Strengths Based Case Management with People with Psychiatric Disabilities Lit Review
The purpose of this literature review is to critique the effectiveness of the strengths model of case management when working with people with psychiatric disabilities
Literature Review
Abstract: The strengths model is not just a philosophy or perspective, although it is that. It is rather a set of values and principles, a theory of practice, and explicit and rigorous practice methods that have been developed and refined over the last 25 years (Rapp & Goscha, 2006). The empirical testing of the case management model has shown consistent results that are superior to traditional approaches to serving people with severe psychiatric disabilities. The purpose of this literature review is to critique the effectiveness of the strengths model of case management when working with people with psychiatric disabilities.
Introduction (history and scope of the “problem”): Case management as a concept first appeared as a response to massive deinstitutionalized movement of mentally ill persons that began in the mid-1950s (Salfi & Joshi, 2003). The deinstitutionalization of the chronically mentally ill has exposed serious inadequacies in the community mental health system (Rapp & Winersteen, 1989). Several unfortunate consequences of the shift have been reported: the increase in the homeless population (Cohen, Putnam, & Sullivan, 1984); the hospital revolving door, where in some places readmissions approximate 70% (Goldman, Adams, & Taube, 1983); and the heavy burden placed on families who often do not have the personal or financial resources that come with demands (Hatfield, fierstein, & Johnson, 192). Case management is the most frequently proposed solution to assisting the chronically mentally ill in obtaining benefits and services within the community. Helping activities that contributed to positive outcomes for people, such as service coordination and client empowerment, became a critical component in the delivery of health and social services
Literature Review
Abstract: The strengths model is not just a philosophy or perspective, although it is that. It is rather a set of values and principles, a theory of practice, and explicit and rigorous practice methods that have been developed and refined over the last 25 years (Rapp & Goscha, 2006). The empirical testing of the case management model has shown consistent results that are superior to traditional approaches to serving people with severe psychiatric disabilities. The purpose of this literature review is to critique the effectiveness of the strengths model of case management when working with people with psychiatric disabilities.
Introduction (history and scope of the “problem”): Case management as a concept first appeared as a response to massive deinstitutionalized movement of mentally ill persons that began in the mid-1950s (Salfi & Joshi, 2003). The deinstitutionalization of the chronically mentally ill has exposed serious inadequacies in the community mental health system (Rapp & Winersteen, 1989). Several unfortunate consequences of the shift have been reported: the increase in the homeless population (Cohen, Putnam, & Sullivan, 1984); the hospital revolving door, where in some places readmissions approximate 70% (Goldman, Adams, & Taube, 1983); and the heavy burden placed on families who often do not have the personal or financial resources that come with demands (Hatfield, fierstein, & Johnson, 192). Case management is the most frequently proposed solution to assisting the chronically mentally ill in obtaining benefits and services within the community. Helping activities that contributed to positive outcomes for people, such as service coordination and client empowerment, became a critical component in the delivery of health and social services
References: Arnold, E. M., Walsh, A. K., Oldham, M. S., & Rapp, C. A. (2007). Strengths-Based Case Management; Implementation with High-Risk Youth. Families in Society: the Journal of Contemporary Human Services, 88(1), 86-94. Barry, K. L., Zeber, J. E., Blow, F. C., & Valenstein, M. (2003). Effect of Strengths Model Versus Assertive Community Treatment Model on Participant Outcomes and Utilization: Two Year Follow-up. Psychiatric Rehabilitation Journal, 26(3), 268-277. Berg-Weger, M. & Tebb, S. S. (1998). Caregiver Well Being: A Strengths-Based Case Management Approach. Journal of Case Management, 7(2), 67-73. Bjorkman, T., Hansson, L., & Sandlund, M. (2002). Outcome of case management based on the strengths model compared to standard care Brun, C. & Rapp, R. C. (2001). Strengths-Based Case Management: Individual 's Perspectives on Strengths and the Case Manager Relationship. Psychology and Behavioral Sciences Collection, 46(3), 278-288. Ewalt, P. L. & Mokuau, N. (1995). Self-Determination from a Pacific Perspective. Social Work, 40(2), 168-175. Macias, C., Farley, W. O., Jackson, R., & Kinney, R. (1997). Case Management in the Context of Capitation Financing: An Evaluation of the Strengths Model. Administration and Policy in Mental Health, 24(6), 535-543. Marty, D., Rapp, C. A., & Carlson, L. (2001). The Experts Speak: The Critical Ingredients of Strengths Model Case Management. Psychiatric Rehabilitation Journal, 24(3), 214-221. Rapp, C. A., & Goscha, R. J. (2006). The Strengths Model; Case Management with People with Psychiatric Disabilities. New York, New York: Oxford University Press. Rapp, C. A. & Goscha, R. J. (2004). The Principles of Effective Case Management of Mental Health Services. Rehabilitation Journal, 27(4), 319-333. Rapp, C. A. & Wintersteen, R. (1989). The strengths model of case management; results from twelve demonstrations. Psychosocial Rehabilitation Journal, 13(1), 23-32. Russo, R. J. (1999). Applying a Strengths-Based Practice Approach in Working with People with Developmental Disabilities and their Families. Families in Society: the Journal of Contemporary Human Services, 80(1), 25-33. Salfi, J. & Joshi, A. (2003). A Critical Analysis of the Broker and Strengths Models of Case Management; Identifying a Potential Framework for Community Case Managers. Journal of Case Management, 4(2), 62-72. Sanchez, F. & Gaw, A. (2007). Mental Health Care of Filipino Americans. Psychiatric Services, 58(6), 810-815. Schatz, M. S. & Flagler, M. N. (2004). Examining how professionals describe the strengths perspective in their practice. The Journal of Baccalaureate Social Work, 9(2), 63-77. Staudt, M., Howard, M. O., & Drake, B. (2001). The Operationalization, Implementation, and effectiveness of the Strengths Perspective: A Review of Empirical Studies. Journal of Social Service Research, 27(3), 1-21.