Review Article Case Management: an Update

Abstract

The concept of case management has continued to evolve over the past decade. No controlled trial has been published exploring the model of the case manager as a service broker without responsibility for the provision of care. Basic case management principles have frequently been incorporated within routine clinical practice. Published controlled trials of ACT, which were almost exclusively carried out in North America, have shown markedly positive results. However caution is required in extrapolating these findings to routine clinical practice within different systems of health and social care. Case management is not in itself an effective treatment for severe mental illness.

Provision and financing of assistive technology devices in Germany: A bureaucratic odyssey? The case of amyotrophic lateral sclerosis and Duchenne muscular dystrophy

“…Their primary functions include (1) the assessment of patient need, (2) the development of individual health care plans for patients, (3) the arrangement of service delivery, (4) the monitoring and assessment of services and (5) evaluation and followup. Those case managers typically have large case loads, with a volume of 50 or more patients, and are office based [35]. Due to the low incidence of ALS and DMD, case management should be adopted for patient groups taking into account a range of diseases that have a high need for ATDs such as neurodegeneration with brain iron accumulation.…”

Case-management for Patients with Schizophrenia in Iran: A Comparative Study of the Clinical Outcomes of Mental Health Workers and Consumers’ Family Members as Case Managers

“…In regard to the hospitalization rate, the studies conducted in western countries showed that case-management services may increase the hospitalization rate (OR = 1.84) (Holloway and Carson 2001;Marshall and Lockwood 1998) but was effective in three domains of family burden, family satisfaction with services, and cost of care and other clinical features (Laura and Gary 1993;Stephen et al 2000).…”

Client Satisfaction With Rural Substance Abuse Case Management Services

“…For example, the use of a comprehensive and integrated case management program for patients with dual disorders has been associated with patient retention in treatment, improved substance use outcomes, and an increase in the number of days in stable community residences (Drake et al, 1998). Studies of the use of case management for patients with severe mental illness have demonstrated that, within defined settings, specific types of case management services, such as assertive community treatment (ACT), result in improved follow-up and an increase in service utilization, along with a decrease in inpatient hospital admissions and inpatient bed days (Holloway & Carson, 2001). Other studies, however, have reported that the use of case management with the severely mentally ill does not necessarily Case management services are considered by many to be important but expensive.…”

“…In order for case management to be effective, services must be available and consumed. Clients who are offered case management services are more likely to follow up with services, which may increase service utilization but may not necessarily improve clinical outcomes (Holloway & Carson, 2001). From a cost-containment perspective, the relationship between utilization of services and outcomes is less clear.…”