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Transferring clients from intensive case management: impact on client functioning

M P Salyers1, T W Masterton, D M Fekete

  • 1Indiana University-Purdue University, Indianapolis, USA. Michelle.P.Salyers@Dartmouth.Edu

The American Journal of Orthopsychiatry
|May 20, 1998
PubMed
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Transferring clients from assertive community treatment to step-down case management reduced service use without negative impacts. This transition is feasible and effective for patient care.

Area of Science:

  • Psychiatry
  • Mental Health Services
  • Healthcare Management

Background:

  • Assertive Community Treatment (ACT) provides intensive support for individuals with severe mental illness.
  • Transitioning clients to less intensive services is crucial for resource optimization and patient autonomy.
  • Understanding the impact of such transitions is vital for effective mental healthcare delivery.

Purpose of the Study:

  • To evaluate the effects of transferring clients from ACT to a step-down case management program.
  • To assess changes in service utilization and client outcomes post-transfer.
  • To identify key factors facilitating successful transitions in mental health care.

Main Methods:

  • Quasi-experimental design comparing clients before and after transfer.

Related Experiment Videos

  • Analysis of service use data, including hospital admissions and outpatient visits.
  • Assessment of client functioning and clinical status.

    • Main Results:

    • Significant decrease in overall service utilization after transfer to the step-down program.
    • No adverse effects observed on hospital use rates.
    • Client functioning and clinical outcomes remained stable or improved post-transfer.
    • Identification of critical program elements supporting successful transitions.

    Conclusions:

    • Transferring clients from ACT to step-down case management is effective in reducing service use.
    • The transition process can be managed without compromising client well-being or clinical status.
    • Key elements for successful step-down include coordinated care and appropriate client selection.