Case management (mental health)

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This article is about the mental health approach. For other uses, see Case management.

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.

The underlying tasks of case management include:[1][2]

  • assessment of need
  • care planning
  • implementation
  • regular review

The case management model developed in the USA[3] 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.[4][5] 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.[6] 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.

See also[edit]


  1. ^ Onyett, Steve (1998). Case management in mental health. Cheltenham: Stanley Thornes. ISBN 0-7487-3845-2. 
  2. ^ "CPA association". Retrieved 2009-07-02. 
  3. ^ Intagliata J (1982). "Improving the quality of community care for the chronically mentally disabled: the role of case management". Schizophr Bull 8 (4): 655–74. doi:10.1093/schbul/8.4.655. PMID 7178854. 
  4. ^ Holloway F (1991). "Case management for the mentally ill: looking at the evidence". Int J Soc Psychiatry 37 (1): 2–13. doi:10.1177/002076409103700102. PMID 2045238. 
  5. ^ Kanter J (April 1989). "Clinical case management: definition, principles, components". Hosp Community Psychiatry 40 (4): 361–8. PMID 2714749. 
  6. ^ Stein LI, Test MA (April 1980). "Alternative to mental hospital treatment. I. Conceptual model, treatment program, and clinical evaluation". Arch. Gen. Psychiatry 37 (4): 392–7. doi:10.1001/archpsyc.1980.01780170034003. PMID 7362425. 

Further reading[edit]