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Related Experiment Videos

Assertive case management in three CMHCs: a controlled study.

G R Bond1, L D Miller, R D Krumwied

  • 1Department of Psychology, IUPUI 46223.

Hospital & Community Psychiatry
|April 1, 1988
PubMed
Summary
This summary is machine-generated.

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Assertive case management (ACM) significantly reduced rehospitalization days for mental health clients. ACM clients spent 9.2 days hospitalized compared to 30.8 days for controls, showing cost-effectiveness.

Area of Science:

  • Psychiatry
  • Community Mental Health Services
  • Health Services Research

Background:

  • Community mental health centers (CMHCs) provide essential aftercare services.
  • Clients at risk for rehospitalization require intensive support to prevent readmission.
  • Traditional aftercare models may not be sufficient for all at-risk populations.

Purpose of the Study:

  • To evaluate the effectiveness of assertive case management (ACM) in reducing rehospitalization rates.
  • To compare ACM with standard aftercare services for clients at risk of rehospitalization.
  • To assess the impact of ACM on quality of life, medication compliance, and legal system involvement.

Main Methods:

  • Randomized controlled trial involving 167 clients across three CMHCs.

Related Experiment Videos

  • Experimental group received weekly assertive case management (ACM) visits.
  • Control group received standard aftercare services.

    • Main Results:

    • ACM clients experienced significantly fewer rehospitalization days (9.2 days) compared to control clients (30.8 days).
    • Significant reductions in rehospitalization were observed in two of the three centers.
    • No significant differences were found in quality of life, medication compliance, CMHC program involvement, or legal system contacts.

    Conclusions:

    • Assertive case management (ACM) is an effective intervention for reducing psychiatric rehospitalization.
    • ACM demonstrates cost-effectiveness, with potential savings for CMHCs.
    • While ACM improves rehospitalization rates, it does not appear to impact other psychosocial outcomes.