ISSN:0193-9416    

DOI:10.1002/yd.23319884002

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1988

数据来源: WILEY

摘要:

AbstractClinical case management for chronic mental patients combines the clinical sensitivity and interpersonal skills of the psychotherapist with the creativity and action orientation of the environmental architect.

ISSN:0193-9416    

DOI:10.1002/yd.23319884003

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1988

数据来源: WILEY

摘要:

AbstractCase managers strive to establish collaborative relationships that address both the psychic and the environmental needs of clients; yet they encounter a variety of transference and countertransference reactions resulting from an ever‐changing array of reality situation

ISSN:0193-9416    

DOI:10.1002/yd.23319884004

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1988

数据来源: WILEY

摘要:

AbstractTwo variables are crucial to the development of treatment plans for chronic mental patients. Acceptance of the patient role and ability to form a therapeutic working alliance shape the clinical context within which treatment planning occurs.

ISSN:0193-9416    

DOI:10.1002/yd.23319884005

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1988

数据来源: WILEY

摘要:

AbstractIt is time for professionals to acknowledge the importance of the contribution family members make and to do whatever they can to enhance and support this contribution.

ISSN:0193-9416    

DOI:10.1002/yd.23319884006

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1988

数据来源: WILEY

摘要:

AbstractA relative of a mentally ill person and qualifies the preceding chapter.

ISSN:0193-9416    

DOI:10.1002/yd.23319884007

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1988

数据来源: WILEY

摘要:

AbstractCritical junctures between inpatient care and case management services must be addressed if patients are to effect successful transitions between hospital and community.Because inpatient care remains a fundamental reality in the care of many chronic mental patients, attention must be paid to the junctures at which inpatient care and case management services intersect. Case management may enhance the patient's opportunity to make a successful transition from hospital to community‐based care. Once the patient is settled in the community, case management may be used to strengthen his or her social network so as to prevent unnecessary hospitalizations. And finally, when rehospitalization is necessary, case management may ease the patient's return to the hospital so that his or her inpatient experience will be as positive as possible.The case manager's unique training, skills, and functions are thus of singular importance to the hospitalized chronic mental patien

ISSN:0193-9416    

DOI:10.1002/yd.23319884008

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1988

数据来源: WILEY

摘要:

AbstractContinuity of care is essential in providing chronic mental patients with meaningful services. It is also a positive force in the lives of the case managers and other professionals who come into contact with these patients.

ISSN:0193-9416    

DOI:10.1002/yd.23319884009

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1988

数据来源: WILEY

摘要:

AbstractIn today's housing alternatives for the chronically mentally ill, the integration of case management and residential services is not only possible but actually necessary to promote patient welfare.

ISSN:0193-9416    

DOI:10.1002/yd.23319884010

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1988

数据来源: WILEY

摘要:

AbstractThe financing of case management for persons with chronic mental illness represents a particularly interesting and important challenge for the system of care.In promoting the goals of comprehensive case management, capitation payment systems offer some clear advantages over existing systems of reimbursement for units of service or episodes of care, which reinforce service fragmentation. Capitation, an integrative approach to funding the functions of case management within the context of all services, differs sharply from current fee‐for‐service approaches, which simply create new staff positions for “case managers.” There are, however, barriers to achieving a comprehensive prospectively funded case management model, which include inadequate data to project appropriate capitation rates accurately, vague standards of care for the chronically mentally ill, ongoing ambivalence about what levels of service effort and outcomes are acceptable, and a wide variety of resistances within existing service agencies. If these barriers can be overcome—a highly formidable task— then the mutually supportive concepts of comprehensive case management and capitation may lead to a far more cost‐effective system of care for chronic me

ISSN:0193-9416    

DOI:10.1002/yd.23319884011

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1988

数据来源: WILEY