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Two modes of case management: assessing their impact
Community Mental Health Journal
|October 1, 1994
Summary
Community Treatment Teams (CTTs) and Intensive Case Management Teams (ICMTs) showed few outcome differences despite CTTs performing more activities. Case management may have a ceiling effect, impacting results.
Area of Science:
- Healthcare Management
- Social Work
- Psychiatric Services
Background:
- Case management is crucial for patient outcomes.
- Comparing different case management models is essential for optimizing care.
- Community Treatment Teams (CTTs) and Intensive Case Management Teams (ICMTs) represent distinct approaches.
Purpose of the Study:
- To compare the effectiveness of Community Treatment Teams (CTTs) and Intensive Case Management Teams (ICMTs).
- To identify differences in case management activities and patient outcomes between CTTs and ICMTs.
Main Methods:
- A matched-pair study design was employed, comparing 30 cases from CTTs with 30 cases from ICMTs.
- Cases were matched based on four specific criteria.
- Data were gathered from case records and corroborated by case managers.
Main Results:
- Community Treatment Teams (CTTs) demonstrated higher engagement in case management activities compared to Intensive Case Management Teams (ICMTs).
- Despite differences in activity levels, significant variations in patient outcomes between the two approaches were minimal.
- A potential "ceiling effect" in case management efficacy was suggested.
Conclusions:
- Both CTTs and ICMTs appear to yield similar patient outcomes, irrespective of the intensity of activities.
- The findings suggest that the benefits of case management may plateau beyond a certain threshold.
- Further research is needed to explore cost-effectiveness and refine understanding of case management limitations.
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