What difference does case management make?
The outcomes of 82 patients in a rehabilitation-oriented case management program six months and two years after they were discharged from an inpatient setting to join the program were compared with those of 82 matched control patients who had been discharged from the same inpatient settings before the case management program was established. At the two-year follow-up, the patients in the case management program were significantly more likely than the control patients to have better occupational functioning, to live in a residence requiring more independence than they did at the six-month follow-up, and to be less socially isolated; in contrast, at the six-month follow-up only their occupational functioning was better than the control group's. The two groups did not differ in number of hospitalizations at either follow-up. The authors believe the study supplies much-needed documentation of the effectiveness of rehabilitation-oriented case management.
Goering
P N
PN
Social and Community Psychiatry Section, Clarke Institute of Psychiatry, Toronto, Ontario.
Wasylenki
D A
DA
Farkas
M
M
Lancee
W J
WJ
Ballantyne
R
R
D002908:Chronic Disease; D003156:Community Mental Health Services / Q000639:trends*; D006801:Humans; D001523:Mental Disorders / Q000534:rehabilitation*; D009864:Ontario; D010347:Patient Care Planning / Q000639:trends; D011618:Psychotic Disorders / Q000534:rehabilitation; D012050:Rehabilitation, Vocational / Q000639:trends; D012934:Social Isolation; D012944:Social Support