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Case management: an update.

F Holloway1, J Carson

  • 1Bethlem Royal Hospital, London.

The International Journal of Social Psychiatry
|October 9, 2001
PubMed
Summary
This summary is machine-generated.

Case management in mental health care has evolved, with Assertive Community Treatment (ACT) showing positive results in controlled trials. However, case management alone is not a standalone treatment for severe mental illness.

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Area of Science:

  • Mental Health Care
  • Psychiatric Services
  • Health Services Research

Background:

  • Case management is a significant innovation in mental health services.
  • The effectiveness of various case management models remains a subject of ongoing debate.
  • Previous reviews have highlighted the evolving nature and controversial efficacy of case management.

Purpose of the Study:

  • To provide an updated review of case management in mental health care, a decade after a previous assessment.
  • To synthesize findings from controlled trials and literature reviews on case management and Assertive Community Treatment (ACT).

Main Methods:

  • Systematic literature reviews and controlled trials of case management and ACT were accessed.
  • Searches included Medline, Embase, and personal contacts to ensure comprehensive data retrieval.

Related Experiment Videos

  • Analysis focused on descriptive literature and empirical evidence from published studies.

    • Main Results:

    • The concept of case management has continued to evolve over the last ten years.
    • No controlled trials have specifically evaluated a case manager model focused solely on service brokerage without direct care provision.
    • Assertive Community Treatment (ACT) has demonstrated markedly positive results in published controlled trials, predominantly from North America.

    Conclusions:

    • Basic case management principles are increasingly integrated into routine clinical practice.
    • Findings from ACT trials may not be directly generalizable to all health and social care systems.
    • Case management, in isolation, is not a sufficient treatment for severe mental illness; it requires integration with other therapeutic approaches.