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Related Experiment Video

Updated: Jul 10, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Case management for persons with substance use disorders.

M Hesse1, W Vanderplasschen, R C Rapp

  • 1Centre for Alcohol and Drug Research, Købmagergade 26 E, København C, Denmark, 1150. mortenhesse@crf.dk

The Cochrane Database of Systematic Reviews
|October 19, 2007
PubMed
Summary
This summary is machine-generated.

Case management effectively links patients with alcohol and other drug use disorders to needed services. However, current evidence does not conclusively show it reduces drug use or improves other outcomes.

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Area of Science:

  • Addiction Medicine
  • Public Health
  • Health Services Research

Background:

  • Patients with alcohol and other drug use disorders (AOD) often face complex, interconnected health and social needs.
  • Accessing community services, including substance abuse treatment, presents significant challenges for individuals with AOD.
  • Case management, a strategy involving a dedicated case manager, aims to connect these patients with necessary services.

Purpose of the Study:

  • To systematically review randomized controlled trials (RCTs) evaluating case management for individuals with drug abuse issues.
  • To assess the impact of case management on successful linkage to services, illicit drug use, and other relevant outcomes.

Main Methods:

  • A comprehensive search of multiple databases (Cochrane, MEDLINE, EMBASE, LILACS, PsycINFO, Biological Abstracts) was conducted.
  • Included randomized controlled studies comparing case management to treatment as usual or alternative models for patients with alcohol or drug problems.
  • Data extraction was performed independently by two reviewer groups, with standardized mean differences calculated.

Main Results:

  • Fifteen studies were included. Case management did not significantly reduce illicit drug use (SMD=0.12, p=0.20), with substantial heterogeneity observed.
  • Linkage to other treatment services was significantly improved by case management (SMD=0.42, p<0.001), though heterogeneity was also substantial.
  • Moderator analyses indicated that the presence of a treatment manual influenced heterogeneity in linkage outcomes. One large trial showed case management superior to psychoeducation and counseling in reducing drug use.

Conclusions:

  • Evidence supports case management's effectiveness in enhancing connections to other services for individuals with AOD.
  • The impact of case management on reducing drug use and achieving other beneficial outcomes remains inconclusive.
  • Further research may be needed to clarify the conditions under which case management yields broader positive effects.