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Marianne Larsson Lindahl

Universitetslektor | Socionom | FD i medicinsk vetenskap i psykiatri, behandlingsforskning

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Case management in aftercare of involuntarily committed patients with substance abuse. A randomized trial.

Författare

  • Marianne Larsson Lindahl
  • Mats Berglund
  • Hanne Tønnesen

Summary, in English

Objective:

Case management has since the 1970s been widely used to co-ordinate services for mental health patients. The methodology has expanded to support patients in many different types of conditions. This study is one of very few randomized trials on case management in a European setting. It examined the impact of case management on substance abuse and use of service after discharge from court-ordered institutional care.



Methods:

Court-ordered patients with substance abuse (n = 36) were randomly assigned to either strengths based case management or treatment-as-usual during 6 months in aftercare. Data was collected at intake, at conclusion of intervention and at 6 month's follow-up with a follow-up rate of 94%.



Results:

Case management interventions were well received by the patients with no drop-out during intervention. Patients with the support of a case manager seemed to sustain abstinence in a higher degree compared with treatment-as-usual but no differences were detected in regard to use of care. A subgroup analysis showed that patients with a continuous drug abuse did have access to care from both social welfare and hospital care systems.



Conclusions:

Case management may be useful in order to retain abstinence in aftercare following court-ordered treatment. The social welfare and hospital care systems seem to provide care irrespective of case manager intervention. The study design, interventions and assessments instruments were well received by patients but needs to be replicated with a larger population. Clinical implications: The 100% retention in the case management support group indicates that patients were satisfied with this type of intervention and the methodology seems to be useful in order to retain abstinence.

Avdelning/ar

  • Kliniskt Centrum för Hälsofrämjande Vård
  • Psykiatri, Lund
  • EpiHealth: Epidemiology for Health

Publiceringsår

2013

Språk

Engelska

Sidor

197-203

Publikation/Tidskrift/Serie

Nordic Journal of Psychiatry

Volym

67

Issue

3

Dokumenttyp

Artikel i tidskrift

Förlag

Informa Healthcare

Ämne

  • Psychiatry

Status

Published

Forskningsgrupp

  • Clinical Health Promotion Centre

ISBN/ISSN/Övrigt

  • ISSN: 1502-4725