Schizophrenia, violence, and case management: being supportive and overwhelmed.
OBJECTIVE
The aim of this study is to understand the experiences of case managers as they delivered care to women who were diagnosed with schizophrenia and live with histories of violence.


METHODS
Interpretive phenomenology.


RESULTS
Providers valued their relationships with women, yet felt overwhelmed and frustrated with aspects of the case management role. Case managers at times blamed women for the violence in their lives and lacked clarity with regard to their role assisting women in recovery.


CONCLUSIONS
The violence and poverty that is common for these women is a key factor that increased providers' alienation and confusion as to their role in the provision of care. The educational and supportive needs of case managers must be addressed to uphold recovery-oriented services.
Rice
Elizabeth I
EI
University of Wisconsin-Madison, School of Nursing, Madison, WI 53792-2455, USA. eirice@wisc.edu
D000223:Adaptation, Psychological / Q000502:physiology; D001291:Attitude of Health Personnel; D018585:Battered Women; D002055:Burnout, Professional / Q000523:psychology*; D019090:Case Management; D003156:Community Mental Health Services / Q000379:methods; D017579:Domestic Violence; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D007588:Job Satisfaction; D011369:Professional-Patient Relations; D012559:Schizophrenia / Q000628:therapy*; D012944:Social Support; D013315:Stress, Psychological / Q000523:psychology; D014754:Violence