Intensive versus standard case management for severe psychotic illness: a randomised trial

Burns, Tom; Creed, Francis; Fahy, Tom; Thompson, Simon G.; Tyrer, Peter; White, Ian R.

doi:10.1016/s0140-6736(98)12191-8

Cited by 306 publications

(221 citation statements)

References 20 publications

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“…Interestingly, intensity of contact alone was unrelated to the positive outcomes achieved, implying that not only the intensity of the intervention was important for outcome but also the quality of the intervention. This finding is consistent with that of Burns et al [29], who reported the results of a large RCT of intensive case management and standard care in which the main difference between groups was case load. They found that a decline in case load alone did not improve outcome.…”

Section: Intensity Versus Content Of Intervention In Determining Outcomesupporting

confidence: 92%

Assertive community treatmentIssues from scientific and clinical literature with implications for practice

Rosen

Mueser²,

Teesson³

2007

JRRD

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Abstract-This review describes Assertive community treatment (ACT), an integral component of the care of persons with severe mental illness. Drawing on research from North America, Australasia, and Britain, we summarize the current evidence base for ACT and examine the trends and issues that may affect practice. Strong evidence supports the fidelity standardization, efficacy, effectiveness, and cost-effectiveness of ACT models in psychiatry. Yet, significant methodological problems and issues affect implementation. The evidence indicates that the ACT model is one of the most effective systematic models for organizing clinical and functional interventions in psychiatry. Effective systems based on the ACT model meet more ACT fidelity criteria; are often noncoercive; do not rely on compulsory orders; may rely on a wider range of interventions than just medication adherence, including vocational and substance abuse rehabilitation; contain other evidence-based interventions and more mobile in vivo interventions; involve individual and team case management; may involve consumers as direct service providers; and have an interdisciplinary workforce and support structure within the team, providing some protection from work-related stress or burnout.

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Section: Intensity Versus Content Of Intervention In Determining Outcomesupporting

confidence: 92%

Assertive community treatmentIssues from scientific and clinical literature with implications for practice

Rosen

Mueser²,

Teesson³

2007

JRRD

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“…Generally the number of needs identified by staff and patients is broadly similar, with a tendency for staff to identify slightly more needs, but the domains of need identified can differ substantially. Other studies have shown a relationship between patient rated unmet need and quality of life measures (Burns et al, 1999) and in a follow up study (Lasalvia et al, 2010) found that patient-rated unmet need and changing levels of unmet need predicted quality of life. Clinical ratings failed to have a predictive relationship.…”

Section: Discussionmentioning

confidence: 93%

The relationship between clinical and recovery dimensions of outcome in mental health

Macpherson

Pesola

Leamy

et al. 2016

Schizophrenia Research

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“…The failure to incorporate PSIs as a key component in the CPA keyworker/care coordinator role may partially explain why the CPA is associated with only limited improvements in mental or social functioning amongst users, has little impact on quality of life and is linked with increased bed use (Becker et al, 1998;Wykes et al, 1998); Taylor et al, 1998;Burns et al, 1999;Marshall et al, 2001). Such interventions tend to be perceived as 'add-ons', to be provided once the core duties of assessment, monitoring, co-ordination and administration are completed, if time allows.…”

Section: Discussionmentioning

confidence: 99%

Community psychiatric nurses and the care co‐ordinator role: squeezed to provide ‘limited nursing’

Simpson

2005

Journal of Advanced Nursing

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Citation: Simpson, A. (2005). Community psychiatric nurses and the care co-ordinator role: squeezed to provide 'limited nursing'.. Journal of Advanced Nursing, 52(6), pp. 689-699. doi: 10.1111/j.1365-2648.2005.03636.x This is the accepted version of the paper.This version of the publication may differ from the final published version. Background: The Care Programme Approach (CPA) is the key policy underpinning community-focused mental health services but has been unevenly implemented and is associated with increased inpatient bed use. The care co-ordinator role is central to the CPA and is most often held by Community Psychiatric Nurses (CPNs), but there has been little research into how this role is conducted or how it impacts on the work of CPNs and their ability to meet the needs of service users. Permanent Aim:The study aimed to identify and illuminate the factors that either facilitated or constrained the ability of CPNs, in their role as care co-ordinators, to meet service users' and carers' needs.2 Methods: A multiple case study of seven sectorised community mental health teams was employed over two years using predominantly qualitative methods of participant observation, semi-structured interviews and document review.Findings: Additional duties and responsibilities specifically associated with the care co-ordinator role and multidisciplinary working, combined with heavy workloads, combined to produce 'limited nursing', whereby CPNs are unable to provide evidence-based psychosocial interventions that are recognised to reduce relapse amongst people with severe mental illness. Conclusions

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Intensive versus standard case management for severe psychotic illness: a randomised trial

Cited by 306 publications

References 20 publications

Assertive community treatmentIssues from scientific and clinical literature with implications for practice

Assertive community treatmentIssues from scientific and clinical literature with implications for practice

The relationship between clinical and recovery dimensions of outcome in mental health

Community psychiatric nurses and the care co‐ordinator role: squeezed to provide ‘limited nursing’

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