案例管理对 homeless persons 的有效性：系统综述。
Effectiveness of case management for homeless persons: a systematic review.
机构信息
At the time of the study, Renée de Vet, Maurice J. A. van Luijtelaar, Sonja N. Brilleslijper-Kater, Mariëlle D. Beijersbergen, and Judith R. L. M. Wolf were with the Department of Primary and Community Care, Radboud University Nijmegen Medical Centre, Netherlands. Sonja N. Brilleslijper-Kater is with the Child Abuse and Neglect Team, Academic Medical Center, Amsterdam, Netherlands. Wouter Vanderplasschen is with the Department of Orthopedagogics, Ghent University, Belgium.
出版信息
Am J Public Health. 2013 Oct;103(10):e13-26. doi: 10.2105/AJPH.2013.301491. Epub 2013 Aug 15.
Abstract
We reviewed the literature on standard case management (SCM), intensive case management (ICM), assertive community treatment (ACT), and critical time intervention (CTI) for homeless adults. We searched databases for peer-reviewed English articles published from 1985 to 2011 and found 21 randomized controlled trials or quasi-experimental studies comparing case management to other services. We found little evidence for the effectiveness of ICM. SCM improved housing stability, reduced substance use, and removed employment barriers for substance users. ACT improved housing stability and was cost-effective for mentally ill and dually diagnosed persons. CTI showed promise for housing, psychopathology, and substance use and was cost-effective for mentally ill persons. More research is needed on how case management can most effectively support rapid-rehousing approaches to homelessness.
摘要
我们回顾了有关流浪成年人的标准个案管理（SCM）、强化个案管理（ICM）、积极社区治疗（ACT）和关键时间干预（CTI）的文献。我们检索了 1985 年至 2011 年发表的同行评审的英文文章数据库，找到了 21 项比较个案管理与其他服务的随机对照试验或准实验研究。我们几乎没有发现 ICM 有效的证据。SCM 改善了住房稳定性，减少了物质使用，并为物质使用者消除了就业障碍。ACT 改善了住房稳定性，对精神疾病患者和双重诊断患者具有成本效益。CTI 在住房、精神病理学和物质使用方面显示出希望，并且对精神疾病患者具有成本效益。需要更多的研究来了解个案管理如何最有效地支持针对流浪问题的快速安置方法。
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2
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Scand J Public Health. 2012 Mar;40(2):115-25. doi: 10.1177/1403494811435493. Epub 2012 Feb 10.
3
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Am J Prev Med. 2010 Jun;38(6):637-45. doi: 10.1016/j.amepre.2010.02.017.
4
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5
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6
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Health Soc Care Community. 2009 Feb;17(1):18-26. doi: 10.1111/j.1365-2524.2008.00793.x. Epub 2008 Jun 17.
7
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Adm Policy Ment Health. 2008 Jul;35(4):319-36. doi: 10.1007/s10488-008-0170-2. Epub 2008 May 28.
8
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Am J Orthopsychiatry. 2007 Jul;77(3):350-61. doi: 10.1037/0002-9432.77.3.350.
9
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