Immediate and enduring outcomes: a systematic review of mental health case management (1990-2007)
Date
2012-09-06
Authors
Brooks, Lorrie
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Abstract
The purpose of this project is to gather and interpret literature pertaining to the
development and utilization of case management in the community care of persons with
severe and persistent mental illness (bipolar disorder, schizophrenia, and other psychotic
disorders). Using Fink’s (2005) method for conducting a descriptive review, I was able to
identify the historical roots of mental health case management models and collect,
analyze, and synthesize case management literature in determining the efficacy of current
models, based on the enduring outcomes associated with those models. Assertive and
clinical case management models were associated with improved functioning, decreased
substance use, and increased engagement with community services. Assertive models
were also associated with increased satisfaction with services and housing stability and
the clinical model was associated with increased cost savings. The authors of five studies
on the strength-based model did not generate enough data to make generalizations about
the research findings.
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Keywords
systematic review, mental health, case management, bipolar disorder, schizophrenia, psychotic disorders, Fink's method