Case management (mental health)
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Case management is the coordination of community services for mental health patients by allocating a professional to be responsible for the assessment of need and implementation of care plans. It is usually required for individuals who have a serious and persistent mental illness and need ongoing support in areas such as housing, employment, social relationships, and community participation. This level of support is also suitable for service users with a major psychotic disorder.
- assessment of need
- care planning
- regular review
The case management model developed in the USA in response to the closure of large psychiatric hospitals (known as deinstitutionalisation) and initially following a brokeage model, where professionals arranged for the provisions of services, without the need for direct patient care or contact. Clinical or therapeutic case management then developed as the need for the mental health professional to establish a therapeutic relationship and be actively involved in clinical care was recognised. A more intensive form of case management (assertive community treatment or Intensive Case Management) was also developed for patients with more severe illness who needed a more assertive approach. With the rise in popularity of value-based purchasing in healthcare, case management has begun to undergo a transition. In April 2014, The Maine Department of Health and Human Services introduced the Behavioral Health Home case management program which follows a value-based purchasing approach. The Behavioral Health Home provides a holistic and integrated approach to psychiatric case management with a goal to promote increased wellness amongst an agency's entire population.
- Medical case management
- Clinical pathway
- Care programme approach
- Assertive community treatment
- Care in the community
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