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Effective Management Essay (Master of Nursing)

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This essay will discuss current literature on clinical case management in mental health in the Australian context. The terms relating to case management will be defined and explained. The essay will discuss and describe case management models and social models in mental health. In this essay my own clinical experience in case management will be highlighted. The issues of efficacy and effectiveness in clinical case management will also be addressed. The essay will identify and outline the groups that benefit from mental health case management. Finally, the essay will critically evaluate current evidence, benefits and limitation pertaining to case management in mental health. Rosen, Mueser & Teesson (2007) described case management as …show more content…

Simpson (2007) added that multidisciplinary input co-ordinated by a case manager is a key feature of most case management models in Australia and that case managers are more likely to be mental health professionals (Simpson 2007). Contemporary mental health services use several models of case management, such as the brokerage, clinical, strengths, rehabilitation, intensive case management and assertive community treatment (ACT) models.

Preston & Fazio (2000) described one of case management models known as the intensive case management program as a mobile multidisciplinary team, consisting of a psychiatrist, community mental health nurses, social workers and occupational therapists. Elder, Evans & Nizette (2007) stipulated that the majority of treatment occurs within the community, including medication management and mental health examinations. Elder and his colleagues identified operational definitions of the intensive case management as low patient to staff ratio, most services provided in the community, rather than in the office, assignment of patients to a dedicated case manager, time-unlimited service and most services provided directly by the intensive case management team and not brokered out (Elder, Evans & Nizette 2007).
Henderson et al (2008) commented that this model was designed for those clients who are defined as high service users that is, the severely mentally ill and has been found effective in engaging clients in treatment (Henderson et

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