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'Aggressive' and 'problem-focused' models of case management for the severely mentally ill
- Authors:
- CORRIGAN Patrick W., KAYTON-WEINBERG Donna
- Journal article citation:
- Community Mental Health Journal, 29(5), October 1993, pp.449-458.
- Publisher:
- Springer
Discusses the relative merits and limitations of two models of case management - 'aggressive' and 'problem-focused'. Although aggressive case management has a well-established history of improving the community tenure of deinstitutionalised patients, individuals participating in this treatment are likely to become dependent on health care providers and hence require indeterminate assistance. Problem-focused case management teaches patients how to identify and resolve community-based predicaments thereby making them relatively more independent of the mental health system. Patients receiving problem-focused case management however, need reasonably competent cognitive functions thereby ruling out participation of the most severely disabled individuals. An interaction of the two approaches is proposed in which aggressive and problem-focused case management is selected depending on the patient's current needs, cognitive deficit, and level of social support.