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Patterns of services and consumer outcome in an intensive case management program
C S Ryan1, P S Sherman, L M Bogart
1Department of Psychology, University of Pittsburgh 15260, USA. cryan@vms.cis.pitt.edu
Journal of Consulting and Clinical Psychology
|June 1, 1997
Summary
Intensive case management for serious mental illness shows service patterns vary by client success. Family, housing, and rehabilitation services impact treatment, with case managers playing a key role.
Area of Science:
- Mental Health Services Research
- Psychiatric Rehabilitation
- Community Support Services
Background:
- Individuals with serious and persistent mental illness (SPMI) often require ongoing support.
- Intensive case management (ICM) programs aim to provide comprehensive care coordination.
- Understanding service utilization patterns is crucial for optimizing ICM effectiveness.
Purpose of the Study:
- To examine service delivery patterns in the first year of an ICM program for individuals with SPMI.
- To compare service utilization between individuals with varying degrees of treatment success.
- To identify factors influencing service needs and case manager roles.
Main Methods:
- Analysis of service provision across 10 content areas.
- Comparison of service patterns for 'more successful' versus 'less successful' individuals.
- Examination of variations in service patterns among case managers.
Main Results:
- Significant differences in family and housing support services were observed between success groups.
- A linear decrease in rehabilitation services suggested early effectiveness.
- Case managers exhibited distinct service patterns in 5 of 10 areas, highlighting their influence.
Conclusions:
- Community support services, particularly family and housing, are critical and may predict the need for continued ICM.
- Rehabilitation services appear most impactful early in the treatment trajectory.
- Case manager variability underscores their significant impact on treatment course and outcomes.