Comparative Cost Analysis of Housing and Case Management Program for Chronically Ill Homeless Adults Compared to Usual Care

Abstract While the majority of stroke patients will return home after being hospitalized, this transition is physically and emotionally challenging. We developed a social work based case management program to address these challenges. The Michigan Stroke Transitions Trial (MISTT), a pragmatic 3-arm clinical trial tested the effects of the case management program on its own and combined with technology against usual care in patients recovering from stroke. Patients from three Michigan hospitals were randomized to one of three groups upon discharge to home. The two treatment groups received services from a social work case manager via home visit and telephone. One treatment group also was given training and access to a curated stroke website developed for MISTT. The intervention lasted up to 90 days and data was collected via telephone at 7 and 90 days. Quality of life and patient activation were the primary outcomes, measured by the PROMIS Global 10, and the Patient Activation Measure (PAM), respectively. We compared treatment efficacy by comparing the change in outcomes between the three groups (N=265) using a difference-in-differences (D-in-D) analysis. The mean change in PROMIS scores for the social work + technology group was significantly higher than both the social work only group (difference= +2.4; 95%CI=0.46, 4.34; p=0.02) and usual care (difference= +3.4; 95%CI=1.41, 5.33; p<0.001). The mean change in PAM scores for the social work + technology group was significantly higher than the social work only group (+6.7; 95%CI=1.26, 12.08; p=0.02) and marginally higher than usual care (+5.0; 95%CI=-0.47, 10.52; p=0.07).

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A Cost Analysis of the Iowa Medicaid Primary Care Case Management Program

Health Services Research ◽

10.1111/j.1475-6773.2006.00548.x ◽

2006 ◽

Vol 0 (0) ◽

pp. 060720074824045-??? ◽

Cited By ~ 1

Author(s):

Elizabeth T. Momany ◽

Stephen D. Flach ◽

Forrest D. Nelson ◽

Peter C. Damiano

Keyword(s):

Primary Care ◽

Cost Analysis ◽

Case Management ◽

Management Program ◽

Case Management Program

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Effectiveness of a Flexible and Continuous Case Management Program for Suicide Attempters

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17072599 ◽

2020 ◽

Vol 17 (7) ◽

pp. 2599

Author(s):

Min-Hyuk Kim ◽

Jinhee Lee ◽

Hyunjean Noh ◽

Jin-Pyo Hong ◽

Hyun Kim ◽

...

Keyword(s):

Case Management ◽

Teaching Hospital ◽

Suicide Attempts ◽

Management Program ◽

Continuous Case ◽

Case Management Program ◽

Suicide Attempters ◽

Flexible Approach ◽

Risk Of Death ◽

Management Group

The purpose of this study was to investigate the effect of continuous case management with a flexible approach on the prevention of suicide by suicide reattempt in a real clinical setting. The subjects in this study were 526 suicide attempters who visited emergency rooms in a teaching hospital in South Korea. Subjects were provided a continuous case management program with a flexible approach according to the severity of their suicide risk and needs. During the entire observation period (from 182 days to 855 days, mean = 572 ± 254), 18 patients (3.7%) died by suicide reattempt: Eight patients (2.27%) in the case management group and 10 patients (7.35%) in the no-case management group. The Cox regression analysis showed that the case management group had a 75% lower risk of death from suicide attempts than the no-case management group (HR = 0.34, 95% CI = 0.13–0.87). This result was shown to be more robust after adjusting for confounding factors such as gender, age, psychiatric treatment, suicide attempts, and family history of suicide (adjusted HR = 0.27, 95% CI = 0.09–0.83). This study was conducted in a single teaching hospital and not a randomized controlled one. A flexible and continuous case management program for suicide attempters is effective for preventing death by suicide reattempts.

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An Evaluation of a Client-Centered Case Management Program for Elder Abuse

Journal of Elder Abuse & Neglect ◽

10.1300/j084v11n04_02 ◽

2000 ◽

Vol 11 (4) ◽

pp. 5-22 ◽

Cited By ~ 19

Author(s):

Dana Vladescu ◽

Kimberly Eveleigh ◽

Jenny Ploeg ◽

Christopher Patterson

Keyword(s):

Case Management ◽

Elder Abuse ◽

Management Program ◽

Case Management Program

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Examining the Effectiveness of a Case Management Program for Custodial Grandparent Families

Nursing Research and Practice ◽

10.1155/2012/124230 ◽

2012 ◽

Vol 2012 ◽

pp. 1-6 ◽

Cited By ~ 7

Author(s):

Lenora Campbell ◽

Dana L. Carthron ◽

Margaret Shandor Miles ◽

LaShanda Brown

Keyword(s):

Mental Health ◽

Case Management ◽

Behavioral Problems ◽

Child Behavior Checklist ◽

Short Form ◽

Well Being ◽

Management Program ◽

Emotional And Behavioral Problems ◽

Physical And Mental Health ◽

Case Management Program

Researchers have identified complex needs of custodial grandparent families and lack of access to needed resources such as housing, financial and legal assistance, and health care. Case management links these families with needed services while helping them develop skills to promote their health and well-being. This paper describes a case management program for custodial grandparent families using a nurse-social worker case management team. data were collected from 50 grandparents and 33 children using surveys and semi-structured instruments. Physical and mental health outcomes were measured using Short Form-12 Health Survey (SF 12) to measure the perceived quality of health for grandparents and the Child Behavior Checklist to measure the emotional and behavioral functioning of grandchildren. Grandparents more positively perceived their mental health after participating in the program. Perceptions about physical health were generally the same before and after the program. Grandparents' reported that many grandchildren had emotional and behavioral problems in the clinical range. These findings highlight the need for further research on the mental health needs of children being parented by grandparents as well as determining effective models and interventions to minimize adverse effects of parenting on grandparents.

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