Godley S H, Godley M D, Pratt A, Wallace J L
Lighthouse Institute, Chestnut Health Systems, Bloomington, IL, 61701.
J Subst Abuse Treat. 1994 Jul-Aug;11(4):309-17. doi: 10.1016/0740-5472(94)90041-8.
A case management model for adolescent substance abusers whose problems are severe enough to warrant residential treatment is presented, based on the experience of a demonstration project. The five integral functions of case management (assessment, planning, linking, advocacy, and support) are described within the framework of each phase of an adolescent's treatment program (screening, residential treatment, and continuing care). Detailed descriptions of case management activities and the philosophy underlying case management are addressed. The integrated client tracking and program evaluation monitoring system developed for the case management project is described, and evaluation data are presented. Among the advantages case managers are able to offer to the entire treatment process include encouragement of family involvement in the youth's recovery; providing support; tracking substance abuse relapse episodes following treatment; connecting the youth with school, work, and community resources; and helping youth to fulfill legal obligations.
基于一个示范项目的经验，本文提出了一种针对问题严重到需要住院治疗的青少年药物滥用者的病例管理模式。在青少年治疗项目的每个阶段（筛查、住院治疗和持续护理）的框架内，描述了病例管理的五个主要功能（评估、规划、联系、倡导和支持）。阐述了病例管理活动的详细描述以及病例管理的基本理念。介绍了为该病例管理项目开发的综合客户跟踪和项目评估监测系统，并展示了评估数据。病例管理者能够为整个治疗过程提供的优势包括鼓励家庭参与青少年的康复；提供支持；跟踪治疗后药物滥用复发情况；将青少年与学校、工作和社区资源联系起来；以及帮助青少年履行法律义务。
