ฐานข้อมูลวิจัยด้านสุขภาพจิตและจิตเวช

ผู้วิจัย/Authors: Rathi Mahendran, Margaret Hendriks

ชื่อเรื่อง/Title: A Four-Year Review and Out comes Assessment of Case Management in a Tertiary Psychiatric Hospital.

แหล่งที่มา/Source: ASEAN Journal of Psychiatry. Vol. 9, Supplement 1, 26-29 August 2008, page 67-68.

รายละเอียด / Details:

Objective: Case Management (CM) is a dynamic and systematic collaborative approach to provide and coordinate healthcare services to a defined population. The aim in psychiatry is to engage those with mental illness who would otherwise be at risk of losing contact with services and to facilitate options and services to meet their needs. The goal is to decrease fragmentation and duplication of care and enhance quality cost-effective clinical outcomes. Methods: Since 2004, cases receiving CM have been closely-tracked and data mining from records yielded socio-demographic data, service utilization and clinical outcome data. Results: There was a 15-fold increase in patients receiving CM over the 4-year period (185 in 2004, 375 in 2005, 1631 in 2006 and 2756 in 2007) facilitated by manpower expansion from 3 case managers to nine in 2006. Case managers provided Telephonic Case Management, Home Visits and Crisis Management in addition to psycho education and patient and family counseling sessions. There were significant reductions in suicide attempts, completed suicides and forensic complications. Case management also had significant impact on readmission rates, which fell from 5.94% to 1.96%.Community service utilization improved exponentially with case managers active involvement in referring patients to rehabilitation centers, to other allied health professionals and where needed, housing care facilities. Conclusion: Case management has proved effective in addressing the continuum of care needs of psychiatric patients, ensuring quality care and better resource utilization. Service expansion now includes inpatient and outpatient settings and specialized areas such as psycho-geriatrics, rehabilitation and forensic psychiatry.

Keywords: out comes assessment, case amnagement, tertiary psychiatric hospital

ปีที่เผยแพร่/Year: 2008

Address: Case Management Unit, Institute of Mental Health,Singapore

Code: 2010000346

ISSN/ISBN: 0218-3420

Country of publication: Thailand

Language: English

Category: Abstract

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