ABSTRACT
New York State's Children and Youth Intensive Case Management (CYICM) was implemented in 1988 as one of several community-based initiatives for children with serious emotional disturbance (SED). Underlying this program is the goal of maintaining children with SED in the least restrictive environment appropriate to their needs. This paper presents CYICM child, family, and system outcomes over six years, describes program refinements, and explores continuing research efforts. Data are supportive of the positive outcomes associated with intensive case management for children with SED. Associated with enrollment in CYICM are a decrease in symptoms, improvement in functioning, and fewer hospitalizations in state-operated psychiatric centers, which translates into cost savings and a possible reduction in hospital beds.
Subject(s)
Case Management/standards , Community Mental Health Services/standards , Mental Disorders/therapy , Patient-Centered Care/standards , Adolescent , Case-Control Studies , Child , Community Mental Health Services/economics , Community Mental Health Services/methods , Family Health , Female , Hospitals, Psychiatric/economics , Hospitals, Psychiatric/statistics & numerical data , Humans , Longitudinal Studies , Male , Matched-Pair Analysis , Mental Health , New York , Program Evaluation , Regression Analysis , Sampling Studies , Treatment OutcomeABSTRACT
Since 1988 New York state's Children and Youth Intensive Case Management (CYICM) program has enrolled more than 1700 children. The program goal is to maintain children in the least restrictive environment appropriate to their needs. This linkage and advocacy focused program uses a small caseload (10) and flexible service money to meet its goal. This paper reviews the program model, describes the enrollees, and presents the outcomes related to hospitalization. It also presents a case study of an encounter between a nurse case manager and parents of one of her clients. Finally, it considers the role of case management as an emergent for nurses.
