Transferring clients from intensive case management: impact on client functioning.
The effects of transferring clients from assertive community treatment to a less intensive (step-down) case management program were examined. Service use decreased significantly after transfer to the step-down program, and no negative effects of transfer on hospital use or client functioning were evident. Critical elements for successful step-down are suggested and discussed.
Salyers
M P
MP
Indiana University-Purdue University, Indianapolis, USA. Michelle.P.Salyers@Dartmouth.Edu
Masterton
T W
TW
Fekete
D M
DM
Picone
J J
JJ
Bond
G R
GR
D000328:Adult; D019090:Case Management / Q000706:statistics & numerical data; D003156:Community Mental Health Services / Q000706:statistics & numerical data; D015897:Comorbidity; D017831:Diagnosis, Dual (Psychiatry); D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010043:Outcome and Process Assessment, Health Care; D010348:Patient Care Team; D010359:Patient Readmission / Q000706:statistics & numerical data; D010360:Patient Transfer / Q000706:statistics & numerical data; D011618:Psychotic Disorders / Q000534:rehabilitation*; D012189:Retrospective Studies; D019966:Substance-Related Disorders / Q000534:rehabilitation