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Related Experiment Videos

Adding consumer-providers to intensive case management: does it improve outcome?

James J Rivera1, Ann M Sullivan, S Stavros Valenti

  • 1Department of Psychiatry, Mount Sinai School of Medicine, Elmhurst Hospital Center, Rm. H3-48, 79-01 Broadway, Elmhurst, NY 11373, USA. james.rivera@mssm.edu

Psychiatric Services (Washington, D.C.)
|May 31, 2007
PubMed
Summary
This summary is machine-generated.

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This study found that involving mental health consumers as peer providers in case management did not improve client outcomes compared to standard care. Further research is needed to define optimal roles for consumers in mental health services.

Area of Science:

  • Mental Health Services Research
  • Psychiatric Rehabilitation
  • Consumer-Led Interventions

Background:

  • Growing interest in employing mental health consumers as service providers.
  • Previous studies on consumer integration in case management had poorly defined roles and unestablished benefits.

Purpose of the Study:

  • To evaluate if consumers enhance case management outcomes by providing social support.
  • To compare consumer-assisted case management with non-consumer-assisted and standard care.

Main Methods:

  • Randomized trial with 203 clients with severe and persistent mental illness.
  • Three conditions: consumer-assisted case management, non-consumer-assisted case management, and standard clinic-based care.
  • 12-month follow-up period.

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Main Results:

  • No significant differences in symptom improvement, healthcare satisfaction, or quality of life across the three groups.
  • All programs showed similar small changes in social network behavior.
  • Consumer-assisted case management utilized peer-organized activities; non-consumer-assisted focused on individual professional contacts; standard care used group/individual therapy.

Conclusions:

  • A randomized trial found no evidence that consumer presence enhances case management outcomes.
  • More research is required to determine optimal roles for consumers in mental health service delivery.