PubMed Health⌕ Search

PubMed · 11107660

Facilitating comparisons between evaluations of case management programs.

Abstract

We need to know if, as an overall approach to service delivery, case management is delivering on its promises of improving quality, decreasing costs, and increasing access to services. Attempts to do this are hindered by the very limited comparability currently possible between evaluations of case management programs. One cause of this limited comparability is that few individual evaluation reports provide clear and explicit information on key aspects of the evaluation, and on the case management program itself. Consequently, there is a need to ensure that the key characteristics of individual case management programs and their evaluations are clearly described when the results are reported. As a first step in achieving this, a review of the evaluation theory literature and the case management literature was undertaken to find effective ways of describing the differences in evaluations and in case management programs. The result is a draft framework to support the acknowledgment, identification, and description of these differences.

Explore related subjects

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

M Summers. 2000. Facilitating comparisons between evaluations of case management programs.. https://pubmed.ncbi.nlm.nih.gov/11107660/

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

A comparison of assertive community treatment and intensive case management for patients in rural areas.

OBJECTIVE: This article reviews the evidence for the effectiveness of community-based services for rural areas, specifically assertive community treatment and intensive case management. Service delivery to persons with severe mental illness in rural areas is challenged by low population densities, limited services, and shortages of professionals. METHODS: A comprehensive literature search identified six studies of rural assertive community treatment, only two of which were controlled studies, and four rural intensive case management studies, only one of which was a controlled study. Assertive community treatment would seem ideally suited to areas lacking services because of its self-contained multidisciplinary treatment team approach. However, rural programs have been forced to make several adaptations to the assertive community treatment model, including smaller teams, less comprehensive staff, and less intensive services. There is no published evidence that these adaptations are able to produce the same results as full-fidelity teams. Some believe that intensive case management may be an alternative to assertive community treatment in rural settings because intensive case management emphasizes individual caseloads, fewer staff, less intensive contacts, and brokered services. CONCLUSIONS: The evidence suggests that intensive case management programs are effective only in community settings where there is an ample supply of treatment and support services. To build the evidence base for the effectiveness of these models, much more attention needs to be focused on evaluating the current wave of assertive community treatment and intensive case management dissemination in rural areas.

Case Management↗

Factors associated with specific language impairment and later language development during early life: a literature review.

It has been reported that 50% of children with specific language impairment (SLI) have persistent SLI, which has been associated with various risk factors. To date, however, there has not been a comprehensive review of studies into different risk factors that could be used by clinicians to facilitate parental counseling and individual case-management. Several studies about the factors associated with SLI were reviewed based on study design. This article presents a review of factors associated with later language development and SLI, and reviews the risk for children who have SLI during early life. The summary provides data including specific biologic and environmental factors that are significantly associated with SLI, to ensure early intervention for children with SLI in the presence of identified risk factors.

Case Management↗