0
Get Alert
Please Wait... Processing your request... Please Wait.
You must sign in to sign-up for alerts.

Please confirm that your email address is correct, so you can successfully receive this alert.

Article   |    
Effect of Case Management on Rehospitalization and Utilization of Ambulatory Care Services
James L. Curtis; Ernest J. Millman; Elmer Struening; Ann D'Ercole
Psychiatric Services 1992; doi:
View Author and Article Information

This study was supported by a demonstration grant from the New York-City Health and Hospitals Corporation, grant 09898 from the Robert Wood Johnson Foundation, and grant G0085C3504 from the National Institute on Disability and Rehabilitation.

Harlem Hospital Center, 506 Lenox Avenue, New York, New York 10037

Harlem Hospital Center

New York State Psychiatric Institute; Columbia University School of Public Health

Manhattan Bowery Corporation in New York City

1992 by the American Psychiatric Association

text A A A
PDF of the full text article.
Abstract

To explore whether intensive case management would reduce discharged psychiatric inpatients' rates of rehospitalization and increase their use of out patient ambulatory care services, the authors assigned 435 patients discharged from a public general hospital in New York City to three types of post discharge services: multidisciplinaty intensive outreach case management, less intensive Community Support System (CSS) case management services, or routine after care but no case management. Patients eligible for CSS weregenerally more impaired and bad more extensive histories of psychiatric hospitalization. At follow-up 18 to 52 months after entering the study, patients who received intensive outreach case management had twice as many psychiatric hospitalizations as the routine after-care group and bad a pattern of utilization of hospital-based ambulatory care services similar to the more impaired CSS group. intensive outreach case management did not appear to stimulate sufficient use of ambulatory care services to reduce patients' frequency of psychiatric hospitalization.

Abstract Teaser
Figures in this Article

Your Session has timed out. Please sign back in to continue.
Sign In Your Session has timed out. Please sign back in to continue.
Sign In to Access Full Content
 
Username
Password
Sign in via Athens (What is this?)
Athens is a service for single sign-on which enables access to all of an institution's subscriptions on- or off-site.
Not a subscriber?

Subscribe Now/Learn More

PsychiatryOnline subscription options offer access to the DSM-5 library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development.

Need more help? PsychiatryOnline Customer Service may be reached by emailing PsychiatryOnline@psych.org or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.).

+

References

+
+

CME Activity

There is currently no quiz available for this resource. Please click here to go to the CME page to find another.
Submit a Comments
Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
Comments are moderated and will appear on the site at the discertion of APA editorial staff.

* = Required Field
(if multiple authors, separate names by comma)
Example: John Doe



Related Content
Articles
Books
The American Psychiatric Publishing Textbook of Substance Abuse Treatment, 4th Edition > Chapter 33.  >
Gabbard's Treatments of Psychiatric Disorders, 4th Edition > Chapter 22.  >
The American Psychiatric Publishing Textbook of Substance Abuse Treatment, 4th Edition > Chapter 7.  >
The American Psychiatric Publishing Textbook of Substance Abuse Treatment, 4th Edition > Chapter 7.  >
Textbook of Traumatic Brain Injury, 2nd Edition > Chapter 32.  >
Topic Collections
Psychiatric News
PubMed Articles