Ellison M L, Rogers E S, Sciarappa K, Cohen M, Forbess R
Center for Psychiatric Rehabilitation, Commonwealth Ave., Boston, MA 02215, USA.
J Ment Health Adm. 1995 Spring;22(2):101-12. doi: 10.1007/BF02518751.
In the last several years, state mental health authorities throughout the United States have assigned a high priority to the funding, development, and operation of case management programs. Although the concept of case management has been in existence for over a decade, there is still confusion regarding the definition of case management and the identification of alternative case management approaches. Recognizing this confusion, the Center for Psychiatric Rehabilitation undertook a comprehensive study to determine the state of case management practice today. This article reports on the results of a national survey of case management programs and describes the characteristics of the programs themselves, the case managers, the clients they serve, and the systems within which they operate. Implications of these findings for a definition of case management are discussed.
在过去几年中,美国各州的心理健康管理部门一直将病例管理项目的资金投入、项目开发及运营置于高度优先的地位。尽管病例管理的概念已经存在了十多年,但对于病例管理的定义以及其他病例管理方法的识别仍存在困惑。认识到这种困惑,精神康复中心开展了一项全面研究,以确定当今病例管理实践的现状。本文报告了一项针对病例管理项目的全国性调查结果,并描述了这些项目本身、病例管理人员、他们所服务的客户以及他们运作所处的系统的特征。文中还讨论了这些研究结果对病例管理定义的启示。