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Service Needs of Clients Before and After Short Term Community Mental Health Case Management

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Abstract

This study evaluated level of service need before and after a short-term community mental health case management intervention from the perspective of both clients and case managers. Ontario Common Assessment of Need data were used to describe client needs. McNemar’s test was applied to assess differences in pre- and post- need scores. Psychological distress, company, daytime activities, and physical health were most commonly rated by clients as unmet needs at enrolment. At discharge, there was a significant change in psychological distress from the perspective of clients, and in psychological distress and daytime activities from the perspective of case managers. Statistically significant changes were observed for Total Need, Total Unmet Need and Met Need scores from the perspective of case managers. While both clients and case managers reported changes in total service needs between admission and discharge from short-term case management, clients were less likely to report a difference in needs.

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Acknowledgements

We would like to thank The Access Point, Toronto North Support Services and Cota for their support with research conceptualization and for preparing and sharing depersonalized data for this study.

Funding

No funds, grants, or other support was received.

Author information

Authors and Affiliations

  1. Department of Occupational Science and Occupational Therapy, University of Toronto, 500 University Ave, Toronto, ON, M5G 1V7, Canada

    Andrea Duncan

  2. Patient-Centred Outcomes, Research Chair North York General Hospital, 4001 Leslie Street, Toronto, ON, M2K 1E1, Canada

    Katie N. Dainty

  3. Department of Psychology, Community Psychology Program, Wilfrid Laurier University, 75 University Avenue West, Waterloo, ON, N2L 3C5, Canada

    Maritt Kirst

  4. Physician in Chief, Center for Addiction and Mental Health, 1001, 1025, 1051 Queen Street West, Toronto, ON, M6J 1H4, Canada

    Vicky Stergiopoulos

  5. Institute of Health Policy Management and Evaluation, University of Toronto, 155 College Street, Suite 425, Toronto, ON, M5T 3M6, Canada

    Walter P. Wodchis

  6. Research Chair, Implementation and Evaluation Science, Institute for Better Health, Trillium Health Partners, Mississauga, ON, Canada

    Walter P. Wodchis

Authors
  1. Andrea Duncan
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  2. Katie N. Dainty
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  3. Maritt Kirst
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  4. Vicky Stergiopoulos
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  5. Walter P. Wodchis
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Contributions

AD conceptualized this study, collected data and prepared the first draft of this manuscript. KD, MK and VS provided consultation on methodology and reviewed and edited manuscript. WW acted as senior author and led data analysis and reviewed and edited manuscript.

Corresponding author

Correspondence to Andrea Duncan.

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Conflict of interest

The authors have no conflicts of interest to declare that are relevant to the content of this article.

Ethical Approval

This research study was conducted retrospectively from data obtained for clinical purposes. An IRB official waiver of ethical approval was granted from the University of Toronto.

Standards of Reporting

We followed the STrengthening the Reporting of Observational studies in Epidemiology (STROBE) checklist in preparing this manuscript.

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Appendix

Appendix

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Table 5 Client report of needs at admission and discharge
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Table 6 Case manager report of needs at admission and discharge
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Duncan, A., Dainty, K.N., Kirst, M. et al. Service Needs of Clients Before and After Short Term Community Mental Health Case Management. Community Ment Health J 59, 325–334 (2023). https://doi.org/10.1007/s10597-022-01010-z

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  • DOI: https://doi.org/10.1007/s10597-022-01010-z

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