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Case management for the chronic mentally ill: models and dimensions
Hospital & Community Psychiatry
|December 1, 1982
Summary
Effective community-based care for chronic mental illness relies on integrated case management. This involves understanding manager involvement, caseload types, and control over resources, while addressing systemic issues like funding for success.
Area of Science:
- Psychiatry
- Healthcare Management
- Social Work
Background:
- Community-based care is essential for individuals with chronic mental illness.
- Case management is a key integrative approach in this care model.
Purpose of the Study:
- To describe various models of case management for the chronically mentally ill.
- To identify factors influencing case management effectiveness.
Main Methods:
- Analysis of case management models based on three dimensions: direct service involvement, caseload type, and control over resources.
- Examination of systemic factors impacting case management.
Main Results:
- Case management models vary in direct service involvement, caseload structure, and resource control.
- Factors like private contracts and provider rapport influence resource control.
- Systemic issues such as funding shortages and service duplication hinder effective case management.
Conclusions:
- Effective case management requires adequate resources and clear inter-component communication.
- Understanding the dimensions of case management and systemic challenges is crucial for optimizing care for the chronically mentally ill.