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KMID : 0897520200250020049
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Journal of Korean Association of Social Psychiatry
2020 Volume.25 No. 2 p.49 ~ p.60
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A Review Study on Effectiveness of Intensive Case Management for People with Severe Mental Illness
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Jang Mi
Joe Keun-Ho
Hwang Tae-Yeon
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Abstract
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Objectives : The aim of this study was to investigate the effectiveness and future directions of intensive case management (ICM) for adults with severe mental illness in the community.
Methods : A literature search was conducted in the following database: Embase, Pubmed, Cochrane database of systematic reviews (last update search November 8, 2019). All relevant systematic reviews about ICM compared with treatment as usual(standard care or non-ICM) and current randomized controlled trials (April 10, 2014~) about effectiveness of ICM focusing on adults with severe mental illness treated in the community setting was included.
Results : Compared to standard care, ICM was effective in reducing total number of days spent in hospital, improving independent living function, and satisfaction. ICM with rent supplements had a positive effect on housing stability for homeless adults with mental illness regardless of age, race or duration.
Conclusion : ICM was more effective for adults with severe mental illness, especially with high risk of long-term admission than standard community care in the domains of independent living function, housing stability and satisfaction. Considerations about integrative approach of ICM with other community mental health services and medical services for physical health are needed.
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KEYWORD
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Case management, Community mental health services, Mental disorders
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