COST EFFECTIVENESS OF CASE MANAGEMENT FOR THE HOMELESS

该项目有以下具体目标： 1.为无家可归的精神病患者制定新的治疗计划 将社区工作人员纳入集中案例管理的成员 一队。 2.比较新社区工作者模式的相对有效性 案例管理与人员密集的案例管理计划的对比 完全由专业人员和服务经纪人模式进行案例管理 在改善客户的心理健康、住房、就业和 其他结果。 3.进行过程评估，以确定哪些变量 调解客户的结果。 4.比较三种治疗方案的成本效果。 180名无家可归的精神病患者将被随机 分配给：三种治疗条件中的一种，并遵循 为期18个月。结果衡量标准包括：精神健康、经济状况 地位，社会关系，独立生活技能，滥用药物， 生活质量和消费者满意度。流程变量包括 治疗实施、服务利用和客户拖延 两性关系。

The project has the following specific aims: 1. Develop a new treatment program for the homeless mentally ill which incorporates community workers as members of an intensive case management team. 2. Compare the relative effectiveness of the new community worker model of case management against an intensive case management program staffed entirely by professionals and a service broker model of case management in terms of improving clients mental health, housing, employment, and other outcomes. 3. Conduct process evaluation in order to determine what variables mediate client outcome. 4. Compare the three treatment programs in terms of cost effectiveness. One hundred eighty homeless mentally ill clients will be randomly assigned to: one of the three treatment conditions and followed for a period of 18 months. Outcome measures include: mental health, economic status, social relations, independent living skills, substance abuse, quality of life, and consumer satisfaction. Process variables include treatment implementation, service utilization, and client stall relationship.