Hostname: page-component-586b7cd67f-dlnhk Total loading time: 0 Render date: 2024-11-26T16:15:52.034Z Has data issue: false hasContentIssue false

Intensive case management: putting it into practice

Published online by Cambridge University Press:  02 January 2018

Frank Holloway*
Affiliation:
Bethlem and Maudsley NHS Trust
Morag Murray
Affiliation:
Brixton Sector
Clare Squire
Affiliation:
East Lambeth Continuing Care Team
Jerome Carson
Affiliation:
Institute of Psychiatry, London
*
Correspondence
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

The first 18 months of operation of a team providing high intensity case management is presented. A key-worker/co-worker system was adopted, with regular team meetings to review the progress of all clients. Low case-loads (10 clients per case manager) enabled the team to carry out detailed assessments of need, offer assertive outreach and crisis intervention and coordinate complex packages of community care. The case management team provided an accessible and effective service. However, not all patients appeared to benefit and the intensive nature of the work was very demanding on staff.

Type
Original Papers
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © Royal College of Psychiatrists, 1996

Footnotes

Thispaper is based on a talk given at the TAPS 9th Annual Conference in July 1994. Intensive case management putting it into practice

References

Bachrach, L. L. (1989) Case management towards a shared definition. Hospital and Community Psychiatry, 40, 883884.Google Scholar
Burns, B. J. & Santos, A. B. (1995) Assertive community treatment an update of randomized trials. Psychiatric Services, 46, 669675.Google ScholarPubMed
Department of Health (1994) Guidance on the discharge of mentally disordered people and their continuing care in the community. HSG(94)27.Google Scholar
Holloway, F., Oliver, N., Collins, L., et al (1995) Case management for the mentally ill. A critical review of the literature. European Psychiatry, 10, 113128.CrossRefGoogle Scholar
Kanter, J. (1989) Clinical case management definition. principles, components. Hospital and Community Psychiatry, 40, 361368.Google Scholar
McCarthy, A., Roy, D., Holloway, F., et al (1995) Supervision registers and the care programme approach: a practical solution. Psychiatric Bulletin, 19, 195199.Google Scholar
Marshall, M., Lockwood, A. & Gath, D. (1995) Social services case management for long-term mental disorders: a randomised controlled trial. Lancet, 340, 409412.Google Scholar
Ryan, P., Ford, R. & Clifford, P. (1991) Case Management and Community Care. London: Research and Development for Psychiatry.Google Scholar
Secretaries of State for Health and Social Security. Wales and Scotland (1989) Caring for People. Community Care in the Next Decade and Beyond. London: HMSO.Google Scholar
This paper is based on a talk given at the TAPS 9th Annual Conference in July 1994. Intensive case management putting it into practice Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.