Case management with homeless mentally ill people.
Case management with homeless mentally ill people.
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无家可归的精神病患者的案件管理。
DOI：
10.1093/hsw/16.1.58
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发表时间：
1991
影响因子：
1.5
通讯作者：
Feichter,MA
中科院分区：
文献类型：
--
作者：
Rife,JC;First,RJ;Greenlee,RW;Miller,LD;Feichter,MA
本文报告了国家精神卫生研究所(NIMH)服务示范项目的结果，该项目使用流动病例管理团队为无家可归的精神病患者提供服务。该项目研究了三个问题：(1)与客户参与案例管理相关的因素；(2)客户对案例管理如何影响其生活质量的看法；(3)继续从事案例管理服务的客户与停止参与的客户之间的显著差异。结果表明，接受更频繁的案例管理接触、独立生活技能评估较高、年龄较大、不太可能滥用药物、经历较少无家可归时间和先前较少精神病住院的客户更有可能继续从事案例管理服务。经过六个月的病例管理，客户感觉到他们的全球幸福感、生活状况、闲暇时间的使用、财务和身体健康都有了显著的改善。提出了为无家可归的精神病患者提供病例管理服务的意义。
This article reports the findings of a National Institute of Mental Health (NIMH) services demonstration project that used a mobile case management team to serve homeless mentally ill clients. The project examined three issues: (1) factors associated with client engagement in case management, (2) clients' perceptions of how case management affected their quality of life, and (3) significant differences between clients who remained engaged in case management services and those who discontinued involvement The results indicated that clients who received more frequent case management contact, had higher assessed independent living skills, were older, were less likely to be substance abusers, and had experienced fewer periods of homelessness and fewer prior psychiatric hospitalizations were more likely to remain engaged in case management services. After six months of case management, clients perceived significant improvement in their global well-being, living situation, use of leisure time, finances, and physical health. Implications for providing case management services to homeless mentally ill people are presented.