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Care management and mental health
G Thornicroft1, P Ward, S James
1PRiSM (Psychiatric Research in Service Measurement), Institute of Psychiatry, London.
Summary
Community care reforms introduce care managers to organize patient care packages. However, the new system, starting April 1993, is untested and may underperform, with specific plans detailed for Southwark
Area of Science:
- Healthcare policy
- Social work
- Public administration
Background:
- Community care reforms necessitate a new professional role: the care manager.
- Care management, set to launch in April 1993, faces challenges due to insufficient preparation.
- Existing case management approaches are evolving into comprehensive care management.
Purpose of the Study:
- To trace the historical development of case management into modern care management.
- To outline the guiding principles of effective care management practice.
- To illustrate the practical application of care management within Southwark's mental health services.
Main Methods:
- Historical overview of case management evolution.
- Analysis of principles underpinning care management.
- Case study description of Southwark's mental health service care management plans.
Main Results:
- Care management represents a significant shift from traditional case management.
- The successful implementation of care management is contingent on thorough preparation and clear principles.
- Southwark's mental health services provide a concrete example of planned care management structures.
Conclusions:
- The success of community care reforms hinges on the effective integration and performance of care managers.
- Anticipated challenges in the initial rollout of care management require careful monitoring and potential adjustments.
- Understanding the principles and practical application of care management is crucial for service providers and policymakers.