caa a22 4500 477131808 CHVBK 20180405111705.0 cr unu---uuuuu 170330e19970701xx s 000 0 eng 10.1007/BF02042831 doi (NATIONALLICENCE)springer-10.1007/BF02042831 Case management in the context of capitation financing: an evaluation of the strengths model [Elektronische Daten] [Cathaleene Macias, O. William Farley, Robert Jackson, Ronald Kinney] Conclusions: The results of the present evaluation strongly support the essential need for formal case management in providing community support for individuals with serious mental illness. When compared to a control condition in which consumers received CMHC-wide support from therapists, day treatment personnel, and residential staff, the Strengths case management program was considerably more effective in achieving three specific community support goals: increasing consumer personal incomes, providing needed social support, and maintaining consumer physical health. Surprisingly, the case management program was also found to be effective in achieving a goal that is usually not targeted by case management: consumers in the case management group improved in therapist-assessed psychiatric symptomatology more than control group consumers. Since the control and the case management groups had comparable increases in attendance at primary therapy and medication management over the study period, we conclude that the case management program was directly responsible for the improvements in psychiatric symptoms within its caseload. Whether these improvements in mood and cognitive processing are attributable to co-occuring improvements in quality of life variables (i.e., social support or personal income) or whether psychiatric improvement is more directly attributable to case managerin vivo counseling must be decided by future research. While formal Strengths case management appears to be efficacious as a community support—and perhaps as a psychiatric rehabilitation—intervention, a formal program of case management does not appear to be essential to CMHC preparation for Medicaid capitated financing. The Valley Mental Health case management program significantly increased consumers' residential autonomy and attendance at primary therapy, but improvements on these two Medicaid-related variables were nearly matched within the control group through the efforts of other program staff. Taken as a whole, the study findings demonstrate that a formal case management program can work effectively in league with other CMHC programs to achieve specific managed care-related administrative goals, but that these delineated administrative goals can also be attained through a CMHC-wide mobilization of dedicated front-line staff. Human Sciences Press, Inc, 1997 Macias Cathaleene Graduate School of Social Work, University of Utah, 84112, Salt Lake City, UT aut William Farley O. Graduate School of Social Work, University of Utah, 84112, Salt Lake City, UT aut Jackson Robert Graduate School of Social Work, University of Utah, 84112, Salt Lake City, UT aut Kinney Ronald Graduate School of Social Work, University of Utah, 84112, Salt Lake City, UT aut Administration and Policy in Mental Health and Mental Health Services Research Kluwer Academic Publishers-Human Sciences Press 24/6(1997-07-01), 535-543 0894-587X 24:6<535 1997 24 10488 https://doi.org/10.1007/BF02042831 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF02042831 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Macias Cathaleene Graduate School of Social Work, University of Utah, 84112, Salt Lake City, UT aut NATIONALLICENCE 700 1- William Farley O. Graduate School of Social Work, University of Utah, 84112, Salt Lake City, UT aut NATIONALLICENCE 700 1- Jackson Robert Graduate School of Social Work, University of Utah, 84112, Salt Lake City, UT aut NATIONALLICENCE 700 1- Kinney Ronald Graduate School of Social Work, University of Utah, 84112, Salt Lake City, UT aut NATIONALLICENCE 773 0- Administration and Policy in Mental Health and Mental Health Services Research Kluwer Academic Publishers-Human Sciences Press 24/6(1997-07-01), 535-543 0894-587X 24:6<535 1997 24 10488 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer