RESUMO
The Strengths model of team case management was assessed relative to an existing high quality psychosocial rehabilitation program that informally provided many services typical of case management (e.g., service linkage, monitoring, and consumer advocacy). The experimental evaluation triangulated consumer and family member responses with mental health professional reports and consumer records of hospitalization and crisis center contacts. An analysis of data from these four sources revealed that one year after full program implementation, consumers who received case management in conjunction with psychosocial rehabilitation functioned at a higher level of competency and experienced significantly lower psychiatric symptomatology than consumers who received only psychosocial rehabilitation. Implications for the successful integration of case management into an existing community support program are discussed.
Assuntos
Serviços Comunitários de Saúde Mental , Programas de Assistência Gerenciada , Transtornos Mentais/reabilitação , Apoio Social , Terapia Socioambiental , Atividades Cotidianas/psicologia , Adulto , Terapia Combinada , Intervenção em Crise , Família/psicologia , Feminino , Humanos , Masculino , Transtornos Mentais/psicologia , Pessoa de Meia-Idade , Equipe de Assistência ao Paciente , Satisfação do Paciente , Determinação da PersonalidadeRESUMO
The magnitude of the problem of hyperactivity among school-age children has attained nationwide attention. The author report on a unique interdisciplinary clinic-based program that was developed to treat this problem. Their article demonstrates that the social work model is an effective tool in treating hyperactivity.
Assuntos
Hipercinese/terapia , Equipe de Assistência ao Paciente , Serviço Social , Transtorno do Deficit de Atenção com Hiperatividade/diagnóstico , Transtorno do Deficit de Atenção com Hiperatividade/terapia , Terapia Comportamental , Criança , Comportamento Infantil , Meio Ambiente , Feminino , Objetivos , Humanos , Hipercinese/diagnóstico , Masculino , PaisRESUMO
Fifty-two household interviews were held with families who had self-terminated from a child guidance center. The purpose of these interviews was to determine reasons for self-termination and to measure the effectiveness of the center's program. Findings indicate that the most common reason for self-termination was (1) parents' expectations of therapy were not fulfilled, (2) general dissatisfaction with services, and (3) lack of progress. However, many of the self-terminators rated the center program highly and therefore it was concluded that many self-terminators do not actually reject psychotherapy. Inferences about the causes of self-termination and its alleviation are made.
