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The efficacy of a consumer case management team: 2-year outcomes of a randomized trial

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Abstract

This article reports the results of a randomized trial of a team of case managers who are mental health consumers compared to a team of nonconsumers. Using a repeated measures MANOVA design, consumer case managers were found to be as effective as a team of nonconsumer case managers in maintaining the stability of severely mentally disabled clients served over a 2-year period. Implications for the employment of consumers in mental health services and the vocational capacity of persons with mental illness are discussed.

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References

  1. Rapp CA, Chamberlain R: Case management services for the chronically mentally ill.Social Work 1985; 30:417–422.

    PubMed  CAS  Google Scholar 

  2. Rothman J: A model of case management: toward empirically based practice.Social Work 1991; 36:520–528.

    PubMed  CAS  Google Scholar 

  3. Solomon P: The efficacy of case management services for severely mentally disabled clients.Community Mental Health Journal 1992; 28:163–180.

    Article  PubMed  CAS  Google Scholar 

  4. Chamberlain R, Rapp CA: A decade of case management: A methodological review of outcome research.Community Mental Health Journal 1985; 27:171–188.

    Article  Google Scholar 

  5. Rubin J: Is case management effective for people with serious mental illness? A research review.Health and Social Work 1992; 17:138–150.

    CAS  PubMed  Google Scholar 

  6. Hodge M, Draine J: Development of support through case management services. In: Flexer R, Solomon P (Eds.):Psychiatric Rehabilitation in Practice. Boston: Andover Medical Publishers, 1993, pp. 155–169.

    Google Scholar 

  7. Modrcin M, Rapp C, Poertner J: The evaluation of case management services with the chronically mentally ill.Evaluation and Program Planning 1988; 11:307–314.

    Article  PubMed  CAS  Google Scholar 

  8. Kaufmann CL, Ward-Colasante C, Farmer J: Development and evaluation of drop-in centers operated by mental health consumers.Hospital and Community Psychiatry 1993; 44:675–678.

    PubMed  CAS  Google Scholar 

  9. Mowbray CY, Chamberlain P, Jennings M, et al.: Consumer-run mental health services: Results from five demonstration projects.Community Mental Health Journal 1988; 24:151–156.

    Article  PubMed  CAS  Google Scholar 

  10. Sherman PS, Porter R: Mental health consumers as case management aides.Hospital and Community Psychiatry 1991; 42:494–498.

    PubMed  CAS  Google Scholar 

  11. Attkisson C, Cook J, Karno M, et al.: Clinical services research.Schizophrenia Bulletin 1992; 18:561–626.

    PubMed  CAS  Google Scholar 

  12. Nikkel RE, Smith G, Edwards DA: Consumer operated case management project.Hospital and Community Psychiatry 1992; 43:577–579.

    PubMed  CAS  Google Scholar 

  13. Harding CM, Zubin J, Strauss, JS: Chronicity in schizophrenia: Fact, partial fact, or artifact?Hospital and Community Psychiatry 1987; 38:477.

    PubMed  CAS  Google Scholar 

  14. Drake RE, Sederer LI: The adverse effects of intensive treatment of chronic schizophrenia.Comprehensive Psychiatry 1986; 27:313–326.

    Article  PubMed  CAS  Google Scholar 

  15. Neale MS, Rosenheck RA: Therapeutic Alliance and Outcome: Case Manager-Client Relationships in Intensive Psychiatric Community Care. Poster presentation, 44th Institute on Hospital and Community Psychiatry, Toronto, October 1992.

  16. Wasylenski DA, Goering PN, Lemire D, et al.: The Hostel Outreach Program: Assertive Case Management for the Homeless Mentally Ill. Paper presented at the annual meeting of the American Psychiatric Association, New Orleans, May 1991.

  17. Bond GR, Miller LD, Krumweid R, et al.: Assertive case management in three CMHC's: A controlled study.Hospital and Community Psychiatry 1988; 39:411–418.

    PubMed  CAS  Google Scholar 

  18. Hoult J, Reynolds I, Charbonneau-Powis M, et al.: Psychiatric hospital versus community treatment: The results of a randomized trial.Australian and New Zealand Journal of Psychiatry 1983; 17:160–167.

    Article  PubMed  CAS  Google Scholar 

  19. Test MA, Knoedler W, Allness D: The long-term treatment of young schizophrenics in a community support program. In: Stein L, Test MA (Eds.):The Training in Community Living Model: A Decade of Experience. New Directions for Mental Health Services, San Francisco: Jossey-Bass, 1985, pp. 17–27.

    Google Scholar 

  20. Stein L, Test MA: Alternative to mental hospital treatment. I: conceptual model treatment program and clinical evaluation.Archives of General Psychiatry 1980; 37:392–397.

    PubMed  CAS  Google Scholar 

  21. Witheridge T, Dincin J: The bridge: An assertive outreach program in an urban setting. In: Stein L, Test MA (Eds.):The Training in Community Living Model: A Decade of Experience. New Directions for Mental Health Services 26. San Francisco: Jossey-Bass, 1985, pp. 65–76.

    Google Scholar 

  22. Clark RE, Fox TS: A framework for evaluating the economic impact of case management.Hospital and Community Psychiatry 1993; 44:469–473.

    PubMed  CAS  Google Scholar 

  23. Lehman AG, Herron JD, Schwarz RP, et al.: Rehabilitation for adults with severe mental illness and substance use disorders: A clinical trial.Journal of Nervous and Mental Disease 1993; 181:86–90.

    PubMed  CAS  Google Scholar 

  24. Anthony SA, Blanch A: Research on community support services: What we have learned.Psychosocial Rehabilitation Journal 1988; 12:55–81.

    Google Scholar 

  25. Harcum ER: Methodological versus empirical literature; Two views on casual acceptance of the null hypothesis.American Psychologist 1990; 45:404–405.

    Article  Google Scholar 

  26. Harcum ER: Guidance from the literature for accepting a null hypothesis when its truth is expected.Journal of General Psychology 1990; 117:325–344.

    Google Scholar 

  27. Endicott J, Spitzer R, Fleiss J, et al.: The global assessment scale.Archives of General Psychiatry 1976; 33:766–771.

    PubMed  CAS  Google Scholar 

  28. Bond G: Controlled Studies of Transitional and Supported Employment. Paper presented at the annual meeting of the International Association of Psychosocial Rehabilitation Services, St. Louis, MO, May 1990.

  29. McLellan A, Luborsky L, Woody G, et al.: Predicting response to alcohol and drug abuse treatments.Archives of General Psychiatry 1983; 40:620–625.

    PubMed  CAS  Google Scholar 

  30. McLellan A, Luborsky L, Woody G, et al.: An improved diagnostic evaluation instrument for substance abuse patients: The Addiction Severity Index.Journal of Nervous and Mental Disease 1980; 168:26–33.

    Article  PubMed  CAS  Google Scholar 

  31. McLellan A, Luborsky L., Cacciola J, et al.: New data for the Addiction Severity Index.Journal of Nervous and Mental Disease 1985; 173:412–423.

    Article  PubMed  CAS  Google Scholar 

  32. LLamas R, Pattison EM, Hurd G: Social networks: A link between psychiatric epidemiology and community mental health.International Journal of Family Therapy 1981; 3:180–192.

    Article  Google Scholar 

  33. Pattison EM, Difrancisco D, Wood P, et al.: A psychosocial kinship model for family therapy.American Journal of Psychiatry 1975; 132:1246–1251.

    PubMed  CAS  Google Scholar 

  34. Pattison EM, Pattison ML: Analysis of a schizophrenic psychosocial network.Schizophrenia Bulletin 1981; 7:135–142.

    PubMed  CAS  Google Scholar 

  35. Streicker SK, Amdur M, Dincin J: Educating patients about psychiatric medications: Failure to enhance compliance.Psychosocial Rehabilitation Journal 1986; 9:15–28.

    Google Scholar 

  36. Lehman A: A quality of life interview for the chronically mentally ill.Evaluation and Program Planning 1988; 11:51–62.

    Article  Google Scholar 

  37. Overall J, Gorham D: The brief psychiatric rating scale.Psychological Reports 1962; 10:799–812.

    Article  Google Scholar 

  38. Lukoff D, Lieberman RP, Nuechterlein KH: Symptom monitoring in the rehabilitation of schizophrenia patients.Schizophrenia Bulletin 1986; 12:578–602.

    PubMed  CAS  Google Scholar 

  39. Tabachnick BG, Fidell LS: Using Multivariate Statistics. Second edition. New York: HarperCollins, 1989.

    Google Scholar 

  40. Wahl OF, Hunter J: Are gender effects being neglected in schizophrenia research?Schizophrenia Bulletin 1992; 18:313–318.

    PubMed  CAS  Google Scholar 

  41. Solomon P.: Response to consumers as service providers: The promise and challenge.Community Mental Health Journal. In press.

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Solomon, P., Draine, J. The efficacy of a consumer case management team: 2-year outcomes of a randomized trial. The Journal of Mental Health Administration 22, 135–146 (1995). https://doi.org/10.1007/BF02518754

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