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Case management is often presented as the link between a person experiencing homelessness and housing, health care, income, or other assistance. This review examines what public sources establish about that work in Honolulu. Provider descriptions show a wide range of tasks. Local reporting and state documents identify recruitment, retention, and staffing concerns. A systematic review finds that outcomes differ across case management models and that more intensive approaches can improve some housing outcomes. These sources do not establish a current average caseload or turnover rate across Honolulu providers. The article therefore avoids assigning a single numerical standard to unlike programs. It distinguishes assigned cases from active workload and a service referral from a completed connection. It proposes clearer reporting on staffing vacancies, contact continuity, transfers, and housing stability. It also argues that case managers should be evaluated in the context of available housing and services, while remaining accountable for communication and work they can control. The strongest assessment would combine client experience, staff evidence, and defined outcomes without exposing private case details or treating an unfinished placement as proof of individual failure.
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Jeremy Koski (2026) studied this question.
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