Intensive case management in Australia: a randomized controlled trial

This study compared intensive case management (ICM) with standard clinical case management in a well‐resourced community mental health service in Australia. A total of 73 severely disabled clients of an existing clinical service were randomly allocated to either ICM (caseload 10 clients per clinicia...

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Bibliographic Details
Published inActa psychiatrica Scandinavica Vol. 99; no. 5; pp. 360 - 367
Main Authors Issakidis, C., Sanderson, K., Teesson, M., Johnston, S., Buhrich, N.
Format Journal Article
LanguageEnglish
Published Oxford, UK Blackwell Publishing Ltd 01.05.1999
Blackwell
Subjects
Adolescent
Adult
Australia
Biological and medical sciences
Case Management
community mental health
Community Mental Health Services
Crime
Female
Hospitalization - statistics & numerical data
Humans
Male
Medical sciences
Mental Disorders - therapy
Mental health
Middle Aged
Organization of mental health. Health systems
Patient Compliance
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
randomized controlled trial
Social psychiatry. Ethnopsychiatry
Treatment Outcome
Australia
Oceania
Human
Treatment efficiency
Public health organization
Mental health
Mental disorder
Community treatment
Public health
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Summary:This study compared intensive case management (ICM) with standard clinical case management in a well‐resourced community mental health service in Australia. A total of 73 severely disabled clients of an existing clinical service were randomly allocated to either ICM (caseload 10 clients per clinician) or standard case management (caseload up to 30 clients per clinician) and followed up for 12 months. A greater proportion of clients receiving ICM showed improved social functioning, these clients had fewer psychiatric hospital admissions involving police, and were more likely to engage and remain in treatment compared to those who received standard case management. Clients receiving ICM did not show a reduction in hospitalization duration or total number of episodes. It is suggested that future studies of ICM should focus on which aspects of treatment produce positive outcomes, how they can be applied to routine clinical settings, and over what period of time outcomes are sustained.
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ArticleID:ACPS360
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content type line 23
ISSN:0001-690X
1600-0447
DOI:10.1111/j.1600-0447.1999.tb07242.x