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Review Article Case Management: an Update

Author

Listed:
  • Frank Holloway

    (Consultant Psychiatrist, Bethlem Royal Hospital, London)

  • Jerome Carson

    (Clinical Psychology, Institute of Psychiatry, London)

Abstract

Background: Case management in its various forms represents a major innova tion in mental health care. Its efficacy remains controversial. Aims: To update after a decade a previous review article (Holloway, 1991). Methods: Descriptive literature and controlled trials of case management and its derivative Assertive Community Treatment (ACT) was accessed through four comprehensive and systematic reviews of the literature, repeated Medline and Embase searches and personal contacts. Results and Conclusions: 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.

Suggested Citation

  • Frank Holloway & Jerome Carson, 2001. "Review Article Case Management: an Update," International Journal of Social Psychiatry, , vol. 47(3), pages 21-31, September.
  • Handle: RePEc:sae:socpsy:v:47:y:2001:i:3:p:21-31
    DOI: 10.1177/002076400104700303
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    References listed on IDEAS

    as
    1. Franklin, J.L. & Solovitz, B. & Mason, M. & Clemons, J.R. & Miller, G.E., 1987. "An evaluation of case management," American Journal of Public Health, American Public Health Association, vol. 77(6), pages 674-678.
    2. Frank Holloway, 1991. "Case Management for the Mentally Ill: Looking at the Evidence," International Journal of Social Psychiatry, , vol. 37(1), pages 2-13, March.
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    Cited by:

    1. Diana PK Roeg & Ien AM van de Goor & Margot CM Voogt & Marcel ALM van Assen & Henk FL Garretsen, 2014. "Effects of interferential care: A community-based care program for persons with severe problems on several life areas," International Journal of Social Psychiatry, , vol. 60(6), pages 584-594, September.

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