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Comparison of intensive and standard case management for patients with psychosis

Rationale of the trial

Published online by Cambridge University Press:  02 January 2018

Francis Creed ,
Tom Burns ,
Tom Butler ,
Sarah Byford ,
Robin Murray ,
Simon Thompson  and
Peter Tyrer
Francis Creed*
Affiliation:
Manchester Royal Infirmary, Manchester
Tom Burns
Affiliation:
St George's Hospital Medical School, London
Tom Butler
Affiliation:
National Primary Care Research & Development Centre, University of Manchester
Sarah Byford
Affiliation:
Health Economics Centre, University of York
Robin Murray
Affiliation:
Institute of Psychiatry, London
Simon Thompson
Affiliation:
St Charles' Hospital, London
Peter Tyrer
Affiliation:
St Charles' Hospital, London
*
Professor Francis Creed, Rawnsley Building, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL
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Abstract

Background

Case management, particularly in intensive form, has been widely introduced for the treatment of severe mental illness. However, the optimal intensity of case management has not been determined.

Aims

We aimed to assess whether intensive case management (small case load) reduces hospitalisation and costs compared with standard case management.

Method

Development and rationale of a large randomised controlled trial comparing intensive case management (case load per worker? 15 patients) with standard case management (case load 30–35 patients)

Results

Two-year outcome data will be obtained on patients representative of the seriously mentally ill in inner-city mental health services.

Conclusions

The study planned with 700 patients should be sufficient to detect small differences in the readmission of patients to hospital (10%), the number of days spent in hospital over a two-year period (10 days) and the average weekly cost of care per patient. The sample is large enough to compare the cost-effectiveness of intensive and standard case management in mild and severe disability and in people of African–Caribbean origin and White Caucasians.

Type
Preliminary Reports
Information
The British Journal of Psychiatry , Volume 174 , Issue 1 , January 1999 , pp. 74 - 78
Copyright
Copyright © 1999 The Royal College of Psychiatrists 

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Footnotes

Declaration of interest

Funded by the UK NHS Research and Development Programme and the Department of Health.

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