1. An Evaluation of Case Management.
- Author
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Franklin, Jack L., Solovitz, Brenda, Mason, Mark, Clemons, Jimmie R., and Miller, Gary E.
- Subjects
HOSPITAL case management services ,MEDICAL social work ,MANAGED care programs ,PEOPLE with mental illness ,HOSPITAL care ,QUALITY of life ,PSYCHIATRIC hospitals ,RESIDENTIAL mental retardation facilities ,SUBSTANCE abuse treatment facilities - Abstract
Abstract: This project explores the efficiency and effectiveness of case management as compared with the usual and customary services available to chronic mentally to individuals in reducing readmissions to mental hospitals and improving the quality of life. A randomized pretest-posttest control group design was used to assign 417 individuals who had at least two discharges from a mental hospital to an experimental (E) group (N = 213) to receive case management services and a control (C) group (N = 204) who could receive any services but case management. After participation in the project for 12 months, 138 members of the E group and 126 members of the C group were reinterviewed. The E group received more services, cost more to maintain, and were admitted to mental hospitals more often, but concomitant improvement in quality of life indicators was not evident. Alternative explanations for the findings are discussed. (Am J Public Health 1987; 77:674-678.) [ABSTRACT FROM AUTHOR]
- Published
- 1987
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