Case Study Case Management is the key service that is offered by various organizations to the families and individuals who face various challenges like homelessness, addiction, mental illness. The practice of case management has become very complex. Various organization offer this intervention strategy without defining the actual meaning of the term and also reason for following this approach, its present case management models and also the result out of those models. This literature review brief about the concept of case management as an intervention tool for mental illness in adults, evaluates the impact and also discusses the existing models.
Case management is the key component for the services of mental health. According to the National Association of Social Workers (NASW), case management is the procedure for offering various services through which the professional social workers evaluate the requirements of the individuals and family (NASMHPD, 2011). On the other hand Case Management Society of America (CMSA) defined case management as a shared process for facilitation, advocacy and planning various services to meet up family’s and individual’s complete health desires via available resources and effective communication to endorse cost effective results. Thus, it can be said that case management is the activity that assists the people and the families to gain access to significant social, behavioral, medicals services as per the needs. This service is outcome based, comprehensive, person-centered and also empowering to the individuals and the families (CMSA, 2010, pp. 6).
Every adult benefits from when their mental illness reaches their most favorable level of functional and wellness ability. Case management is the procedure using which the adults can achieve wellness and also best functioning. This service can be given either by a team or also by an individual expert. The people who provide case management are termed as “case managers”. They are responsible for promoting quality outcomes, evidence based care, safety to the patients, convenient cultural ability, along with diversity awareness and respect. They focus on accommodating gender, race, age, diversity, life stage, disability in to the process of case management (Howell et al., 2004). They emphasize on making the overall process culturally competent by valuing the diversity, adapting diversity practices, self-assessment culture and also following the cultural knowledge. Facilitating self-determination and self-care through education, advocacy and effective decision making is their primary focus. The support and maintain compliance with the pertinent rules and regulations of organization, local, state and federal (Phaneuf, 2008).
Mental disorder or illness is the major issue rising in the community. Every year around 3.3million individuals in Australia are the victims of this illness. Severe mental disorder or illness like bipolar disorders or schizophrenia is affecting the population by 2.5%. The key functions of implementing case management helps to address five basic functions advocacy, monitoring, linkage, treat planning and assessment (NSW DEPARTMENT OF HEALTH, 2008). There are various models that can be utilized as intervention strategies (Chamberlain and Rapp, 1991). However the major approach that is being used are assertive community treatment case workers and teams with the case loads of people which mainly the services are offered by a team on an intensive and ongoing basis (Bond et al., 1990). The ACT model is a concentrated, far reaching methodology to case administration, and is characterized by little case stacks (10:1); a multi-disciplinary group approach (ordinarily no less than two case directors, a medical caretaker, and a specialist); imparted case burdens; administrations conveyed by the group in individual's common surroundings vs. making referrals outside of the group; boundless time allotment; and 24 hour scope. Various services are given (e.g., mental wellbeing, lodging, every day living abilities, socialization, job, emergency mediation, substance misuse treatment) (Gomory, 2005).
There is a strong evidence of efficacy of ACTs. Mueser et al's. audit of RCTs, both quasiexperimental what's more prepost outlines, found that contrasted and "ordinary mental health awareness," ACT groups expanded and kept up contact with consideration, diminished utilization of healing facility based mental health awareness, enhanced buyer conclusions lessened manifestations accomplished, and expanded lodging security. The Cochrane audit of
ACT arrived at comparative conclusions (Marshall and Lockwood, 2000), as did Bond et al., (2001) survey of 25 RCTs. ACT additionally is typically found to push high purchaser and family fulfillment (Solomon, 2007) what's more results are for the most part better when loyalty to the unique mediation is more prominent (Dixon, 2000). Dixon's survey presumed that decreased clinic days is the most reliable finding of adequacy studies, while lessened rehospitaizations; picks up in useful status, including business what's more social abilities; and drug agreeability are less reliable however every now and again reported discoveries (Dixon, 2000). For results like lodging solidness, time in prison, and substance misuse, generally 50% of studies show a change with ACT, while the others demonstrate no noteworthy contrast (SAMHSA), 2000.