Brindis C, Pfeffer R, Wolfe A
J Case Manag. 1995 Spring;4(1):22-8.
As part of a 3-year federal demonstration project, San Francisco health clinics provided case management services to chemically dependent individuals who were low-income and often homeless. Many of those participating in the project had also been diagnosed with HIV infection and/or mental illness. The intent of the demonstration project was to use case management as a mechanism for strengthening the linkages between substance abuse treatment and primary care systems. Case management was adopted as the catalyst for increased communication between medical personnel and other service providers to develop a more comprehensive approach to responding to the myriad of client needs. A specially designed management information system (MIS) was developed to help document client information and case management activities, as well as provide a tickler system to improve client continuity. This report integrates both qualitative and quantitative findings to provide a context for understanding case management activities, client problems and successes, and the systemic problems facing clients and case managers in linking primary care, substance abuse treatment, and mental health services.
作为一项为期三年的联邦示范项目的一部分，旧金山的健康诊所为低收入且经常无家可归的药物依赖者提供病例管理服务。许多参与该项目的人还被诊断出感染了艾滋病毒和/或患有精神疾病。该示范项目的目的是将病例管理作为一种机制，以加强药物滥用治疗与初级保健系统之间的联系。采用病例管理作为促进医务人员与其他服务提供者之间更多沟通的催化剂，以制定一种更全面的方法来满足客户的各种需求。开发了一个专门设计的管理信息系统（MIS），以帮助记录客户信息和病例管理活动，并提供一个提醒系统以提高客户的连续性。本报告整合了定性和定量研究结果，以便为理解病例管理活动、客户问题与成功案例，以及客户和病例管理人员在连接初级保健、药物滥用治疗和心理健康服务方面面临的系统性问题提供背景信息。
