Related Experiment Videos
Reducing violence in severe mental illness: randomised controlled trial of intensive case management compared with
E Walsh1, C Gilvarry, C Samele
1Section of Forensic Mental Health, Guy's King's and St. Thomas's School of Medicine, Institute of Psychiatry, London, UK.
Objectives:
To establish whether intensive case management reduces violence in patients with psychosis in comparison with standard case management.
Design:
Randomised controlled trial with two year follow up.
Setting:
Four inner city community mental health services.
Participants:
708 patients with established psychotic illness allocated at random to intervention (353) or control (355) group.
Intervention:
Intensive case management (caseload 10-15 per case manager) for two years compared with standard case management (30-35 per case manager).
Main Outcome Measure:
Physical assault over two years measured by interviews with patients and case managers and examination of case notes.
Results:
No significant reduction in violence was found in the intensive case management group compared with the control group (22.7% v 21.9%, P=0.86).
Conclusions:
Intensive case management does not reduce the prevalence of violence in psychotic patients in comparison with standard care.