title: Effectiveness of case management with severely and persistently mentally ill people.
abstract: 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.
authors.affiliation: Social Work Program, University of Windsor, Ontario. gorey@server.uwindsor.ca
authors.forename: K M
authors.initials: KM
authors.lastname: Gorey
authors.forename: D R
authors.initials: DR
authors.lastname: Leslie
authors.forename: T
authors.initials: T
authors.lastname: Morris
authors.forename: W V
authors.initials: WV
authors.lastname: Carruthers
authors.forename: L
authors.initials: L
authors.lastname: John
authors.forename: J
authors.initials: J
authors.lastname: Chacko
mesh_terms: D019090:Case Management; D006801:Humans; D001523:Mental Disorders / Q000628:therapy*; D012720:Severity of Illness Index; D016896:Treatment Outcome