Journal ArticleDOI
Therapist-case managers: more than brokers of services.
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The author suggests that case management functions are part of the normal duties of a conscientious therapist, and that only through significant therapeutic involvement does a case manager acquire the in-depth knowledge of the patient to adequately assess his needs and facilitate the processes for meeting them.Abstract:
For satisfactory adjustment into the community, the long-term patient often needs assistance in dealing with a bureaucracy of agencies and departments. Some professionals have suggested establishing the role of case manager, but the case manager system is susceptible to becoming an impersonal bureaucracy itself. The author suggests that case management functions are part of the normal duties of a conscientious therapist, and that only through significant therapeutic involvement does a case manager acquire the in-depth knowledge of the patient to adequately assess his needs and facilitate the processes for meeting them. Thus the case manager should be not simply an intermediate broker of services but the patient's primary therapist. With the "therapist-case manager," the functions of therapy and case management would be combined. If therapists fail to do case management or to treat long-term patients altogether, this problem should be dealt with directly rather than simply by adding another member to the team.read more
Citations
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Journal ArticleDOI
Models of community care for severe mental illness : A review of research on case management
TL;DR: The findings in terms of the need for specialization of ACT or ICM teams to address social and vocational functioning and substance abuse are discussed, including evaluating implementation fidelity, exploring patient predictors of improvement, and evaluating the role of the helping alliance in mediating outcome.
Journal ArticleDOI
Continuity of care for chronic mental patients: a conceptual analysis.
TL;DR: The author discusses seven dimensions of continuity of care, a basic concept in planning services for chronic mental patients, which are distinguished from that in other medical specialties by the unique needs of chronic mentally patients.
Journal ArticleDOI
Clinical case management: definition, principles, components.
TL;DR: A model of clinical case management is outlined that moves beyond the view of the case manager as a systems coordinator, service broker, or supportive companion and integrates the clinical acumen, personal involvement, and environmental interventions needed to address the overall maintenance of the patient's physical and social environment.
Journal ArticleDOI
What Difference Does Case Management Make
TL;DR: Patients in the case management program were significantly more likely than the control patients to have better occupational functioning, to live in a residence requiring more independence than they did at the six-month follow-up, and to be less socially isolated.
References
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Journal ArticleDOI
The measurement of rehabilitation outcome.
Journal ArticleDOI
Continuity of care in community treatment
TL;DR: The topic of continuity of care is most familiar to professionals through a series of cliches which describes its absence.
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