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Clinical case management of revolving door patients – a semi-randomized study

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Lichtenberg P, Levinson D, Sharshevsky Y, Feldman D, Lachman M. Clinical case management of revolving door patients – a semi-randomized study. Objective: 

To assess the effectiveness of psychiatric clinical case management. Method: 

Subjects with at least three admissions in the previous 2 years were randomized into a clinical case management group (CMG; n = 122) and a standard care group (SCG; n = 95). Individuals who refused or were not located were included in a third, non-randomized no-treatment group (NTG; n = 153). Parameters assessed included utilization of in-patient services and psychosocial functioning. Results: 

We found no difference between the CMG and the SCG in psychosocial functioning as evaluated by interviewers, and no difference between the three groups in hospitalization. In subjects’ self-ratings, the CMG showed slight improvement in psychosocial functioning. Conclusion: 

Clinical case management did not prove itself superior to standard care in a revolving door population.

Keywords: case management; hospitalization; psychosocial aspects

Document Type: Research Article


Affiliations: 1: Mental Health Services, Ministry of Health, Jerusalem 2: Gender Studies Program, Bar Ilan University, Ramat-Gan 3: Department of Community Mental Health, Haifa University, Haifa, Israel

Publication date: June 1, 2008


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