Effectiveness of Case Management for Homeless Persons: A Systematic Review

被引：113

作者：

de Vet, Renee ^{[1
]}

van Luijtelaar, Maurice J. A. ^{[1
]}

Brilleslijper-Kater, Sonja N. ^{[1
,2
]}

Vanderplasschen, Wouter ^{[3
]}

Beijersbergen, Marielle D. ^{[1
]}

Wolf, Judith R. L. M. ^{[1
]}

机构：

[1] Radboud Univ Nijmegen, Med Ctr, Dept Primary & Community Care, NL-6500 HB Nijmegen, Netherlands

[2] Univ Amsterdam, Acad Med Ctr, Child Abuse & Neglect Team, NL-1105 AZ Amsterdam, Netherlands

[3] Univ Ghent, Dept Orthopedag, B-9000 Ghent, Belgium

来源：

AMERICAN JOURNAL OF PUBLIC HEALTH | 2013年 / 103卷 / 10期

关键词：

CRITICAL TIME INTERVENTION; ASSERTIVE COMMUNITY TREATMENT; QUALITY-OF-LIFE; SEVERE MENTAL-ILLNESS; INTENSIVE CASE-MANAGEMENT; COST-EFFECTIVENESS; SELF-REPORT; INTEGRATED TREATMENT; REDUCE HOMELESSNESS; RANDOMIZED-TRIAL;

D O I：

10.2105/AJPH.2013.301491

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

We reviewed the literature on standard case management (SCM), intensive case management (ICM), assertive community treatment (ACT), and critical time intervention (CTI) for homeless adults. We searched databases for peer-reviewed English articles published from 1985 to 2011 and found 21 randomized controlled trials or quasi-experimental studies comparing case management to other services. We found little evidence for the effectiveness of ICM. SCM improved housing stability, reduced substance use, and removed employment barriers for substance users. ACT improved housing stability and was cost-effective for mentally ill and dually diagnosed persons. CTI showed promise for housing, psychopathology, and substance use and was cost-effective for mentally ill persons. More research is needed on how case management can most effectively support rapid-rehousing approaches to homelessness.

引用

页码：E13 / E26

页数：14

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