Effectiveness of case management with severely and persistently mentally ill people.
This meta-analytic review synthesizes the findings of 24 published studies dealing with the effectiveness of case management with the severely and persistently mentally ill. Summative findings were: (1) Overall, case management interventions are effective--75% of the clients who participate in them do better than the average client who does not; (2) The estimated preventive fraction (e.g., prevention of re-hospitalization) among clients who experience relatively intense case management service (case loads of 15 or less, 89%) is nearly 30% greater than that estimated among similar clients receiving less intensive service; and (3) Various case management practice models did not differ significantly on estimated effectiveness. Important questions concerning the differential effectiveness of case management by specific program, worker, client, and client-worker relationship characteristics remain to be answered.
Gorey
K M
KM
Social Work Program, University of Windsor, Ontario. gorey@server.uwindsor.ca
Leslie
D R
DR
Morris
T
T
Carruthers
W V
WV
John
L
L
Chacko
J
J
D019090:Case Management; D006801:Humans; D001523:Mental Disorders / Q000628:therapy*; D012720:Severity of Illness Index; D016896:Treatment Outcome