Intensive case management: A critical re-appraisal of the scientific evidence for effectiveness

被引:21
|
作者
King, Robert [1 ]
机构
[1] Mater Hlth Serv, Mater Child & Youth Mental Hlth Serv, Kinds Mind Res Ctr, Brisbane, Qld 4101, Australia
[2] Univ Queensland, Sch Med, Herston, Qld, Australia
[3] Univ Queensland, Sch Mental Hlth, Pk Ctr Mental Hlth, Herston, Qld, Australia
关键词
intensive case management; assertive case management; severe mental illness; effectiveness;
D O I
10.1007/s10488-006-0051-5
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Intensive Case Management (ICM) is widely claimed to be an evidence-based and cost effective program for people with high levels of disability as a result of mental illness. However, the findings of recent randomized controlled trials comparing ICM with 'usual services' suggest that both clinical and cost effectiveness of ICM may be weakening. Possible reasons for this, including fidelity of implementation, researcher allegiance effects and changes in the wider service environment within which ICM is provided, are considered. The implications for service delivery and research are discussed.
引用
收藏
页码:529 / 535
页数:7
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