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One-Year Outcomes of a Randomized Trial of Case Management with Seriously Mentally Ill Clients Leaving Jail

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  • Phyllis Solomon

    (University of Pennsylvania)

  • Jeffrey Draine

    (University of Pennsylvania)

Abstract

It was hypothesized that clients receiving case management services will improve to a moderate extent in terms of a variety of psychosocial and clinical outcomes compared with clients served by the usual system of care. It was further hypothesized that clients served by an Assertive Community Treatment (ACT) team will have significantly greater improvement than clients served by forensic case managers working individually. Two hundred seriously mentally ill inmates leaving jail were assigned to three conditions, and 94 remained in the study at 1 year. One-year outcomes were analyzed by service condition, using a hierarchical block discriminant function analysis. Contrary to the hypothesis, more clients in the experimental condition returned to jail within a year. No differences were found among the three conditions in social or clinical outcomes. Greater jail recidivism among clients receiving the more intensive service raises questions concerning tendencies to emphasize monitoring with this population.

Suggested Citation

  • Phyllis Solomon & Jeffrey Draine, 1995. "One-Year Outcomes of a Randomized Trial of Case Management with Seriously Mentally Ill Clients Leaving Jail," Evaluation Review, , vol. 19(3), pages 256-273, June.
    • Handle: RePEc:sae:evarev:v:19:y:1995:i:3:p:256-273
    DOI: 10.1177/0193841X9501900302
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    References listed on IDEAS

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    1. Lehman, Anthony F., 1988. "A quality of life interview for the chronically mentally ill," Evaluation and Program Planning, Elsevier, vol. 11(1), pages 51-62, January.
    2. Modrcin, Matthew & Rapp, Charles A. & Poertner, John, 1988. "The evaluation of case management services with the chronically mentally ill," Evaluation and Program Planning, Elsevier, vol. 11(4), pages 307-314, January.
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