Community Mental Health Journal

, Volume 35, Issue 2, pp 153-167

First online:

Service Components of Case Management Which Reduce Inpatient Care Use for Persons with Serious Mental Illness

  • Eri Kuno
  • , Aileen B. Rothbard
  • , Roberta G. Sands

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This is a study of two types of case management:case management (CM) which provided the servicecoordination functions, and Intensive Case Management(ICM) which consisted of both the coordination function and the provision of direct support to theclient. Using secondary data on public clients,characteristics of mental health service use wereanalyzed for 80 ICM and 84 CM clients. The ICM clientshad significantly fewer episodes per patient and less inpatientdays per year than the CM clients. These findingssuggest that direct support services make a significantdifference in reducing annual hospital care.