Case Management as a Strategy for Systems Change

Surles, Richard C.; Blanch, Andrea K.; Shern, David L.; Donahue, Sheila A.

doi:10.1377/hlthaff.11.1.151

Cited by 48 publications

(28 citation statements)

References 5 publications

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“…Case managers (CMs) primarily serve individuals with serious and persistent mental illness, individuals who have frequently used acute inpatient services, and individuals who have extended stays in State inpatient psychiatric facilities, t In New York State, the objectives of case management services are (1) to employ a client-centered focus to improve individual outcomes and recovery, (2) to engage leadership in the processes of decision making within the mental health service delivery system, and (3) to identify systemic barriers to effective interventions.…”

Section: Introductionmentioning

confidence: 99%

New York state case manager survey: Urban and rural differences in Job activities, job stress, and job satisfaction

Gellis

Kim

Hwang

2004

The Journal of Behavioral Health Services & Research

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The impact of stress in the workplace on employees' well-being and effectiveness has been increasingly recognized in recent years. The purpose of this research was to study the quality of working life of case managers in urban and rural community mental health programs in New York State. The objectives were to describe specific job activities and examine differences in the perceptions of job stress and job satisfaction. Urban case managers attributed greater job stress intensity and frequency than did rural workers to stressors relating to collaborating and coordinating services. Urban case managers reported higher levels of perceived job stress due to organizational support deficits than did rural workers. No differences were found for the 2 groups on job pressure stressors. The significance of the findings for mental health agencies is discussed.

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Section: Introductionmentioning

confidence: 99%

New York state case manager survey: Urban and rural differences in Job activities, job stress, and job satisfaction

Gellis

Kim

Hwang

2004

The Journal of Behavioral Health Services & Research

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“…model (Stein & Test, 1980); Washington DC's Community Connection program (Harris & Bergman, 1988); Philadelphia's Intensive Case Management program (Philadelphia Three Year Plan, 1986); Dincin's Thresholds model (Witheridge & Dincin, 1985), and the Kansas Developmental Acquisition model (Rapp & Chamberlain, 1985). The philosophy and value system underlying the ICM model combines principles of advocacy and empowerment with those of psychiatric rehabilitation (Anthony, Cohen, Farkas & Cohen, 1988;Rose & Black, 1985;Surles, Blanch, Shern & Donahue, 1992).…”

Section: Introductionmentioning

confidence: 99%

Characteristics of seriously emotionally disturbed youth with and without substance abuse in intensive case management

1992

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“…In fact, we noted that both experimental and control participants used emergency and inpatient services at approximately equivalent rates, which we may not have expected because programs like Choices are often associated with decreased inpatient and emergency use. 17 We found that, even with strong advocacy, individuals in the Choices program preferred to receive most services solely through Choices.…”

Section: Discussionmentioning

confidence: 72%

“…The Choices program was similar in structure to an intensive case management program, 17,18 with a client-to-staff ratio of about 13:1. Choices was staffed by 6 rehabilitation specialists who received extensive training and ongoing supervision from Boston University personnel and respite staff who oversaw the respite housing and operated the center on weekends and holidays.…”

Section: Experimental and Standard Treatment Conditionsmentioning

confidence: 99%

Serving street-dwelling individuals with psychiatric disabilities: outcomes of a psychiatric rehabilitation clinical trial

Shern

Tsemberis²,

Anthony³

et al. 2000

Am J Public Health

123

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OBJECTIVES: This study tested a psychiatric rehabilitation approach for organizing and delivering services to street-dwelling persons with severe mental illness. METHODS: Street-dwelling persons with severe mental illness were randomly assigned to the experimental program (called Choices) or to standard treatment in New York City. We assessed study participants at baseline and at 6-month intervals over 24 months, using measures of service use, quality of life, health, mental health, and social psychological status. The average deviation from baseline summary statistic was employed to assess change. RESULTS: Compared with persons in standard treatment (n = 77), members of the experimental group (n = 91) were more likely to attend a day program (53% vs 27%), had less difficulty in meeting their basic needs, spent less time on the streets (55% vs 28% reduction), and spent more time in community housing (21% vs 9% increase). They showed greater improvement in life satisfaction and experienced a greater reduction in psychiatric symptoms. CONCLUSIONS: With an appropriate service model, it is possible to engage disaffiliated populations, expand their use of human services, and improve their housing conditions, quality of life, and mental health status.

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Case Management as a Strategy for Systems Change

Cited by 48 publications

References 5 publications

New York state case manager survey: Urban and rural differences in Job activities, job stress, and job satisfaction

New York state case manager survey: Urban and rural differences in Job activities, job stress, and job satisfaction

Characteristics of seriously emotionally disturbed youth with and without substance abuse in intensive case management

Serving street-dwelling individuals with psychiatric disabilities: outcomes of a psychiatric rehabilitation clinical trial

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