A principles-focused evaluation of community mental health short-term case management

2021 ◽  
Vol 89 ◽  
pp. 102012
Author(s):  
Andrea Duncan ◽  
Katie N. Dainty ◽  
Walter P. Wodchis ◽  
Maritt Kirst ◽  
Vicky Stergiopoulos
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Case Management ◽  
Short Term

Self-Referrals to a Community Mental Health Centre: A Three Year Study

1985 ◽  
Vol 147 (5) ◽  
pp. 540-544 ◽  
Author(s):  
Francoise M. Hutton
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Health Centre ◽  
Direct Access ◽  
Appropriate Use ◽  
Short Term ◽  
Community Mental Health Centre ◽  
Psychiatric Disturbance ◽  
Mental Health Centre

The records of all 53 clients who referred themselves to a community mental health centre in the first three years of its existence were studied retrospectively. These showed increasing and generally appropriate use of direct access for the relief of serious, often long-standing emotional distress. Self-referrals were much more often men than women, and some clients would probably not have been reached in any other way. The service seemed to reduce the local GPs' burden, at least subjectively. However, no-one presented with acute psychiatric disturbance or immediately impending breakdown. Any prevention achieved seems likely to be long-term rather than short-term.

The Therapeutic Alliance: The Key to Effective Patient Outcome? A Descriptive Review of the Evidence in Community Mental Health Case Management

2003 ◽  
Vol 37 (2) ◽  
pp. 169-183 ◽  
Author(s):  
Irene M. Howgego ◽  
Peter Yellowlees ◽  
Cathy Owen ◽  
Lenore Meldrum ◽  
Frances Dark
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Community Mental Health ◽  
Case Management ◽  
Therapeutic Alliance ◽  
Therapeutic Relationship ◽  
Current Trend ◽  
Case Managers ◽  
Level Of Evidence ◽  
Improved Outcomes

Objective: The aim of this review was to examine the level of evidence supporting the assumed link between a positive therapeutic alliance among patients and case managers and effective outcome for patients with a mental illness who are managed in community mental health services. Method: MedLine, PsychINFO and Social Sciences Index search of articles from 1986 to 2001 returned 84 articles and two texts. Inclusion criteria were the use of validated measures and relevance to psychiatry and community case management. Results: A definite correlation exists in the psychotherapy literature between the therapeutic relationship and improved outcomes, with its potential as a prognostic indicator acknowledged. Attempts to apply the concept to patients outside the field of psychotherapy have been slow, although expansion of the concept to other forms of change-inducing therapy was a current trend. Issues of definition, quantification and measurement of the relationship caused rigorous debate in the literature. Case management research demonstrating the importance of the therapeutic relationship and ‘goodness-of-fit’ between patients and case managers was sparse with no published Australian studies. Conclusions: The level of evidence supporting the link between the therapeutic alliance of patients with mental illness and improved outcomes although sparse is encouraging. It indicates the potential of the alliance as a predictor of outcome for patients engaged in case management services in community mental health. Research to determine the role and effectiveness of the alliance in the patient/case manager dyad is needed to define this potential. Effectiveness of clinical practice in the case management field could be enhanced if research findings confirmed the genesis and value of the alliance in case management. Focus on relationship strategies as a clinical tool gives the clinician and service provider a potential vehicle for promoting partnerships with the seriously mentally ill person in managing their illness and optimizing their strengths in the community.

Measuring Disability, Need and Outcome in Australian Community Mental Health Services

2000 ◽  
Vol 34 (5) ◽  
pp. 850-855 ◽  
Author(s):  
Jill Gallagher ◽  
Maree Teesson
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Community Mental Health ◽  
Health Services ◽  
Case Management ◽  
Community Mental Health Services ◽  
Standard Case ◽  
Australian Community ◽  
Standard Case Management ◽  
Assertive Case Management

Objective: This study trialled routine measurement of disability, need and outcome in mental health services within Sydney. Method: Fifteen community mental health clinicians with a combined caseload of 283 patients participated in the study. The Health of the Nation Outcome Scales (HoNOS) was used to assess disability and outcome and the patient and staff versions of the Camberwell Assessment of Need (CAN) were used to assess need. Results: The HoNOS and CAN appear to be promising contenders for routine use. Patients receiving assertive case management were rated as having higher levels of disability and need than patients receiving standard case management. Significant change in outcome was demonstrated with the HoNOS. Conclusions: To ensure the continued measurement of consumer outcome, issues such as staff education, training, and the development of computerised information systems should be addressed.

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