Abstract
The effects of transferring clients from assertive community treatment to a less intensive (step-down) case management program were examined. Service use decreased significantly after transfer to the step-down program, and no negative effects of transfer on hospital use or client functioning were evident. Critical elements for successful step-down are suggested and discussed.
Publication types
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Research Support, U.S. Gov't, P.H.S.
MeSH terms
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Adult
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Case Management* / statistics & numerical data
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Community Mental Health Services* / statistics & numerical data
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Comorbidity
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Diagnosis, Dual (Psychiatry)
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Female
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Humans
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Male
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Middle Aged
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Outcome and Process Assessment, Health Care
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Patient Care Team
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Patient Readmission / statistics & numerical data
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Patient Transfer* / statistics & numerical data
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Psychotic Disorders / rehabilitation*
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Retrospective Studies
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Substance-Related Disorders / rehabilitation