Clinical Case Management Case Study

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Case Management In recent years community interventions have emerged to the forefront (Botha et al., 2008; Essock et al., 2006; Killaspy et al., 2009; Marshall & Lockwood, 2000; Smith & Newton, 2007; Sytema et al., 2007). In the absence of proven efficacious interventions, researchers have attempted to view these problem through a myriad of perspectives. A parallel has been drawn between the management of chronic relapsing alcohol dependence and the management of various chronic physical and mental health problems (McKay & Hiller-Sturmhofel, 2011). Case management is a client-centered strategy to improve the coordination and continuity of the delivery of services, especially for persons with multiple and complex needs. It has been described…show more content…
The observation that many substance abusers have significant long-lasting problems in addition to abusing substances has been the main impetus for using case management as an enhancement and supplement to traditional substance abuse treatment services (Vanderplasschen et al., 2004). Clinical case management has been the widely and most accepted model of case management. In the context of the current research we discuss two specific models, the Assertive Community Treatment (ACT) and the Intensive Case Management (ICM) that have been practiced to engage patients with severe mental illness. Although these interventions have often been implemented under different names such as assertive outreach, intensive case management and assertive community treatment, essentially they have had the same core characteristics…show more content…
It sprung out from Stein and Test’s model of home based treatment, consisting of an intensive and continuous service delivery that is community-based and provided by a multidisciplinary team [usually a psychiatrist, a social worker, psychologist, occupational therapist and a professional nurse, (Botha et al., 2010)]. A key worker is responsible for comprehensive care including follow up, to promote improvement in functioning and adjustment of persons with severe mental illness (Stein & Test, 1980). ACT is found to benefit patients who have poor motivation, who seem difficult to engage in treatment and patients with a history of repeated admissions (McKay & Hiller-Sturmhofel, 2011; Priebe et al., 2005). ACT has been researched widely and is known to be effective for persons with severe mental disorders - schizophrenia, schizoaffective disorders and bi-polar affective disorders (Botha et al., 2010; Killaspy et al., 2006). It has also been researched in substance use disorders but primarily as co-morbid disorders (Kortrijk et al., 2010). This stirred up recent researchers to focus solely on independent substance use disorders, primarily alcohol dependence (Gilburt et al., 2012; Passetti et al., 2008; Patterson, Macpherson, & Brady,

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