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Care management, dementia care and specialist mental health services
 — an evaluation
Author(s)David Challis, Richard von Abendorff, Pamela Brown
Journal titleInternational Journal of Geriatric Psychiatry, vol 17, no 4, April 2002
Pagespp 315-325
KeywordsDementia ; Case work ; Management [care] ; Psychiatric treatment ; Evaluation.
AnnotationA model of intensive case management for people with dementia based in a community-based mental health service for older people was evaluated by comparing it with a similar team without such a service. 43 matched pairs of older people and their carers were identified and interviewed at uptake, and again at 6 and 12 months. The impact of the scheme on placement occurred in the second year, at the end of which 51% of the experimental group remained at home, compared with 33% of the comparison group. For the experimental group, significant improvements were noted in social contacts, overall need reduction, aspects of daily living, and level of risk. A decrease in the stress of their carers, and a reduced input to their care of the client were also noted. Differences between the two groups based on service receipt showed higher costs for the experimental group. The results confirm previous findings regarding case management. The benefits of locating such a service within a specialist mental health team are explored in the context of efforts to promote more integration between health and social services. (RH).
Accession NumberCPA-020520209 A
ClassmarkEA: IGA: QA: LP: 4C

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