Document Detail

Consumers as peer specialists on intensive case management teams: impact on client outcomes.
MedLine Citation:
PMID:  8829785     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: The study examined whether employing mental health consumers as peer specialists in an intensive case management program can enhance outcomes for clients with serious mental illness. METHODS: A quasiexperimental, longitudinal, nonequivalent control group design was used to compare outcomes of clients assigned to three case management conditions: teams of case managers plus peer specialists, teams of case managers plus nonconsumer assistants, and case managers only. Outcomes were measured at baseline and at three six-month intervals. Repeated-measures analysis of variance was used to assess between-group differences. RESULTS: Complete data were available for 104 clients. Compared with clients in the other two groups, clients served by teams with peer specialists demonstrated greater gains in several areas of quality of life and overall reduction in the number of major life problems experienced. They also reported more frequent contact with their case managers and the largest gains of all three groups in the areas of self-image and outlook and social support. No differences in outcomes were found between clients served by teams with nonconsumer assistants and those served by case managers only. CONCLUSIONS: Integration of peer specialists into intensive case management programs appears to lead to enhanced quality of life for clients and more effective case management.
C J Felton; P Stastny; D L Shern; A Blanch; S A Donahue; E Knight; C Brown
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Controlled Clinical Trial; Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Psychiatric services (Washington, D.C.)     Volume:  46     ISSN:  1075-2730     ISO Abbreviation:  Psychiatr Serv     Publication Date:  1995 Oct 
Date Detail:
Created Date:  1996-10-17     Completed Date:  1996-10-17     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  9502838     Medline TA:  Psychiatr Serv     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1037-44     Citation Subset:  IM    
Bureau of Evaluation and Services Research, New York State Office of Mental Health, Albany 12229, USA.
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MeSH Terms
Case Management*
Homeless Persons / psychology
Hospitals, Psychiatric
Long-Term Care
Longitudinal Studies
Mental Disorders / psychology,  rehabilitation*
Middle Aged
New York City
Patient Advocacy
Patient Care Team*
Patient Participation*
Peer Group*
Quality of Life
Self Concept
Social Adjustment
Social Support
Treatment Outcome
Grant Support

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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