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Related Concept Videos

Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
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There are many research methods available to psychologists in their efforts to understand, describe, and explain behavior and the cognitive and biological processes that underlie it.

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Related Experiment Video

Updated: Jul 16, 2026

Inverse Probability of Treatment Weighting (Propensity Score) using the Military Health System Data Repository and National Death Index
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Using activity data to explore the influence of case-load size on care patterns.

Tom Burns1, Jenny Yiend, Helen Doll

  • 1Social Psychiatry, University Department of Psychiatry, Warneford Hospital, Headington, Oxford OX3 7JX, UK. tom.burns@psych.ox.ac.uk

The British Journal of Psychiatry : the Journal of Mental Science
|March 3, 2007
PubMed
Summary

Intensive case management practice is affected by case-load size between 1:10 and 1:20. However, no discrete threshold was found to trigger a paradigm shift in practice.

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Area of Science:

  • Mental Health Services Research
  • Healthcare Management
  • Psychiatric Care Delivery

Background:

  • Limited case-load size is vital for intensive case management.
  • Many nations have reorganized mental health services to achieve this.
  • Empirical evidence on case-load size impact is scarce.

Purpose of the Study:

  • To determine if a specific case-load size threshold influences intensive case management practices.
  • To investigate the relationship between case-load size and service delivery models.

Main Methods:

  • Calculated "virtual" case-load sizes based on patient contacts over two years.
  • Compared case-load sizes with the proportion of medical and non-medical care contacts.
  • Used non-medical contact proportion as a proxy for comprehensive service models.

Main Results:

  • Analyzed 39,025 recordings for 545 patients over two years.
  • Mean contacts per full-time case manager per month was 48 (range 35-60).
  • No change in non-medical contacts above 1:20 case-load size; linear relationship observed between 1:10 and 1:20.

Conclusions:

  • Case-load sizes between 1:10 and 1:20 significantly impact case management practices.
  • The study did not find evidence supporting a discrete threshold for a practice paradigm shift.