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Case management.

F Holloway1, E K McLean, J A Robertson

  • 1Camberwell Health Authority, St Giles Hospital, London.

The British Journal of Psychiatry : the Journal of Mental Science
|July 1, 1991
PubMed
Summary
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Case management systems offer benefits for coordinating community care for individuals with long-term mental illness. While valuable, these systems are not a replacement for essential community support services.

Area of Science:

  • Healthcare Management
  • Community Mental Health Services
  • Social Work

Background:

  • The evolution of case management concepts, influenced by historical developments and policy shifts like the White Paper on Community Care.
  • The increasing need for coordinated care for individuals with long-term mental illness residing in community settings.

Purpose of the Study:

  • To critically evaluate the advantages and disadvantages of case management systems in community mental health care.
  • To explore key considerations for implementing effective case management, including personnel, training, and inter-agency collaboration.

Main Methods:

  • Literature review and conceptual analysis of case management principles.
  • Examination of historical context and policy drivers for community care.

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  • Discussion of empirical evidence on case management effectiveness.

    • Main Results:

    • Case management systems present both benefits and drawbacks for coordinating care for long-term mental illness patients.
    • Successful implementation hinges on defining roles, adequate training for case managers, and effective inter- and intra-agency cooperation.
    • The effectiveness of case management is supported by empirical evidence, though it varies.

    Conclusions:

    • Case management can be a vital component of comprehensive mental health services.
    • It is not a standalone solution and must complement, not replace, fundamental community provisions.
    • The principles of case management are transferable to other client groups with long-term needs, such as the elderly or individuals with learning difficulties.