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A case management program for chemically dependent clients with multiple needs

C Brindis, R Pfeffer, A Wolfe

    Journal of Case Management
    |January 1, 1995
    PubMed
    Summary
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    This project enhanced care for low-income, homeless individuals with substance abuse, HIV, and mental health needs. Case management improved service linkages and client continuity.

    Area of Science:

    • Public Health
    • Health Services Research
    • Social Work

    Background:

    • San Francisco clinics offered case management to low-income, homeless individuals with substance abuse issues.
    • Many participants had co-occurring HIV infection and/or mental illness.
    • The project aimed to improve integration between substance abuse treatment and primary care.

    Purpose of the Study:

    • To assess the effectiveness of case management in linking substance abuse treatment, primary care, and mental health services.
    • To understand client needs, successes, and challenges within the demonstration project.
    • To evaluate the role of a management information system (MIS) in supporting case management.

    Main Methods:

    • A 3-year federal demonstration project utilizing case management services.

    Related Experiment Videos

  • Integration of qualitative and quantitative data collection and analysis.
  • Development and implementation of a specialized management information system (MIS).
  • Main Results:

    • Case management facilitated increased communication between medical personnel and service providers.
    • The MIS supported client information documentation and improved client continuity.
    • Systemic challenges were identified in linking primary care, substance abuse, and mental health services.

    Conclusions:

    • Case management can serve as a catalyst for comprehensive care coordination.
    • Integrated service delivery models are crucial for vulnerable populations with complex needs.
    • Addressing systemic barriers is essential for successful linkage of care.