Case Management

Rating

Category: Allied Health Options

What is it?

Case management is a strategy used in several areas of health care and social welfare to support individuals with complex needs. Case management is a collaborative process of assessment, planning, facilitation and advocacy for interventions and services to meet an individual's needs and is usually delivered by a professional case manager working as part of a larger organisation.

How does it work?

Case management focuses on delivering personalised services to individuals with complex social and/or health conditions. A case manager can provide coordination and reduce confusion when multiple interventions are required or when an individuals’ needs change frequently. This may apply to some individuals with PTSD symptoms and other co-existing issues.

Is it effective?

Although there is considerable evidence for the effectiveness of case management for people in a variety of complex situations, none could be found which examined case management for PTSD patients. The effectiveness of case management for PTSD is unknown.

Are there any disadvantages?

No evidence of disadvantages could be found.

Where do you get it?

Case management is generally provided by government organisations such as mental health services, disability services or family and community care services. Some general practitioners employ practice nurses who have a case management role for complex patients. While these strategies are pursued, it is also important that the person with PTSD is under the care of a certified health professional.

What are the evidence limitations?

There is currently no explicit evidence to support case management as an independent intervention for PTSD. Much of the evidence base is derived from lower levels of evidence such as expert opinion and clinical experiences. Therefore interpreting this evidence should be undertaken with caution.

Recommendations

Based on the current lack of high quality evidence, case management cannot be recommended as a first-line, stand alone intervention for clients with PTSD. It may be considered as an adjunct to other PTSD interventions, such as psychological and drug therapies.

Key References

Wikipedia Website, viewed 4 December 2008,http://en.wikipedia.org/wiki/Case_management

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