that could link and provide social welfare services at social welfare centers with the establishment of Article 34-5 of the Social Welfare Services Act in 2021, expanding to a social service delivery system that could provide customized care for the elderly, case management for dementia patients, mental health case management, and integrated care. In this study, we analyzed the integrated case management supervision system with emphases on universalization and responsibility of social security benefits, social services, and social care. We also identified ecological and legal system properties and proposed an operation plan for the integrated case management supervision model as an integrated supervision model.