Does case management reduce the rehospitalization rate?

Acta Psychiatrica Scandinavica
W RösslerA Riecher-Rössler


It was expected from deinstitutionalization that outpatient care could replace hospital care. But many empirical studies proved that the number of admissions to psychiatric hospitals rose when community-based care developed. This might be due to the lack of coordination and cooperation of extramural services. The concept of case management therefore originated in the last few years. In this study the effect of case management on the rehospitalization rate is examined by analyzing the data of 4 social-psychiatric services responsible for defined catchment areas. During the evaluation period of 2.5 years, 162 patients dismissed from psychiatric hospitals were referred to those services. For each of these index patients a matched control patient was identified, each identical in diagnosis, sex, age, living conditions and number of previous inpatient episodes. The results of a survival analysis show that there are no significant effects of case management on the rate of rehospitalization nor on the length of time in hospital in case of a rehospitalization.


Jan 1, 1991·The International Journal of Social Psychiatry·F Holloway
May 1, 1990·Social Psychiatry and Psychiatric Epidemiology·G Thornicroft
Jun 1, 1987·American Journal of Public Health·J L FranklinG E Miller
Jan 1, 1987·Community Mental Health Journal·G LandsbergT Maxwell
Jun 1, 1983·The Australian and New Zealand Journal of Psychiatry·J HoultJ Briggs
Apr 1, 1980·Archives of General Psychiatry·M A Test, L I Stein
Jan 1, 1980·Pharmacological Research Communications·P Dal Pra, G Segre
Oct 16, 2002·Psychiatrische Praxis·Hendrik KlugeT Becker


Oct 1, 1994·Community Mental Health Journal·R G Sands, R A Cnaan
Jan 1, 1995·European Archives of Psychiatry and Clinical Neuroscience·W RösslerA Riecher-Rössler
Feb 12, 2008·Social Psychiatry and Psychiatric Epidemiology·Michael LindenHans-Peter Hundemer
Mar 1, 1995·Social Science & Medicine·J Krupinski
Jan 1, 1995·European Psychiatry : the Journal of the Association of European Psychiatrists·F HollowayJ Carson
Sep 12, 2000·International Journal of Law and Psychiatry·P Solomon
Jan 1, 1996·International Journal of Law and Psychiatry·W RösslerA Riecher-Rössler
Apr 17, 1998·Clinical Psychology Review·A M Baronet, G J Gerber
Jul 31, 2008·Drugs & Aging·John W Kasckow, Sidney Zisook
Jun 3, 2009·Acta Psychiatrica Scandinavica·S SteffenB Puschner
Jun 30, 2004·Psychiatric Rehabilitation Journal·C A Rapp, Richard J Goscha
Oct 9, 2001·The International Journal of Social Psychiatry·F Holloway, J Carson
Jan 10, 2017·The Cochrane Database of Systematic Reviews·Marina DieterichM Marshall
Apr 15, 2011·The Cochrane Database of Systematic Reviews·M MarshallRex Green
Apr 15, 2011·The Cochrane Database of Systematic Reviews·M Marshall, A Lockwood

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