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Case management service provision and client change.

G Fisher1, D Landis, K Clark

  • 1Center for Applied Research and Evaluation, University of Mississipi, University 38677.

Community Mental Health Journal
|January 1, 1988
PubMed
Summary
This summary is machine-generated.

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This study found that case management services for the chronically mentally ill explained very little client change. Even key services like linkage/referral and advocacy had minimal impact on problem severity or number.

Area of Science:

  • Mental Health Services Research
  • Social Work Practice

Background:

  • Chronically mentally ill individuals often require ongoing support.
  • Case management is a key service model for this population.
  • Understanding service impact is crucial for effective care.

Purpose of the Study:

  • To examine the relationship between case management services and client outcomes.
  • To identify which specific services are most effective.
  • To assess the overall impact of case management on client change.

Main Methods:

  • Study focused on clients in the Mississippi case management system (minimum 6 months).
  • Examined the association between specific services (e.g., linkage/referral, advocacy) and client change.
  • Statistical analysis to determine variance explained by services.

Related Experiment Videos

Main Results:

  • Less than 3% of the variance in overall client change was explained by all five case management services combined.
  • Predicted key services like linkage/referral and advocacy did not significantly account for client change.
  • The impact of individual services on problem number and severity was minimal.

Conclusions:

  • Current case management service provision in this system has a limited impact on client outcomes.
  • Systemic constraints may be hindering the effectiveness of services.
  • Further research is needed to identify more effective interventions and address system limitations.