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Measuring case management activity.

W A Hargreaves, R E Shaw, R Shadoan

    The Journal of Nervous and Mental Disease
    |May 1, 1984
    PubMed
    Summary
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    This study introduces a method to measure case management activities for severely mentally disabled individuals in public mental health systems. Both interview and record abstracting methods yielded comparable results, with record abstracting suitable for retrospective analysis.

    Area of Science:

    • Healthcare Management
    • Mental Health Services Research
    • Public Health Systems

    Background:

    • Effective case management is crucial for individuals with severe mental disabilities.
    • Evaluating the activities of case management within public community mental health systems presents challenges.
    • Standardized methods are needed to assess the quality and scope of case management services.

    Purpose of the Study:

    • To present and compare two methods for measuring case management activities.
    • To assess the feasibility and comparability of interviewing case managers versus abstracting records.
    • To determine the utility of these methods in public community mental health settings.

    Main Methods:

    • Two variants of a measurement method were developed and tested.

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  • Method 1 involved direct interviews with case managers.
  • Method 2 involved abstracting information from case records.

    • Main Results:

    • Both the interviewing and record abstracting methods yielded comparable results.
    • The methods were successfully implemented in two community mental health center (CMHC) sites.
    • The record abstract method demonstrated workability for retrospective case management examination.

    Conclusions:

    • The presented methods offer a viable approach to measuring case management activities.
    • Record abstracting is a practical option for retrospective analysis and cross-system comparisons.
    • These methods can enhance the evaluation of care for severely mentally disabled populations.