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On analyzing ecological model, it is possible to distinguish three levels of the model, which can affect consistently the relationship of a manager with a client. The three levels of intervention are as follows: top-down, bottom-up, and interactive level. In fact, each level has its specificities that affect consistently the manager-customer relationship.
The top-down level implies that the environmental effects define the behavior of an individual. Therefore, the manager should create conditions in which the client should act as the managers wants him or her to act. For instance, the manager can create comfortable conditions in which the client will be able to use services provided by an organization. For instance, health care professionals can improve the schedule or introduce new departments to improve the quality of services and attract clients.
The bottom-up level is the level when the relationship between the manager and client are shaped under the impact of the formation of alliance between the manager and the client. For instance, they may have some common needs or the manager can offer the customer a service, which he or she needs. For instance, schools and universities can offer educational program for students in need, which are free of charge. Providing educational services schools and universities will become closer and better.
Furthermore, the interactive level implies the close interaction between managers and clients at different levels. For instance, managers and clients may have some common interests and form a sort of alliance and, simultaneously, the manager can use environment to condition the behavior of the client. In such a way, the manager develops complex relationships with the client and conditions his or her behavior.
Thus, the ecological model affects consistently the manager-client interaction and may be used successfully by managers of different organizations.

References
Summers, N. (2009). Case management practice, Skills for the Human Services, Cengage Learning, Chapter 2 & 3