Strengths Model Case Management Fidelity Scores and Client Outcomes
Strengths Model Case Management Fidelity Scores and Client Outcomes
复制标题
DOI：
10.1176/appi.ps.201100373
复制
发表时间：
2012-07-01
影响因子：
3.8
通讯作者：
Marty, Doug
中科院分区：
文献类型：
--
作者：
Fukui, Sadaaki;Goscha, Rick;Marty, Doug
目的：本研究探讨了忠诚的优势模式的情况下管理（SMCM）和客户端的精神病住院治疗，竞争性就业，中学后教育和独立生活的结果之间的关系。研究方法：在18个月的时间内，在定期安排的忠诚度审查期间收集了14个案例管理团队的数据，这些团队代表了10个机构，平均为953名被诊断为患有严重精神疾病的客户提供服务。时变协变量线性增长模型研究了忠诚度评分和客户结果之间的关系。结果如下：忠诚度得分与精神病住院、竞争性就业和中学后教育之间存在统计学显著相关。结论：研究结果提供了有希望的证据，表明更高的SMCM保真度在18个月内对客户产生了积极影响，从而为当前的心理健康治疗提供了有效的补充。（Psychiatric Services 63：708-710，2012; doi：10.1176/appi.ps.201100373）
Objective: The study examined the relationship between fidelity of strengths model case management (SMCM) and client outcomes of psychiatric hospitalization, competitive employment, postsecondary education, and independent living. Methods: Data were collected over an 18-month period during regularly scheduled fidelity reviews for 14 case management teams representing ten agencies serving an average of 953 clients diagnosed as having a serious mental illness. Time-varying covariate linear growth modeling examined the relationship between fidelity scores and client outcomes. Results: A statistically significant association was found between fidelity scores and psychiatric hospitalization, competitive employment, and postsecondary education. Conclusions: The study results offer promising evidence that higher SMCM fidelity has a positive effect on clients over an 18-month period, thereby providing an effective complement to current mental health treatment. (Psychiatric Services 63:708-710, 2012; doi: 10.1176/appi.ps.201100373)