Case management in early psychosis intervention programme: perspectives of case managers

Abstract

Aim: This qualitative study elicited the perspectives of case managers (CM) on case management, with the aim to understand salient aspects of case management from their own perspective. Methods: This study was conducted as part of a larger study that explored the perspectives of clients, caregivers and case managers on case management. All CMs except the CM researchers were recruited. Two CM focus group discussions (FGD) were conducted and facilitated by an experienced independent researcher from the research department. The FGDs were audio recorded and transcribed verbatim with all participants' identifiers omitted to protect confidentiality. Qualitative thematic analysis was conducted using NVivo V.10. (QSR International. NVivo V.10 (Computer software). 2012. http://www.qsrinternational.com) Results: Eleven themes emerged from the CM FGDs which are based on the CMs' work with both clients and caregivers: therapeutic alliance, holistic monitoring, collaborative role with other care providers, counselling and guidance, crisis management, bridging role, client-centred care, client empowerment and strength building, psychoeducation, support and advocacy. Conclusions: The voices of CMs are important in planning service delivery models and improving the quality of care to clients and caregivers.

Association between case management and longitudinal decrease in negative symptoms in patients with first episode psychosis: A 2‐year follow‐up

“…Case management service for FEP patients was based on the integrated biopsychosocial approach and was focused on preventing persistent disability and promoting early recovery (Wong et al, 2019). An optimal number of two sessions per month (each lasting 60 min) were offered in the first year of treatment, with weekly sessions held during the first 3 months.…”

Identifying Key Themes of Care Coordination for Patients with Chronic Conditions in Singapore: A Scoping Review

“…Through systematically reviewing available articles, this review distilled 28 articles relevant to care coordination in the Singapore context summarised in Table 1 . Out of the articles included, care coordination was specifically examined as part of the research question in four articles [43,44,49,50], of which two articles presented the perspectives of care coordinators [44,50], whereas 24 articles comprised relevant information on care coordination for a spectrum of programmes as part of broader interventions. A complete summary of the characteristics of all 28 articles reviewed is appended in Table 1.…”

“…The aims of the programmes vary. A handful of programmes described a focus on lowering hospital resource utilisation by supporting patients during care transitions (36%) [28,31,39,42,43,45,46,50,55,56], and facilitating referrals from the specialist outpatient clinics (SOCs) to primary care providers (PCPs) (18%) [28,39,40,51,54]. The remaining 13 articles (46%) aimed to optimise the management of specific chronic diseases [29,[31][32][33][34][35]37,45,46,49,50,52,53].…”

“…A handful of programmes described a focus on lowering hospital resource utilisation by supporting patients during care transitions (36%) [28,31,39,42,43,45,46,50,55,56], and facilitating referrals from the specialist outpatient clinics (SOCs) to primary care providers (PCPs) (18%) [28,39,40,51,54]. The remaining 13 articles (46%) aimed to optimise the management of specific chronic diseases [29,[31][32][33][34][35]37,45,46,49,50,52,53]. Importantly, heightened emphasis on reducing hospital resource utilisation and facilitating care transitions to lower levels of care aligns with the local vision of shifting care Beyond Hospital to Community.…”

“…Building technical capacity by training new care coordinators is paramount for programme success. Nurses served as care coordinators in 46% of articles reviewed [29,30,34,37,38,[40][41][42][43][44][45]51,55], out of which only 11% reported specialised training in care coordination [37,38,44], while only three articles cited a mix of staff with nursing and non-nursing backgrounds being equipped to discharge their care coordination duties [46,47,50].…”