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Effective Components of a Nationwide Case Management Program in Japan for Individuals with Severe Mental Illness

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Abstract

This study identified effective components in a case management program based on the Japan Case Management Guidelines (JCM-GL). Subjects (n=295) with severe mental illness were enrolled throughout Japan. Four outcome scales were utilized. The independent variable, “Fidelity to the JCM-GL” was the subject of interest. Case management components comprised three factors, extracted from factor analysis to fidelity scales, with the “needs-oriented approach” factor displaying the highest score. Subjects demonstrating high fidelity on this factor showed significantly higher quality of life and service satisfaction than low scorers. This component should be established first in countries where community care is underdeveloped.

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REFERENCES

  • Cho, N., Oshima, I. & Takahashi, K. (1999). Consumer's subjective evaluation of case management pilot programs in Japan. Community Mental Health Review. 30,42-47 in (Japanese).

    Google Scholar 

  • Franklin, J. L., Solvitz, B., Mason, M., Clemons, J. R., & Miller, G. E. (1987). An evaluation of case management. American Journal of Public Health, 77, 674-678.

    PubMed  Google Scholar 

  • Intagliata, J. (1982). Improving the quality of community care for the chronically mentally disabled: The role of case management. Schizophrenia Bulletin, 8, 655-672.

    PubMed  Google Scholar 

  • McGrew, J. H., Bond, G. R., Dietzen, L., & Salyers, M. (1994). Measuring the fidelity of implementation of a mental health program model. Journal of Consulting Clinical Psychology, 62, 670-678.

    Google Scholar 

  • Mueser, K. T., Bond, G. R., Drake, R. E., & Resnick, S. G. (1998). Models of community care for severe mental illness: A review of research on case management. Schizophrenia Bulletin, 24, 37-74.

    PubMed  Google Scholar 

  • OECD (2000). Health Data 2000: A comparitive analysis of 29 OECD countries. OECD.

  • Oshima, I., Cho, N., Anzai, N., & Takahashi, K. (2000). The development of care assessment schedule in the case management guideline for the people with mental disabilities in Japan: reliability and validity of the needs for care scale and handicaps scale. Seishin Igaku, 42, 809-817 (in Japanese).

    Google Scholar 

  • Oshima, I., Naito, K., & Tokunaga, J. (1998). Evaluation of effectiveness of community mental health system in Kawasaki city. A comparison with national statistics. Japanese Journal of Public Health, 45, 722-731 (in Japanese).

    PubMed  Google Scholar 

  • Oshima, I., Yoshizumi, A., Inazawa, K., Inomata, Y., & Okagami, K. (1996). The intention of the community living and the idea of the life style after the discharge expressed by long stay patients: An analysis of a nationwide self-rating survey for long stay schizophrenics in about 40,000 psychiatric beds in Japan. Japanese Journal of Hospital and Community Psychiatry, 38, 558-567 (in Japanese).

    Google Scholar 

  • Scott, J. E. & Dixon, L. B. (1995). Assertive community treatment and case management for schizophrenia. Schizophrenia Bulletin, 21, 657-668.

    PubMed  Google Scholar 

  • Takahashi, K. & Oshima, I. (1999). Case management for the people with mental disablement: Principle and practice based on case management guideline. Zenkaren, Tokyo (in Japanese).

  • Teague, G. B., Drake, R. E., & Ackerson, T. H. (1995). Evaluating use of continuous treatment teams for persons with mental illness and substance abuse. Psychiatric Service, 43, 689-695.

    Google Scholar 

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Oshima, I., Cho, N. & Takahashi, K. Effective Components of a Nationwide Case Management Program in Japan for Individuals with Severe Mental Illness. Community Ment Health J 40, 525–537 (2004). https://doi.org/10.1007/s10597-004-6126-4

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  • DOI: https://doi.org/10.1007/s10597-004-6126-4

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