The purpose of this study was to determine the effect on client outcomes produced by training case managers in a strengths model of case management. Outcomes of interest included client's quality of life, vocation/education, residential living, hospitalization rate, hospital days, and symptoms. It also compared the results obtained by the strengths model with results of a generalist model. Case managers at the experimental site were trained in the strengths model. Those at the control site received no training. Data were collected at both sites prior to training and three months later. Improvement in quality of life, symptoms, and vocational/educational outcomes were found in the experimental group. Quality of life and vocational/educational outcomes were better in the experimental group than in the control group.