Advertisement

Community Mental Health Journal

, Volume 30, Issue 4, pp 323–339 | Cite as

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

  • Cathaleene Macias
  • Ronald Kinney
  • O. William Farley
  • Robert Jackson
  • Betty Vos
Articles

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.

Keywords

Case Management Community Support Strength Model Center Contact Member Response 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Bigelow, D.A. & Young, D.J. (1991). Effectiveness of a case management program.Community Mental Health Journal, 27(2), 115–123.Google Scholar
  2. Bond, G.R., Miller, C.D., Krumwied, R.D., & Ward, R.S. (1988). Assertive case management in three CMHCs: A controlled study.Hospital and Community Psychiatry, 39(4), 411–418.Google Scholar
  3. Bond, G.R., Witheridge, T.F., Dincin, J., Wasmer, D., Webb, J., & De Graaf-Kaser, R. (1990). Assertive community treatment for frequent users of psychiatric hospitals in a large city: A controlled study.American Journal of Community Psychology, 18, 865–891.Google Scholar
  4. Bond, G.R., Pensec, M., Dietzen, L., McCafferty, D., Giemza, R., & Sipple, H.W. (1991). Intensive case management for frequent users of psychiatric hospitals in a large city: A comparison of team and individual caseloads.Psychosocial Rehabilitation Journal, 15(1), 90–98.Google Scholar
  5. Bush, C., Langford, M.W., Rosen, P., & Gott, W. (1990). Operation outreach: Intensive case management for severely psychiatrically disabled adults.Hospital and Community Psychiatry, 40, 647–649.Google Scholar
  6. Carter, C., Heugly, B., Jackson, R., Kirkman, D., Macias, C., & Saderholm, Z. (1990).The Utah Case Management Consumer Assessment Record (Utah CCAR).Google Scholar
  7. Chamberlain, R., & Rapp, C.A. (1991). A decade of case management: A methodological review of outcome research.Community Mental Health Journal, 27(3), 171–188.Google Scholar
  8. Cutler, D.L., Tatum, E., & Shore, J. (1987). A comparison of schizophrenic patients in different community support treatment approaches.Community Mental Health Journal, 23(2), 103–112.Google Scholar
  9. Dupuy, H.J. (1984). The Psychological General Well-Being (PGWB) Index. In N.K. Wenger, M.E. Mattson, C.D. Furberg, & J. Elinson (Eds.),Assessment of quality of life. Le Jacq Publishers.Google Scholar
  10. Ellis, R.H., Wilson, N.Z., & Foster, F.M. (1984). Statewide Treatment Outcome Assessment in Colorado: The Colorado Client Assessment Record (CCAR).Community Mental Health Journal, 20, 72–89.Google Scholar
  11. Franklin, J.L., Solovitz, B., Mason, M., Clemons, J.R., & Miller, G.E. (1987). An Evaluation of Case Management.American Journal of Public Health, 77, 674–678.Google Scholar
  12. Goering, P.N., Farkas, M., Wasylenki, D.A., Lancee, W.J. & Ballantyne, R. (1988a). Improved functioning for case management clients.Psychosocial Rehabilitation Journal, 12, 3–17.Google Scholar
  13. Goering, P.N., Wasylenki, D.A., Farkas, M., Lancee, W.J. & Ballantyne, R. (1988b). What Difference Does Case Management Make?Hospital and Community Psychiatry, 39, 272–276.Google Scholar
  14. Macias, C., & Jackson, R. (1990).The Self-Report Inventory An Interview Schedule for Adults with Serious Mental Illness.Google Scholar
  15. Macias, C., & Kinney, R. (1990).The Brief Psychological Well-Being Scale.Google Scholar
  16. Macias, C., Kinney, R., & Vos, B. (1991).The Utah Family Burden Scale.Google Scholar
  17. Marx, A.J., Test, M.A., & Stein, L.I. (1974). Extrohospital management of severe mental illness.Archives of General Psychiatry, 29, 505–511.Google Scholar
  18. Modrcin, M., Rapp, C.A., & Poertner, J. (1988). The evaluation of case management services with the chronically mentally ill.Evaluation and Program Planning, 11, 307–314.Google Scholar
  19. Moos, R.H., Cronkite, R.C., & Finney, J.W. (1984).Health and Daily Living Form: Palo Alto, CA: Department of Veterans Affairs and Stanford University Medical Centers.Google Scholar
  20. Morse, G., Muether, R., Harmann, L., Calsyn, R., & Dannelet, M. (1988). Community services for the homeless: Preliminary experimental results. Paper presented at the annual meeting of the American Psychiatric Association, Montreal, Canada.Google Scholar
  21. Mowbray, C.T. (1990). Community treatment for the seriously mentally ill: Is this community psychology?American Journal of Community Psychology, 18(6), 893–902.Google Scholar
  22. Olfson, M. (1990). Assertive community treatment: An evaluation of the experimental evidence.Hospital and Community Psychiatry, 41(6), 634–641.Google Scholar
  23. Platt, S. (1985). Measuring the burden of psychiatric illness on the family: An evaluation of some rating scales.Psychological Medicine, 15, 383–393.Google Scholar
  24. Potasznik, H., & Nelson, G. (1984). Stress and social support: The burden experienced by the family of a mentally ill person.American Journal of Community Psychology, 12(5), 589–607.Google Scholar
  25. Rapp, C.A., & Wintersteen, R. (1989). The Strengths model of case management: Results from twelve demonstrations.Psychosocial Rehabilitation Journal, 13(1), 23–32.Google Scholar
  26. Solomon, P. (1992). The efficacy of case management services for severely mentally disabled clients.Community Mental Health Journal, 28(3), 163–180.Google Scholar
  27. Stein, L., & Test, M.A. (1980). Alternative to mental hospital treatment. I. Conceptual model, treatment program, and clinical intervention.Archives of General Psychiatry, 37, 392–397.Google Scholar
  28. Sullivan, W.P. (1992). Reclaiming the community: The Strengths perspective and deinstitutionalization.Social Work, 37(3), 204–209.Google Scholar
  29. Test, M.A. (1992). Training in community living. In R.P. Liberman (Ed.),Handbook of psychiatric rehabilitation, New York: Macmillan.Google Scholar
  30. Waylenski, D.A., Goering, P.N., Lancee, W.J., Ballantyne, R., & Farkas, M. (1985). Impact of a case manager program on psychiatric aftercare.Journal of Nervous and Mental Disease, 173, 303–308.Google Scholar
  31. Weick, A., Rapp, C., Sullivan, W.P. & Kisthardt, W. (1989). A Strengths perspective for social work practice.Social Work, 34(4), 350–354.Google Scholar

Copyright information

© Human Sciences Press, Inc. 1994

Authors and Affiliations

  • Cathaleene Macias
    • 1
  • Ronald Kinney
    • 1
  • O. William Farley
    • 1
  • Robert Jackson
    • 2
  • Betty Vos
    • 1
  1. 1.Social Research Institute, Graduate School of Social WorkUniversity of UtahSalt Lake CityUSA
  2. 2.Department of Social WorkColorado State UniversityUSA

Personalised recommendations