Search results for ‘Subject term:"mental health problems"’ Sort:
Results 1 - 10 of 18
The efficacy of case management services for severely mentally disabled clients
- Author:
- SOLOMON Phyllis
- Journal article citation:
- Community Mental Health Journal, 28(3), June 1992, pp.163-180.
- Publisher:
- Springer
Review of published and unpublished research studies of case management of severely mentally ill adults.
Strengthening social networks: intervention strategies for mental health case managers
- Authors:
- BIEGEL David E., et al
- Journal article citation:
- Health and Social Work, 19(3), August 1994, pp.206-216.
- Publisher:
- Oxford University Press
The enhancement of social support networks for people with chronic mental illness is seen as an important thrust of case management services in the USA. However, despite the worthy intentions of the National Institute of Mental Health Community Support Program, the development of comprehensive, community-based social support systems for people with chronic mental illness remains an elusive goal. Case managers face many obstacles in their efforts to enhance the natural support systems of their clients, and they need specific training in social network interventions with individuals with mental illness to overcome these obstacles. This article presents a conceptual framework of social network interventions and discusses obstacles to enhancing natural support systems. The need for community resource development, especially in the building of community ties, is highlighted.
'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.
The trade-offs of developing a case management model for chronically mentally ill people
- Author:
- BELCHER John R.
- Journal article citation:
- Health and Social Work, 18(1), February 1993, pp.20-31.
- Publisher:
- Oxford University Press
Addresses the role of case management in the care of chronically mentally ill people. Trade-offs often occur because case management is frequently used to achieve the conflicting goals of reducing service costs and raising the quality of life for clients. Despite these trade-offs, case management can be effective if it is designed so that services match client needs and the costs of services are measured accurately. Case management for chronically mentally ill people is particularly difficult to design because their level of functioning and need for intensive services are such that the cost to deliver the appropriate services is great. The profit-maximising nature of the US health care system makes some form of capitation likely in the design of case management services for this population.
Attitudes of case managers toward people with serious mental illness
- Authors:
- MURRAY Megan G., STEFFEN John J.
- Journal article citation:
- Community Mental Health Journal, 35(6), December 1999, pp.505-514.
- Publisher:
- Springer
Negative attitudes toward people who have serious mental illnesses held by mental health professionals threaten the effectiveness of psychiatric treatment. In this American study, attitudes held by case managers working within the public sector were investigated. The results showed a complex interplay among client level of functioning, type of case, management approach, case management philosophy, and attitudes. Among other findings, intensive case managers held more authoritarian attitudes that did their supportive case manager counterparts.
The enduring relevance of case management
- Authors:
- RYAN Peter, et al
- Journal article citation:
- British Journal of Social Work, 29(1), February 1999, pp.97-125.
- Publisher:
- Oxford University Press
This article summarises the main results and policy implications of a Department of Health funded mental health case management research and development project. The project implemented case management services in four different sites, and worked with clients who were severely disabled with long-term mental illness. The article concludes that case management continues to be a model of service delivery which can achieve real benefits for clients in terms of preventing them from falling through the net, and in linking them in responsive ways to community services. However, the increased costs can make it an unattractive option for purchasers, and ways need to be found to retain the established benefits, whilst reducing the costs to service purchasers.
The new American social work gospel: case management of the chronically mentally ill
- Author:
- CNAAN Ram A.
- Journal article citation:
- British Journal of Social Work, 24(5), October 1994, pp.533-557.
- Publisher:
- Oxford University Press
Case management is currently the most popular mode of service delivery in the United States, especially in community programmes for chronically mentally ill people. Proponents of case management claim that it is cost-effective and that it assures provision of necessary services to clients. Argues that case management neither empowers clients nor is it free of drawbacks. Given that many countries tend to model the United States, foreign social workers and other human service professionals should first examine the usefulness of case management vis-a-vis their own cultural and economic contexts, especially in the light of its many drawbacks.
The emergence and attributes of second-generation community support systems for persons with serious mental illness: implications for case management
- Author:
- MOXLEY P. David
- Journal article citation:
- Journal of Social Work in Disability and Rehabilitation, 1(2), 2002, pp.25-52.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This article examines the original model of community support for people coping with psychiatric disabilities and illuminates four emergent factors that are bringing about what the author identifies as second-generation community support systems. The author discusses the important role of recovery in reframing the purpose and aims of second-generation community support systems and draws implications for how case management can function within these systems to make them more responsive to recipients.
Doing the right thing: ethical and practical dilemmas in working with homeless mentally ill people
- Authors:
- TIMMS Philip, BORRELL Teresa
- Journal article citation:
- Journal of Mental Health, 10(4), August 2001, pp.419-426.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Psychiatric work with homeless people has generated a particular style of service. It involves elements of assertive outreach assessment, case management, assertive treatment, and close relationships with the voluntary sector. This activity has thrown up a number of practical and ethical dilemmas. These problems include the conflicting principles of paternalism and autonomy, the boundaries of medical confidentiality and the limitations of the Mental Health Act. Discusses the issues which also have a wider relevance to community psychiatry as a whole.
Substance misuse among clients with severe and enduring mental health illness
- Authors:
- HIPWELL Alison E., SINGH Krishna, CLARK Ann
- Journal article citation:
- Journal of Mental Health, 9(1), February 2000, pp.37-50.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Substance use, in the context of severe and enduring mental illness, is a growing problem and is likely to have implications for the way mental health services are used. This compares service utilisation, psychiatric symptomatology and social support among 16 clients with psychotic illness who were regular substance users, with 16 clients attending the same service who did not use substances. Their use of the day-service was chaotic and reflected social difficulties, such as housing instability, financial, and legal issues rather than mental health problems. The findings highlighted the need for an integrated and accessible service which could provide long-term, intensive and practical support.