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Case Management and Assertive Community Treatment

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Textbook of Community Psychiatry

Abstract

Case management has been a core component of the mental health service delivery system since the 1960s. While the term has remained constant in the vernacular to the present time, there has been confusion about what the term means and what it entails. Case management has evolved since its original conceptualization. The evolution of case management has been shaped by multiple factors including cost containment efforts associated with the advent of managed care, the rise of the peer movement and the paradigm shift of mental health recovery, and the expansion of populations targeted to receive case management.

The evolution of various case management models that differ widely in their structure, function, and scope of service has further compounded the ambiguity around the term. While there are common core elements shared across these models, the manner in which these functions are carried out and the role of the case manager related to provision of services vary substantially.

In this chapter, we trace the history of case management specifically as it applies to persons diagnosed with serious mental illness, review the evidence for specific models, outline key elements that distinguish each of the major models (i.e., Assertive Community Treatment, Strengths Model, Intensive Case Management), enumerate general principles of effective case management, and discuss current challenges.

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References

  • Adams, J. R., Drake, R. E., & Wolford, G. L. (2007). Shared decision-making preferences of people with severe mental illness. Psychiatric Services, 58(9), 1219–1221.

    Article  PubMed  Google Scholar 

  • Allness, D. J., & Knoedler, W. H. (2003). The PACT model of community-based treatment for persons with severe and persistent mental illness: A manual for PACT start-up (2nd ed.). Arlington, VA: NAMI.

    Google Scholar 

  • Aron L, Honberg R, Duckworth K, et al. Grading the States 2009: A Report on America’s Health Care System for Adults with Serious Mental Illness. Arlington, VA: National Alliance on Mental Illness; 2009.

    Google Scholar 

  • Barry, K. L., Zeber, J. E., Blow, F. C., & Valenstein, M. (2003). Effect of strengths model versus assertive community treatment model on participant outcomes and utilization: Two-year follow-up. Psychiatric Rehabilitation Journal, 26(3), 268–277.

    Article  PubMed  Google Scholar 

  • Bellack, A. S. (2004). Skills training for people with mental illness. Psychiatric Rehabilitation Journal, 27(4), 375–391.

    Article  PubMed  Google Scholar 

  • Bigelow, D. A., & Young, D. J. (1991). Effectiveness of a case management program. Community Mental Health Journal, 27,115–133.

    Article  PubMed  Google Scholar 

  • Bond GR, Drake RE, Becker DR. An update on randomized controlled trials of evidence-based supported employment. Psychiatric Rehabilitation Journal. 2008 Spring;31(4):280–90.

    Google Scholar 

  • Bond, G. R., Drake, R. E., Mueser, K. T., & Latimer, E. (2001). Assertive community treatment for people with severe mental illness: Critical ingredients and impact on patients. Disease Management & Health Outcomes, 9, 141–159.

    Article  Google Scholar 

  • Bond, G. R., McGrew, J. H., & Fekete, D. M. (1995). Assertive outreach for frequent users of psychiatric hospitals: A meta-analysis. Journal of Mental Health Administration, 22, 4–16.

    Article  PubMed  Google Scholar 

  • 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. American Journal of Community Psychology, 18, 865–891.

    Article  PubMed  Google Scholar 

  • Bruns, E. J., Kerns, S. E., Pullmann, M. D., Hensley, S. W., Lutterman, T., & Hoagwood, K. E. (2016). Research, data, and evidence-based treatment use in state behavioral health systems, 2001–2012. Psychiatric Services, 67(5), 496–503.

    Article  PubMed  Google Scholar 

  • Burns, T., Catty, J., Dash, M., Roberts, C., Lockwood, A., & Marshall, M. (2007). Use of intensive case management to reduce time in hospital in people with severe mental illness: systematic review and meta-regression. British Medical Journal, 335, 336–340.

    Article  PubMed  PubMed Central  Google Scholar 

  • Butler, S., Higashi, T., & Cabello, M. (2020). Budgeting to promote social objectives—a primer on braiding and blending. The Brookings Institution. https://www.brookings.edu/wp-content/uploads/2020/04/BraidingAndBlending20200403.pdf

  • Carlson, L., Goscha, R., & Rapp, C. (2016). Field Mentoring: An Important Strategy for Evidence-Based Practice Implementation. Best Practices in Mental Health, 12(2), 1–13.

    Google Scholar 

  • Carlson, L., Gowdy, E., & Rapp, C. A. (1998). Best practice in reducing hospitalization. Lawrence, KS: University of Kansas School of Social Welfare.

    Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Chester, P., Ehrlich, C., Warburton, L., Baker, D., Kendall, E., & Crompton, D. (2016). What is the work of recovery oriented practice? A systematic literature review. International Journal of Mental Health Nursing, 25(4), 270–285.

    Article  PubMed  Google Scholar 

  • Chinman, M. J., Allende, M., Weingarten, R., Steiner, J., Tworkowski, S., & Davidson, L. (1999). On the Road to Collaborative Treatment Planning: Consumer and Provider Perspectives. The Journal of Behavioral Health Services and Research, 26(2), 211–218.

    Article  PubMed  Google Scholar 

  • Coldwell, C. M., & Bender, W. S. (2007). The effectiveness of assertive community treatment for homeless populations with severe mental illness: A meta-analysis. American Journal of Psychiatry, 164, 393–399.

    Article  PubMed  Google Scholar 

  • Corrigan, P. W., Mueser, K. T., Bond, G. R., Drake, R. E., & Solomon, P. (2008). Principles and practice of psychiatric rehabilitation: An empirical approach. New York: Guilford Press.

    Google Scholar 

  • Cuddeback GS, Morrissey JP, Domino ME, Monroe-DeVita M, Teague GB, Moser LL. (2013). Fidelity to Recovery-Oriented ACT Practices and Consumer Outcomes. Psychiatric Services, 64(4), 318–323.

    Article  PubMed  Google Scholar 

  • Cuddeback, G. S., Morrissey, J. P., & Meyer, P. S. (2006). How many assertive community treatment teams do we need? Psychiatric Services, 57, 1803–1806.

    Article  PubMed  Google Scholar 

  • Cuddeback, G.S., Simpson, J.M., & Wu, J.C. (2020) A comprehensive literature review of Forensic Assertive Community Treatment (FACT): Directions for practice, policy and research, International Journal of Mental Health, 49(2), 106–127.

    Article  Google Scholar 

  • Curtis, D. L., Millman, E. J., Struening, E., & D’Ercole, A. (1992). Effect of case management on rehospitalization and utilization of ambulatory care services. Hospital and Community Psychiatry, 43, 895–899.

    PubMed  Google Scholar 

  • Dieterich, M., Irving, C. B., Bergman, H., Khokhar, M. A., Park, B., & Marshall, M. (2017). Intensive case management for severe mental illness. The Cochrane database of systematic reviews.

    Google Scholar 

  • Dietzen, L. L., & Bond, G. R. (1993). Relationship between case manager contact and outcome for frequently hospitalized psychiatric clients. Hospital and Community Psychiatry, 44, 839–843.

    PubMed  Google Scholar 

  • Dixon LB, Dickerson F, Bellack AS, et al. (2010). The 2009 schizophrenia PORT psychosocial treatment recommendations and summary statements. Schizophrenia Bulletin, 36, 48–70.

    Article  PubMed  Google Scholar 

  • Dixon L, & Swartz E. (2014). Fifty years of progress in community mental health in the US: the growth of Evidence based practice. Epidemiology and Psychiatric Sciences, 23, 5–9.

    Article  PubMed  Google Scholar 

  • Donahue SA, Manuel JI, Herman DB, et al. (2012). Development and use of a transition readiness scale to help manage ACT team capacity. Psychiatric Services, 63, 223–229.

    Article  PubMed  Google Scholar 

  • Draine, J., Salzer, M. S., Culhane, D. P., & Hadley, T. R. (2002). Role of social disadvantage in crime, joblessness, and homelessness among persons with serious mental illness. Psychiatric Services, 53, 565–573.

    Article  PubMed  Google Scholar 

  • Drake, R. E., Essock, S. M., Shaner, A., Carey, K., Minkoff, K., & Kola, L. (2001). Implementing dual diagnosis services for recipients with severe mental illness. Psychiatric Services, 52(4), 69–76.

    Article  Google Scholar 

  • Drake, R. E., Mueser, K. T., Brunette, M. F., & McHugo, G. J. (2004). A review of treatments for people with severe mental illnesses and co-occurring substance use disorders. Psychiatric rehabilitation journal, 27(4), 360.

    Article  PubMed  Google Scholar 

  • Drake, R. E., O’Neal, E. L., & Wallach, M. A. (2008). A systematic review of psychosocial research on psychosocial interventions for people with co-occurring severe mental and substance use disorders. Journal of Substance Abuse Treatment, 34, 123–138.

    Article  PubMed  Google Scholar 

  • Edwards, D. V., Nikkel, B., & Coiner, B. (1991). Final report of the National Institute of Mental Health Young Adult Dual Diagnosis Oregon Demonstration Project. Unpublished manuscript, Oregon Mental Health and Developmental Disability Division.

    Google Scholar 

  • 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.

    Article  PubMed  PubMed Central  Google Scholar 

  • Fukui, S., Goscha, R., Rapp, C. A., Mabry, A., Liddy, P., & Marty, D. (2012). Strengths Model Case management fidelity scores and client outcomes. Psychiatric Services, 63(7), 708–711.

    Article  PubMed  Google Scholar 

  • Giesler, L. J., & Hodge, M. (1998). Case management in behavioral health care. International Journal of Mental Health, 27, 26–40.

    Article  Google Scholar 

  • Gold, P. B., Meisler, N., Santos, A. B., Carnemolla, M. A., Williams, O. H., & Kelleher, J. (2006). Randomized trial of supported employment integrated with assertive community treatment for rural adults with severe mental illness. Schizophrenia Bulletin, 32, 378–395.

    Article  PubMed  PubMed Central  Google Scholar 

  • Goscha, R. J. (2020). Strengths Model Case Management: Moving Strengths from Concept to Action. University of Kansas Libraries

    Google Scholar 

  • Gowdy, E., Carlson, L., & Rapp, C. A. (2003). Practices differentiating high performing from low performing supported employment programs. Psychiatric Rehabilitation Journal, 26(3), 232–239.

    Article  PubMed  Google Scholar 

  • Guérin, E., Dupuis, J. P., Jacob, J. D., & Prud’homme, D. (2019). Incorporating a physical activity program into an assertive community treatment team: impact and strategies. Community Mental Health Journal, 55(8), 1293–1297.

    Article  PubMed  Google Scholar 

  • Hamann, J., Langer, B., Winkler, V., Busch, R., Cohen, R., Leucht, S., et al. (2006). Shared decision making for in-patients with schizophrenia. Acta Psychiatrica Scandinavia, 114(4), 265–273.

    Article  Google Scholar 

  • Harrison-Read P, Lucas B, Tyrer P, et al. (2002). Heavy users of acute psychiatric beds: Randomized controlled trial of enhanced community management in an outer. London borough. Psychological Medicine 32, 403–416.

    Article  PubMed  Google Scholar 

  • Hering, L., Koen, L., Joska, J., Botha, U., & Oosthuizen, P. (2008). Assertive community treatment in the South African context. African Journal of Psychiatry, 11(4), 272–275.

    PubMed  Google Scholar 

  • Holloway F, Carson J (1998). Intensive case management for the severely mentally ill. Controlled trial. British Journal of Psychiatry, 172, 19–22.

    Article  Google Scholar 

  • Hornstra, R. K., Bruce-Wolfe, V., Sagduyu, K., & Riffle, D. W. (1993). The effect of intensive case management on hospitalization of patients with schizophrenia. Hospital and Community Psychiatry, 44, 844–847.

    PubMed  Google Scholar 

  • Huz, S., Thorning, H., White, C. N., Fang, L., Tran Smith, B., Radigan, M., Dixon, L. B. (2017). Time in assertive community treatment: A statewide quality improvement initiative to reduce length of participation. Psychiatric Services, 68 (6), 539–541.

    Article  PubMed  Google Scholar 

  • Huxley, P. J., & Warner, R. (1992). Case management for long term psychiatric patients: A study of quality of life. Hospital and Community Psychiatry, 43(8), 799–802.

    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(4), 655–674.

    Article  PubMed  Google Scholar 

  • Isaacs, A., Beauchamp, A., Sutton, K., & Kocaali, N. (2019). Care coordination can reduce unmet needs of persons with severe and persistent mental illness. Frontiers in Psychiatry, 10, 563.

    Article  PubMed  PubMed Central  Google Scholar 

  • Issakidis C, Sanderson K, Teesson M, et al. (1999). Intensive case management in Australia: a randomized controlled trial. Acta Psychiatrica Scandinavica, 99, 360–367.

    Article  PubMed  Google Scholar 

  • Ito, J., Oshima, I., Nishio, M., & Kuno, E. (2009). Initiative to build a community-based mental health system including assertive community treatment for people with severe mental illness in Japan. American Journal of Psychiatric Rehabilitation, 12, 247–260.

    Article  Google Scholar 

  • Jerrell, J., & Ridgely, M. S. (1995). Comparative effectiveness of three approaches to serving people with severe mental illness and substance abuse disorders. Journal of Nervous and Mental Disease, 183, 566–576.

    Article  PubMed  Google Scholar 

  • Kaplan, K., Salzer, M. S., & Brusilovskiy, E. (2012). Community participation as a predictor of recovery-oriented outcomes among emerging and mature adults with mental illnesses. Psychiatric Rehabilitation Journal, 35(3), 219–229.

    Article  PubMed  Google Scholar 

  • Kenny, D. A., Calsyn, R. J., Morse, G. A., Klinkenberg, W. D., Winter, J. P., & Trusty, M. L. (2004). Evaluation of Treatment Programs for Persons with Severe Mental Illness: Moderator and Mediator Effects. Evaluation Review, 28(4), 294–324. https://doi.org/10.1177/0193841X04264701

    Article  PubMed  Google Scholar 

  • Killackey, E. J., Jackson, H. J., Gleeson, J., Hickie, I. B., & McGorry, P. D. (2006). Exciting career opportunity beckons! Early intervention and vocational rehabilitation in first-episode psychosis: employing cautious optimism. Australian and New Zealand Journal of Psychiatry, 40, 951–962.

    Article  PubMed  Google Scholar 

  • Kisthardt, W. (1993). The impact of the strengths model of case management from the consumer perspective. In M. Harris & H. Bergman (Eds.), Case management: Theory and practice (pp. 165–82). Washington, DC: American Psychiatric Association.

    Google Scholar 

  • Klug G, Gallunder M, Hermann G, et al. (2019). Effectiveness of multidisciplinary psychiatric home treatment for elderly patients with mental illness: a systematic review of empirical studies. BMC Psychiatry, 19:382.

    Article  PubMed  PubMed Central  Google Scholar 

  • Kreyenbuhl, J., Nossel, I. R., & Dixon, L. B. (2009). Disengagement from mental health treatment among individuals with schizophrenia and strategies for facilitating connections to care: A review of the literature. Schizophrenia Bulletin, 35, 696–703.

    Article  PubMed  PubMed Central  Google Scholar 

  • Kreyenbuhl, J., Buchanan, R. W., Dickerson, F. B., & Dixon, L. B. (2010). The Schizophrenia Patient Outcomes Research Team (PORT): Updated treatment recommendations 2009. Schizophrenia Bulletin, 36, 94–103.

    Article  PubMed  Google Scholar 

  • Lake, J., & Turner, M. S. (2017). Urgent Need for Improved Mental Health Care and a More Collaborative Model of Care. The Permanente journal, 21, 17–024.

    Article  PubMed  PubMed Central  Google Scholar 

  • Lamb, H. R., & Bachrach, L. L. (2001). Some perspectives on deinstitutionalization. Psychiatric Services, 52(8), 1039–1045.

    Article  PubMed  Google Scholar 

  • Lamberti, J. S., Weisman, R. L., & Faden, D. I. (2004). Forensic Assertive Community Treatment (FACT): An emerging model for preventing incarceration of severely mentally ill adults. Psychiatric Services, 55, 1285–1293.

    Article  PubMed  Google Scholar 

  • Latimer, E. A. (2001). Economic impacts of supported employment for the severely mentally ill. Canadian Journal of Psychiatry, 46, 496–505.

    Article  PubMed  Google Scholar 

  • Latimer, E. (1999). Economic impacts of assertive community treatment: A review of the literature. Canadian Journal of Psychiatry, 44, 443–454.

    Article  PubMed  Google Scholar 

  • Lehman, A. F., Postrado, L. T., McNary, S. W., & Goldman, H. H. (1994). Continuity of care and client outcomes in the Robert Wood Johnson Foundation program on chronic mental illness. Milbank Quarterly, 72, 105–122.

    Article  PubMed  Google Scholar 

  • Mantzouranis G, Baier V, Holzer L, et al. (2019). Clinical significance of assertive community treatment among adolescents. Social Psychiatry and Psychiatric Epidemiology, 54, 445–453.

    Article  PubMed  Google Scholar 

  • Macias, C., Farley, O. W. et al. (1997). Case management in the context of capitation financing: An evaluation of the strengths model. Administration and Policy in Mental Health, 24(6), 535–543.

    Article  PubMed  Google Scholar 

  • Macias, C., Kinney, R., Parley, O. W., Jackson, R., & Vos, B. (1994). The role of case management within a community support system: Partnership with psychosocial rehabilitation. Community Mental Health Journal, 30(4), 323–339.

    Article  PubMed  Google Scholar 

  • Marshall, M., Lewis, S., Lockwood, A., Drake, R., Jones, P., & Croudace, T. (2005). Association between duration of untreated psychosis and outcome in cohorts of first-episode patients. Archives of General Psychiatry, 62, 975–983.

    Article  PubMed  Google Scholar 

  • Marty, D., Rapp, C. A., & Carlson, L. (2001). The experts speak: The critical ingredients of Strengths Model case management. Psychiatric Rehabilitation Journal, 24(3), 214–221.

    Article  PubMed  Google Scholar 

  • McCarthy JF, Valenstein M, Dixon L, et al. (2019). Initiation of assertive community treatment among veterans with serious mental illness: client and program factors. Psychiatric Services, 60:196–201.

    Google Scholar 

  • McDonagh M., Dana, T., Cantor, A., Selph, S., Monroe-DeVita, M., Kopelovich S., Devine, B., Blazina, I., Bougatsos, C., Grusing, S., Fu, R., Haupt, D. (2017). Treatments for adults with schizophrenia: A systematic review (AHRQ Publication No. 17(18)-EHC031-EF). Rockville, MD: Agency for Healthcare Research and Quality. Retrieved from www.effectivehealthcare.ahrq.gov/reports/final.cfm.

  • McGrew, J. H., & Bond, G. R. (1995). Critical ingredients of assertive community treatment: Judgments of the experts. Journal of Mental Health Administration, 22, 113–125.

    Article  PubMed  Google Scholar 

  • Miller, W. R., & Rollnick, S. (2002). Motivational interviewing: Preparing people for change (second ed.). New York: Guilford Press.

    Google Scholar 

  • McHugo GJ, Drake RE, Teague GB, et al (1999). Fidelity to assertive community treatment and client outcomes in the New Hampshire dual disorders study. Psychiatric Services, 50, 818–824.

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Monroe-DeVita, M., Morse, G., Mueser, K., McHugo, G. J., Xie, H., Hallgren, K., Peterson, R., Miller, J., Akiba, C., York, M. M., Gingerich, S., & Stiles, B. (2018). Implementing illness management and recovery within assertive community treatment: A pilot trial of feasibility and effectiveness. Psychiatric Services, 69, 562–71.

    Article  PubMed  Google Scholar 

  • Monroe-DeVita M, Teague GB, Moser LL. (2011). The TMACT: a new tool for measuring fidelity to assertive community treatment. Journal of the American Psychiatric Nurses Association, 17, 17–29.

    Article  PubMed  Google Scholar 

  • Monroe-DeVita, M., Moser, L.L. & Teague, G.B. (2013). The tool for measurement of assertive community treatment (TMACT). In M. P. McGovern, G. J. McHugo, R. E.

    Google Scholar 

  • Monroe-DeVita M, Moser L, Teague G, Heirvang K, Odden S. (June 2015) Implementation and evaluation of ACT using the tool for measurement of ACT (TMACT): Current findings and perspectives in Norway and the U.S. Symposium presented at the 3rd Biennial European Congress on Assertive Outreach, Oslo, Norway.

    Google Scholar 

  • Morrissey, J., Meyer, P., & Cuddeback, G. (2007). Extending assertive community treatment to criminal justice settings: Origins, current evidence, and future directions. Community Mental Health Journal, 43, 527–544.

    Article  PubMed  Google Scholar 

  • Moser L, Monroe-DeVita M. (2019). A call for better data to guide ACT policy and programs. Psychiatric Services, 70:261.

    Article  PubMed  Google Scholar 

  • Mowbray, C. T., Plum, T. B., & Masterton, T. (1997). Harbinger II: Deployment and evolution of assertive community treatment in Michigan. Administration and Policy in Mental Health, 25, 125–139.

    Article  PubMed  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.

    Article  PubMed  Google Scholar 

  • Mueser, K. T., Becker, D. R., & Wolfe, R. (2001). Supported employment, job preferences, and job tenure and satisfaction. Journal of Mental Health, 10, 411–417.

    Article  Google Scholar 

  • Muller, J. (1981). Alabama community support project evaluation of the implementation and initial outcomes of a model case manager system. Community Support System Journal, 4, 1–4.

    Google Scholar 

  • Neijmeijer LJ, Didden R, Nijman HL, Kroon H. (2018). Assertive community treatment for people with mild intellectual disability or borderline intellectual functioning and mental health problems or challenging behavior: state of the art and implementation in the Netherlands. Journal of Policy and Pract in Intellectual Disabilities, 15, 329–342.

    Article  Google Scholar 

  • Nelson, G., Aubry, T., & Lafrance, A. (2007). Review of the literature on the effectiveness of housing and support, assertive community treatment, and intensive case management interventions for persons with mental illness who have been homeless. American Journal of Orthopsychiatry, 77, 350–361.

    Article  PubMed  Google Scholar 

  • Nugter MA, Engelsbel F, Bähler M, et al. (2016). Outcomes of FLEXIBLE assertive community treatment (FACT) implementation: a prospective real life study. Community Mental Health Journal, 52, 898–907.

    Article  PubMed  Google Scholar 

  • Odden, S., Landheim, A., Clausen, H. et al. (2019). Model fidelity and team members’ experiences of assertive community treatment in Norway: a sequential mixed-methods study. International Journal of Mental Health Systems, 13, 65.

    Article  PubMed  PubMed Central  Google Scholar 

  • Olmstead v. L. C., 527 U. S. 581 (1999).

    Google Scholar 

  • Penzenstadler L, Soares C, Anci E, et al. (2019). Effect of assertive community treatment for patients with substance use disorder: a systematic review. European Addiction Research, 25, 56–67.

    Article  PubMed  Google Scholar 

  • Rapp, C. A., & Chamberlain, R. (1985). Case management services for the chronically mentally ill. Social Work, 30(5), 417–422.

    Article  PubMed  Google Scholar 

  • Rapp, C. A., & Goscha, R. J. (2012). The strengths model: A recovery-oriented approach to mental health services (3rd ed.). New York: Oxford University Press

    Google Scholar 

  • Rapp, C. A., & Goscha, R. J. (2004). The principles of effective case management of mental health services. Psychiatric Rehabilitation Journal, 27, 319–333.

    Article  PubMed  Google Scholar 

  • Rapp, C. A., & Wintersteen, R. (1989). The Strengths Model of case management: Results from twelve demonstrations. Psychosocial Rehabilitation Journal, 23(1), 23–32.

    Article  Google Scholar 

  • Ridgway, P. (2001). Re-storying psychiatric disability: Learning from first person narrative accounts of recovery. Psychiatric Rehabilitation Journal, 24(4), 335–343.

    Article  PubMed  Google Scholar 

  • Ridgway, P., & Rapp, C. A. (1997). The active ingredients of effective supported housing: A research synthesis. Lawrence, KS: University of Kansas School of Social Welfare

    Google Scholar 

  • Rochefort, D. A. (2019). Innovation and its discontents: pathways and barriers in the diffusion of assertive community treatment. The Milbank Quarterly, 97(4), 1151–1199.

    Article  PubMed Central  Google Scholar 

  • Rosenheck RA, Neale MS, Mohamed S. (2010). Transition to low intensity case management in a VA assertive community treatment model program. Psychiatric Rehabilitation Journal, 33(4), 288–96.

    Article  PubMed  Google Scholar 

  • Rossler, W., Loffler, W., Fatkenheuer, B., & Riecher-Rossler, A. (1992). Does case management reduce the hospitalization rate? Acta Psychiatrica Scandinavica, 86, 445–449.

    Article  PubMed  Google Scholar 

  • Ryan, C. S., Sherman, P. S., & Judd, C. M. (1994). Accounting for case management effects in the evaluation of mental health services. Journal of Consulting and Clinical Psychology, 62(5), 965–74.

    Article  PubMed  Google Scholar 

  • Schaedle, R., & Epstein, I. (2000). Specifying intensive case management: A multiple stakeholder approach. Mental Health Services Research, 2, 95–105.

    Article  PubMed  Google Scholar 

  • Schmidt, S.J., Lange, M., Schöttle, D., et al. (2018). Negative symptoms, anxiety, and depression as mechanisms of change of a 12-month trial of assertive community treatment as part of integrated care in patients with first-and multiepisode schizophrenia spectrum disorders (ACCESS I trial). European Archives of Psychiatry and Clinical Neuroscience, 268, 593–602.

    Article  PubMed  Google Scholar 

  • Shay, L. A., & Lafata, J. E. (2015). Where is the evidence? A systematic review of shared decision making and patient outcomes. Medical Decision Making, 35(1), 114–131.

    Article  PubMed  Google Scholar 

  • Smith, L., & Newton, R. (2007). Systematic review of case management. Australian and New Zealand Journal of Psychiatry, 41, 2–9.

    Article  PubMed  Google Scholar 

  • Spivak, S., Cullen, B. A., Green, C., Firth, T., Sater, H., & Mojtabai, R. (2019). Availability of assertive community treatment in the United States: 2010 to 2016. Psychiatric services, 70(10), 948–951.

    Article  PubMed  Google Scholar 

  • Stanard, R. P. (1999). The effect of training in a strengths model of case management on outcomes in a community mental health center. Community Mental Health Journal 35(2), 169–179.

    Article  PubMed  Google Scholar 

  • Surles, R., & McGurrin, M. (1987). Increased use of psychiatric emergency services by young chronic mentally ill patients. Hospital and Community Psychiatry, 38, 401–405.

    PubMed  Google Scholar 

  • Stein, L., & Test, M. A. (1980). Alternative to mental hospital treatment I. Conceptual model, treatment program, and clinical evaluation. Archives of General Psychiatry, 37(4), 392–397. doi:https://doi.org/10.1001/archpsyc.1980.01780170034003.

    Article  PubMed  Google Scholar 

  • Svensson, B., Hansson, L., Lexén, A. (2018). Outcomes of clients in need of intensive team care in Flexible Assertive Community Treatment in Sweden. Nordic Journal of Psychiatry, 72(3), 226–231.

    Article  PubMed  Google Scholar 

  • Tabak, N. T., Link, P. C., Holden, J., & Granholm, E. (2015). Goal attainment scaling: tracking goal achievement in consumers with serious mental illness. American Journal of Psychiatric Rehabilitation, 18(2), 173–186.

    Article  Google Scholar 

  • Teague, G. B., Bond, G. R., & Drake, R. E. (1998). Program fidelity in assertive community treatment: Development and use of a measure. American Journal of Orthopsychiatry, 68, 216–232.

    Article  PubMed  Google Scholar 

  • Thomas, E. C., Despeaux, K. E., Drapalski, A. L., & Bennett, M. (2018). Person-oriented recovery of individuals with serious mental illnesses: A review and meta-analysis of longitudinal findings. Psychiatric services, 69(3), 259–267.

    Article  PubMed  Google Scholar 

  • Tsoi, E. W. S., Tse, S., Yu, C., Chan, S., Wan, E., Wong, S., & Liu, L. (2018). A nonrandomized controlled trial of strengths model case management in Hong Kong. Research on Social Work Practice, 29(5), 540–554.

    Article  Google Scholar 

  • Turner, J. C., & TenHoor, W. J. (1978). The NIMH community support program: Pilot approach to a needed social reform. Schizophrenia Bulletin, 4, 319–348.

    Article  Google Scholar 

  • van Veldhuizen, J. R. (2007). A Dutch version of ACT. Community Mental Health Journal, 43, 421–423.

    Article  PubMed  Google Scholar 

  • van Veldhuizen, J. R., & Bähler, M. (2013). Manual flexible ACT, vision, model, practice and organization. www.factfacts.nl

  • Walsh, J. (2000). Clinical case management with persons having mental illness. A relationship-based practice. Florence, KY: Cengage Learning.

    Google Scholar 

  • Wang, P. S., Demler, O., & Kessler, R. C. (2002). Adequacy of treatment for serious mental illness in the United States. American Journal of Public Health, 92, 92–98.

    Article  PubMed  PubMed Central  Google Scholar 

  • Weisbrod, B.A., Test, M.A., Stein, L.I. (1980). Alternative to mental hospital treatment. II. Economic benefit-cost analysis. Archives of General Psychiatry, 37(4), 400–5.

    Article  PubMed  Google Scholar 

  • Wolff, N., et al., (1997). Cost-effectiveness evaluation of three approaches to case management for homeless mentally ill clients. American Journal of Psychiatry, 154(3), 341–8.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Strengths Model Inc., Cameron Park, CA, USA

    Richard J. Goscha

  2. University of North Carolina at Chapel Hill, Department of Psychiatry, Chapel Hill, NC, USA

    Lorna Moser

  3. University of Washington, Department of Psychiatry and Behavioral Sciences, Seattle, WA, USA

    Maria Monroe-Devita

Authors
  1. Richard J. Goscha
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  2. Lorna Moser
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  3. Maria Monroe-Devita
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Corresponding author

Correspondence to Richard J. Goscha .

Editor information

Editors and Affiliations

  1. Clinical Professor of Psychiatry, University of Pittsburgh Medical Center, Pittsburgh, PA, USA

    Wesley E. Sowers

  2. Clinical Professor of Psychiatry, New York University Grossman School of Medicine | NYU Langone Health, New York, NY, USA

    Hunter L. McQuistion

  3. Clinical Professor of Psychiatry, Columbia University, Vagelos College of Physicians and Surgeons, New York, NY, USA

    Jules M. Ranz

  4. Professor Emerita of Psychiatry, Department of Psychiatry and Behavioral Neurobiology, University of Alabama at Birmingham, Birmingham, AL, USA

    Jacqueline Maus Feldman

  5. Vice Chair/Professor, Department of Psychiatry, Case Western Reserve School of Medicine, Ohio, OH, USA

    Patrick S. Runnels

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Goscha, R.J., Moser, L., Monroe-Devita, M. (2022). Case Management and Assertive Community Treatment. In: Sowers, W.E., McQuistion, H.L., Ranz, J.M., Feldman, J.M., Runnels, P.S. (eds) Textbook of Community Psychiatry. Springer, Cham. https://doi.org/10.1007/978-3-031-10239-4_26

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