The role of case management within a community support system: Partnership with psychosocial rehabilitation

Abstract

The Strengths model of team case management was assessed relative to an existing high quality psychosocial rehabilitation program that informally provided many services typical of case management (e.g., service linkage, monitoring, and consumer advocacy). The experimental evaluation triangulated consumer and family member responses with mental health professional reports and consumer records of hospitalization and crisis center contacts. An analysis of data from these four sources revealed that one year after full program implementation, consumers who received case management in conjunction with psychosocial rehabilitation functioned at a higher level of competency and experienced significantly lower psychiatric symptomatology than consumers who received only psychosocial rehabilitation. Implications for the successful integration of case management into an existing community support program are discussed.

An Evaluation of the Outcomes of a Court Outreach Program for People with Severe and Persistent Mental Illness Who Are Legally Involved

“…the services delivered by the court outreach program have been conceptualized by the host agency as short-term case management services. the finding of improved community abilities is in line with research findings on client outcomes achieved by some intensive case management programs (Johnston et al, 1998;macias, Kinney, farley, Jackson, & vos, 1994;modcrin, rapp, & poertner,1988;patterson & lee, 1998). the significant improvement in the community ability of clients as judged by their court outreach workers on the mcas is also an outcome consistent with previous research on other community support programs at the host agency and in other regions of ontario (aubry & riesin, 2005; ontario ministry of health and long-term care, 2004).…”

Soutien d’intensité variable (SIV) et rétablissement : que nous apprennent les études expérimentales et quasi expérimentales ?

“…Quatre études expérimentales (Modcrin et al, 1988 ;Chamberlain, 1991 ;Macias et al, 1994 ;Björkman et al, 2002) et quatre quasi expérimentales (Rapp et Chamberlain, 1985 ;Rapp et Wintersteen, 1989 ;Kisthardt, 1993 ;Macias et al, 1997 ;Stanard, 1999) évaluent des programmes associés au modèle des forces. Les quatre études expéri mentales mesurent l'effet sur les admis sions, sur des indicateurs de qualité de vie et de fonctionnement : deux notent une réduction des hospitalisations et deux aucune différence.…”

Power, Pathological Worldviews, and the Strengths Perspective in Social Work

“…The strengths perspective has been applied to case management approaches in mental health service delivery (Brun & Rapp, 2001;Macias, Kinney, Farley, Jackson, & Vos, 1994;Sullivan, 1992). Macias et al, for example, compared a group of consumer-survivors receiving strengths-based case management to a group receiving other psychosocial rehabilitation services and found that those receiving strengthsbased case management had fewer symptoms, were less of a burden to their families, and experienced fewer hospitalizations.…”