By Peter Ryan DProf MSc CQSW, Steve Morgan BA BPL DipCOT MA
This e-book supplies a accomplished, evidence-based account of assertive outreach from a strengths viewpoint. It emphasizes constructing a collaborative method of operating with the carrier consumer, which stresses the fulfillment of the provider user's personal aspirations, and construction upon the carrier user's personal strengths and assets. The publication presents a entire, authoritative method of the topic, that mixes an summary of the coverage and perform matters. It uses huge case learn fabric to demonstrate person and workforce circumstances.Comprehensive and authoritativeIntegrates coverage and practiceExtensive use of case research materialEvidence-based
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Additional resources for Assertive Outreach: A Strengths Approach to Policy and Practice
Case managers in the control group had had three years’ prior experience. A total of 89 clients were randomly assigned either to the strengths case managers or to the control condition. However, the drop-out rate was quite high and only 51 clients finally took part in the experiment. Outcomes were assessed on a variety of measures including quality of life, medication compliance, hospitalization, employment, participation in vocational training, and the acquisition of skills in community living, socialization and inappropriate behaviour.
The cost-efficiency and -effectiveness of case management was demonstrated in a number of ground-breaking studies (Challis and Davies 1986, Davies et al 1990). Through their work, it became apparent that case management could provide a cost-efficient remedy for the fragmentation and inefficiency that characterized the care in the community for this and many other care groups. At the heart of their approach was an individual case manager who would engage with and assess the needs of the client, and co-ordinate the care needed, using a devolved budget set at two-thirds of the average cost of a residential care placement.
There is strong supporting research evidence in the international literature to suggest that case management is effective in achieving high levels of engagement with severely mentally ill clients, that community tenure can be increased, and that the impact of The origins of and evidence for case management hospitalization can be reduced. Depending on the study concerned, this is either by reducing frequency of admission and/or by reducing length of stay. Unfortunately, the UK research literature is less reassuring in these respects.