Ryan C S, Sherman P S, Bogart L M
Department of Psychology, University of Pittsburgh 15260, USA.
J Consult Clin Psychol. 1997 Jun;65(3):485-93. doi: 10.1037//0022-006x.65.3.485.
This study examined the patterns of services provided to individuals with serious and persistent mental illness during their first year in an intensive case management program. Services in 10 content areas were examined, and patterns for more versus less "successful" individuals were compared. Differences emerged for services focusing on family and housing, suggesting that the need for community support services influences the need for continued intensive case management. Linear reductions in rehabilitation services suggest that such services may indeed be effective early in the treatment process. Finally, differences among case managers in service patterns for 5 of the 10 content areas suggest that case managers play an important role in determining the course of treatment.
本研究调查了在强化个案管理项目的第一年中为患有严重和持续性精神疾病的个体提供服务的模式。研究了10个内容领域的服务,并比较了“成功”程度较高和较低的个体的模式。在关注家庭和住房的服务方面出现了差异,这表明社区支持服务的需求会影响持续强化个案管理的需求。康复服务的线性减少表明,此类服务在治疗过程早期可能确实有效。最后,在10个内容领域中的5个领域,个案管理者的服务模式存在差异,这表明个案管理者在决定治疗进程中起着重要作用。