title: [A study of the guideline of case management for persons with mental disorders analyzed with fidelity index. The conditions of effective implementation].
abstract: OBJECTIVE
  The present study examines the condition of effective case management based on the guideline of case management for persons with mental disorders.
  
  
  METHODS
  A total of 295 clients were admitted to a case management trial for about 2 months. A fidelity index of program implementation and outcome measures of case management were developed. The relationship between implementation of critical program components measured by fidelity index, and outcome was analyzed.
  
  
  RESULTS
  Fidelity Index was significantly correlated with outcome measures of clients, staffs and the care system. Effective but not-easily-feasible elements of program were having case-conference, application, of informal support and development of services.
  
  
  CONCLUSIONS
  It is necessary to facilitate application of informal support with liaison with public health nurses, to standardize case-conference and to place development of care services in the core of programs for ensuring effective implementation of case management for persons with mental disorders in Japan.
authors.affiliation: Department of Psychiatric Nursing, Tokyo Institute of Psychiatry.
authors.forename: N
authors.initials: N
authors.lastname: Cho
authors.forename: I
authors.initials: I
authors.lastname: Oshima
authors.forename: K
authors.initials: K
authors.lastname: Takahashi
mesh_terms: D000328:Adult; D019090:Case Management; D005069:Evaluation Studies as Topic; D017408:Guidelines as Topic; D006801:Humans; D007223:Infant; D008297:Male; D001523:Mental Disorders / Q000628:therapy*; D017063:Outcome Assessment, Health Care; D012559:Schizophrenia / Q000628:therapy