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Related Experiment Videos

The nature of case manager support.

F Baker, R S Weiss

    Hospital & Community Psychiatry
    |September 1, 1984
    PubMed
    Summary

    Community support systems (CSS) case managers help chronic mental health patients adjust by focusing on daily functioning and reality management, not just symptoms. This approach aids community reintegration and prevents rehospitalization.

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    Area of Science:

    • Mental Health Services
    • Social Work
    • Psychiatry

    Background:

    • Deinstitutionalization of chronic mental patients has increased reliance on community support systems (CSS).
    • The specific roles and practices of case managers within CSS remain under-researched.
    • Understanding case manager functions is crucial for effective client support.

    Purpose of the Study:

    • To explore how case managers function within CSS for deinstitutionalized chronic mental patients.
    • To identify specific ways case managers help or hinder clients' daily functioning.
    • To analyze the impact of case management on community adjustment and rehospitalization.

    Main Methods:

    • Qualitative study involving intensive interviews.
    • 30 community support system clients and 15 case managers were interviewed separately.
    • Data focused on client-perceived assistance and case manager actions.

    Main Results:

    • Case managers' roles encompass general support, linking clients to activities, and providing social support.
    • A key finding is the focus on "management of reality" rather than solely on symptomatology.
    • Effective case management was associated with improved daily functioning and reduced rehospitalization rates.

    Conclusions:

    • Case managers play a vital role in the community adjustment of chronic mental patients.
    • Focusing on practical, reality-based support appears more effective than symptom-focused interventions.
    • These findings have implications for training and practice in community mental health case management.

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