Mood Emot 2024 Nov; 22(3): 87-93   https://doi.org/10.35986/me.2024.22.3.87
Effects of Hospital-Based Case Management on Relapse Prevention and Functioning in Patients with Severe Mental Illness
Sang-Geun Pong , MD, Kyungmin Kim , MD, Bo-Hyun Yoon , MD, PhD, Young-Hwa Sea , MD, Suhee Park , MD, Jye-Heon Song , MD, Ha-Ran Jung , MD, Yuran Jeong , MD, Hyunju Yun , MD, Jaegil Jo , MD, Hangoeunbi Kang , MD
Department of Psychiatry, Naju National Hospital, Naju, Korea
Correspondence to: Kyungmin Kim, MD
Department of Psychiatry, Naju National Hospital, 1328-31 Senam-ro, Sanpo-myeon, Naju 58213, Korea
TEL +82-61-330-4101 FAX +82-61-330-5150 E-mail heilyooa@gmail.com ORCID https://orcid.org/0000-0001-5376-1418
Co-Correspondence: Bo-Hyun Yoon, MD, PhD
Department of Psychiatry, Naju National Hospital, 1328-31 Senam-ro, Sanpo-myeon, Naju 58213, Korea
TEL +82-61-330-4101 FAX +82-61-330-5150 E-mail byoon01@gmail.com ORCID https://orcid.org/0000-0002-3882-7930
Received: October 31, 2024; Accepted: November 5, 2024; Published online: November 30, 2024.
© Korean Society for Affective Disorders. All rights reserved.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Background: This study aimed to determine the effectiveness of hospital-based case management for patients with severe mental illness.
Methods: A total of 106 patients were included. To evaluate the effectiveness of hospital-based case management, the number of hospitalizations, cumulative length of hospitalization, and hospital days/year as well as functioning were compared before and after the hospital-based case management intervention. Cox regression was performed to identify variables that may influence readmission rates other than patients’ hospital-based case management interventions.
Results: The number of hospitalizations decreased from 1.4±0.9 to 0.5±1.0 (p<0.001), cumulative length of hospitalization from 73.0±62.3 to 28.1±57.2 days (p<0.001), and hospital days/year from 20.0±17.1 to 7.7±15.7 days (p<0.001). The changes in Global Assessment of Functioning (GAF) Scale were 35.3±15.7 points at case management intervention, 43.7±13.9 points after 1 month of case management (p<0.001), 51.2±14.1 points after 3 months (p<0.001), and 53.1±17.6 points after 6 months (p<0.001). Demographic and clinical characteristics that influenced readmissions were GAF at admission (p=0.017), duration (p=0.042), diagnosis (p=0.019), and type of admission (p=0.001).
Conclusion: Hospital-based case management significantly improved readmission rates and functioning in patients with severe mental illness, supporting its continued implementation and expansion.
Keywords: Hospital based case management; Severe mentally ill patients; Rehospitalization; Functioning

  • Search

This Article


Services
Social Network Service

Archives