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Case Management and Assertive Community Treatment

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Handbook of Community Psychiatry

Abstract

For nearly 50 years, case management has been the keystone of community mental health care for people with serious mental illnesses, essential for optimal treatment and support. Specific models of case management have emerged and evolved in response to inadequacies in systems of care at any particular time. Many of these models have been further refined as part of the evidence-based practices movement in an attempt to bind together an array of effective services called evidence-based practices. But much has changed in the past few years that will challenge the future development and effectiveness of case management. Basic social supports have eroded. People with mental illnesses have been shunted into the criminal justice system. Psychiatrists in community mental health centers have been marginalized. Medical comorbidities and early mortality have become salient and have probably increased. Insurance payments to the pharmaceutical industry and to managed care companies have increased while payments for psychosocial supports have decreased. And at the same time that services have deteriorated, expectations have increased!

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Authors and Affiliations

  1. Office of Mental Health Research and Training, School of Social Welfare, University of Kansas, 1545 Lilac Lane, Lawrence, KS, 66044, USA

    Richard J. Goscha PhD & Charles A. Rapp PhD

  2. Department of Psychiatry, Dartmouth Psychiatric Research Center, Dartmouth Medical School, Concord, NH, USA

    Gary R. Bond PhD & Robert E. Drake MD, PhD

Authors
  1. Richard J. Goscha PhD
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  2. Charles A. Rapp PhD
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  3. Gary R. Bond PhD
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  4. Robert E. Drake MD, PhD
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Corresponding author

Correspondence to Richard J. Goscha PhD .

Editor information

Editors and Affiliations

  1. Dept of Psychiatry and Behavioral Health, The St. Luke's & Roosevelt Hospitals Columbia University College of Physician, New York, USA

    Hunter L. McQuistion

  2. Center for Public Service Psychiatry, Western Psychiatric Institute and Clinic, Pittsburgh, Pennsylvania, USA

    Wesley E. Sowers

  3. New York State Psychiatric Institute, New York, USA

    Jules M. Ranz

  4. University of Alabama at Birmingham, Birmingham, USA

    Jacqueline Maus Feldman

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Goscha, R.J., Rapp, C.A., Bond, G.R., Drake, R.E. (2012). Case Management and Assertive Community Treatment. In: McQuistion, H., Sowers, W., Ranz, J., Feldman, J. (eds) Handbook of Community Psychiatry. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-3149-7_24

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