This analysis sought to determine whether a team of mental health service consumers delivered
intensive case management services differently than a team of nonconsumer case managers.
Ninety-six seriously mentally ill clients were randomly assigned to consumer and nonconsumer
teams of case managers. Service documentation for each client's first year of service was
analyzed by condition using t-tests, discriminant function, and multiple regression. Consumer
case managers delivered more services face-to-face with the client and fewer services in the
office and in interactions with family members or other mental health service providers. If current
trends continue, social workers in mental health will be delivering more services with consumers
as peer service providers or supervisees.
Get full access to this article
View all access options for this article.
References
1.
Anthony, W.A., & Blanch, A. (1989). Research on community support services: What have we learned?Psychosocial Rehabilitation Journal , 12, 55-82.
2.
Attkisson, C., Cook, J., Karno, M., Lehman, A., McGlashan, T.H., Meltzer, H.Y., O'Connor, M., Richardson, D., Rosenblatt, A., Wells, K., Williams, J. & Hohmann, A. (1992). Clinical services researchSchizophrenia Bulletin, 18 , 561-626.
3.
Bond, G.R., Miller, L.D., Krumweid, R.D., & Ward, R.S. (1988). Assertive case management in three CMHCs: A controlled studyHospital and Community Psychiatry , 39, 411-418.
4.
Chamberlain, R., & Rapp, C.A. (1991). A decade of case management: A methodological review of outcome researchCommunity Mental Health Journal , 27, 171-188.
5.
Cnaan, R.A. (in press).The new American social work gospel: Case management of the chronically mentally illBritish Journal of Social Work.
6.
Endicott, J., Spitzer, R., Fleiss, J., & Cohen, J. (1976). The global assessment scaleArchives of General Psychiatry, 33, 766-771.
7.
Intagliata, J. (1983). Improving the quality of care for the chronically mentally disabled: The role of case managementSchizophrenia Bulletin, 8, 655-674.
8.
Kanter, J. (1989). Clinical case management: Definition, principles, componentsHospital and Community Psychiatry , 40, 361-368.
9.
Lehman, A. (1988). A quality of life interview for the chronically mentally illEvaluation and Program Planning , 11, 51-62.
10.
Lehman, A.F., Postrado, C.T., Roth, D., McNary, S.W., & Goldman, H.H. (1994). Continuity of care, case management, and client outcomes in the Robert Wood Johnson Program on Chronic Mental IllnessMillbank Quarterly, 72, 105-122.
11.
Lukoff, D., Liberman, R.P., & Nuechterlein, K.H. (1986). Symptom monitoring in the rehabilitation of schizophrenia patientsSchizophrenia Bulletin, 12, 578-602.
12.
Modrcin, M., Rapp, C., & Poertner, J. (1988). The evaluation of case management services with the chronically mentally illEvaluation and Program Planning , 11, 307-314.
13.
Mowbray, C.T., Chamberlain, P., Jennings, M., & Reed, C. (1988). Consumer-run mental health services: Results from five demonstration projectsCommunity Mental Health Journal, 24, 151-156.
14.
Nikkel, R.E., Smith, G., & Edwards, D. (1992). A consumer operated case management projectHospital and Community Psychiatry, 43, 577-579.
15.
Overall, J., & Gorham, D. (1962). The brief psychiatric rating scalePsychological Reports, 10 , 799-812.
16.
Rapp, C.A., & Chamberlain, R. (1985). Case management services for the chronically mentally illSocial Work , 30, 417-422.
17.
Roberts-DeGennaro, M. (1987). Developing case management as a practice model . Social Casework, 68, 466-470.
18.
Rubin, A. (1992). Is case management effective for people with serious mental illness?A research review. Health and Social Work , 17, 138-150.
19.
Sherman, P.S., & Porter, R. (1991). Mental health consumers as case management aidesHospital and Community Psychiatry, 42, 494-498.
20.
Solomon, P. (1992). The efficacy of case management services for severely mentally disabled clientsCommunity Mental Health Journal , 28, 163-180.
21.
Solomon, P. (1994). Response to "Consumers as service providers: The promise and challenge."Community Mental Health Journal , 30, 631-634.
22.
Solomon, P., & Draine, J. (in press-a).One year outcomes of a randomized trial of consumer case managementEvaluation and Program Planning .
23.
Solomon, P., & Draine, J. (in press-b).The efficacy of a consumer case management team: Two year outcomes of a randomized trialJournal of Mental Health Administration.
24.
Solomon, P., & Draine, J. (1994). Family perceptions of consumers as case managersCommunity Mental Health Journal, 30, 165-176.
25.
Stein, L., & Test, M.A. (1980). Alternative to mental hospital treatment: I Conceptual model treatment program and clinical evaluationArchives of General Psychiatry, 37 , 392-397.
