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[Implementation and evaluation of case management in Catalonia: the ISP-SMD program]
J Balsera Gómez1, C Rodríguez Medina, R Caba Calvet
1Sant Joan de Déu - Serveis de Salut Mental. Sant Boi de Llobregat. Barcelona. Spain.
Actas Espanolas De Psiquiatria
|December 19, 2002
Summary
The Individualized Service Program for Severe Mental Disorders (ISP-SMD) successfully implemented case management in Catalonia. This program improved patient clinical status, service use, and quality of life while reducing costs.
Area of Science:
- Mental Health Services Research
- Healthcare Management
- Psychiatry
Background:
- The pilot study evaluated the Individualized Service Program for Severe Mental Disorders (ISP-SMD) in Catalonia.
- This program focuses on implementing case management services for individuals with severe mental disorders.
Purpose of the Study:
- To assess the feasibility and impact of implementing case management services for severe mental disorders in Catalonia.
- To evaluate the effectiveness of the ISP-SMD in improving patient outcomes and service utilization.
Main Methods:
- The ISP-SMD was implemented in two health care sectors, serving individuals with persistent mental disorders and significant social/family issues.
- The program emphasizes direct care and inter-service coordination, with 30 patients included in the evaluation.
Main Results:
- Patients demonstrated improved clinical status and reduced unmet needs compared to the year prior to program entry.
- Appropriate use of health services increased, leading to lower treatment costs.
- High satisfaction levels were reported by patients, families, and healthcare professionals.
Conclusions:
- Case management services, as exemplified by the ISP-SMD, can be successfully adapted and implemented within the Catalan healthcare system.
- The implementation of case management significantly enhances the quality of life for individuals with severe mental disorders.