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Outcome of case management based on the strengths model compared to standard care. A randomised controlled trial.

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Author

Summary, in English

BACKGROUND: The outcome of less intensive case management services, such as the strengths model, is still inconclusive, which suggests a need for more controlled studies. The aim of the present study was to investigate the outcome of a strengths model of case management service (SCM) compared to standard care. METHODS: Seventy-seven clients with a mental illness and a serious impairment in functioning in social contacts, housing or work situation were randomly allocated to SCM or standard care. Outcome was assessed with regard to use of psychiatric services, changes in symptomatology, psychosocial functioning, social network, needs for care, quality of life and client satisfaction with care. The follow-up period was 36 months. RESULTS: The results showed a greater reduction in needs for care in clients receiving SCM. No differences in clinical or social outcome were shown. Clients receiving SCM also used significantly less days in psychiatric inpatient services and were generally more satisfied with the psychiatric services offered. CONCLUSIONS: SCM failed to improve clinical and social outcome compared to standard care, but was more successful in reducing days spent in hospital, and the clients were also more satisfied with the service compared to standard care.

Publishing year

2002

Language

English

Pages

147-152

Publication/Series

Social Psychiatry and Psychiatric Epidemiology

Volume

37

Issue

4

Document type

Journal article

Publisher

Steinkopff

Topic

  • Psychiatry

Keywords

  • Organizational
  • Outcome and Process Assessment (Health Care)
  • Models
  • Middle Age
  • Mental Disorders : therapy
  • Male
  • Human
  • Community Mental Health Services : organization & administration
  • Female
  • Patient Satisfaction
  • Social Adjustment
  • Statistics
  • Nonparametric
  • Adult
  • Analysis of Variance
  • Case Management : organization & administration

Status

Published

Research group

  • Mental Health Services Research

ISBN/ISSN/Other

  • ISSN: 0933-7954