School of Social Welfare, University of Kansas, 1545 Lilac Lane, Lawrence, KS 66044-3184, USA.
Psychiatr Serv. 2012 Jul;63(7):708-10. doi: 10.1176/appi.ps.201100373.
The study examined the relationship between fidelity of strengths model case management (SMCM) and client outcomes of psychiatric hospitalization, competitive employment, postsecondary education, and independent living.
Data were collected over an 18-month period during regularly scheduled fidelity reviews for 14 case management teams representing ten agencies serving an average of 953 clients diagnosed as having a serious mental illness. Time-varying covariate linear growth modeling examined the relationship between fidelity scores and client outcomes.
A statistically significant association was found between fidelity scores and psychiatric hospitalization, competitive employment, and postsecondary education.
The study results offer promising evidence that higher SMCM fidelity has a positive effect on clients over an 18-month period, thereby providing an effective complement to current mental health treatment.
本研究考察了强项模式病例管理（SMCM）的忠实度与精神病住院、竞争性就业、高等教育和独立生活等客户结果之间的关系。
在对代表十个机构的 14 个病例管理团队进行定期忠实度审查期间，收集了为期 18 个月的数据，这些机构平均为 953 名被诊断患有严重精神疾病的客户提供服务。时变协变量线性增长模型检验了忠实度评分与客户结果之间的关系。
在忠实度评分和精神病住院、竞争性就业和高等教育之间发现了统计学上显著的关联。
研究结果提供了有希望的证据，表明在 18 个月的时间内，更高的 SMCM 忠实度对客户有积极影响，从而为当前的心理健康治疗提供了有效的补充。
