Use of intensive case management to reduce time in hospital in people with severe mental illness: systematic review and meta-regression -- Burns et al. 335 (7615): 336 -- BMJ

Use of intensive case management to reduce time in hospital in people with severe mental illness: systematic review and meta-regression -- Burns et al. 335 (7615): 336 -- BMJ


Intensive case management works best
when participants tend to use a lot of hospital care and
less well when they do not. When hospital use is high,
intensive case management can reduce it, but it is less
successful when hospital use is already low. The benefits
of intensive case management might be marginal in
settings that have already achieved low rates of bed use,
and team organisation is more important than the details
of staffing. It might not be necessary to apply the full
model of assertive community treatment to achieve
reductions in inpatient care.