title: Case management in aftercare of involuntarily committed patients with substance abuse. A randomized trial.
abstract: OBJECTIVE
  Case management has since the 1970s been widely used to co-ordinate services for mental health patients. The methodology has expanded to support patients in many different types of conditions. This study is one of very few randomized trials on case management in a European setting. It examined the impact of case management on substance abuse and use of service after discharge from court-ordered institutional care.
  
  
  METHODS
  Court-ordered patients with substance abuse ( n = 36) were randomly assigned to either strengths based case management or treatment-as-usual during 6 months in aftercare. Data was collected at intake, at conclusion of intervention and at 6 month's follow-up with a follow-up rate of 94%.
  
  
  RESULTS
  Case management interventions were well received by the patients with no drop-out during intervention. Patients with the support of a case manager seemed to sustain abstinence in a higher degree compared with treatment-as-usual but no differences were detected in regard to use of care. A subgroup analysis showed that patients with a continuous drug abuse did have access to care from both social welfare and hospital care systems.
  
  
  CONCLUSIONS
  Case management may be useful in order to retain abstinence in aftercare following court-ordered treatment. The social welfare and hospital care systems seem to provide care irrespective of case manager intervention. The study design, interventions and assessments instruments were well received by patients but needs to be replicated with a larger population.
  
  
  CONCLUSIONS
  The 100% retention in the case management support group indicates that patients were satisfied with this type of intervention and the methodology seems to be useful in order to retain abstinence.
authors.affiliation: Department of Health Sciences, Lund University, Lund, Sweden. marianne.larsson_lindahl@med.lu.se
authors.forename: Marianne Larsson
authors.initials: ML
authors.lastname: Lindahl
authors.forename: Mats
authors.initials: M
authors.lastname: Berglund
authors.forename: Hanne
authors.initials: H
authors.lastname: Tönnesen
mesh_terms: D000328:Adult; D000359:Aftercare / Q000379:methods*; D019090:Case Management; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010351:Patient Discharge; D019966:Substance-Related Disorders / Q000523:psychology / Q000628:therapy*; D013548:Sweden; D016896:Treatment Outcome; D055815:Young Adult