Effectiveness of Case Management for Homeless Persons: A Systematic Review
Author(s) -
Renée de Vet,
Maurice J. A. van Luijtelaar,
Sonja N. BrilleslijperKater,
Wouter Vanderplasschen,
Mariëlle D. Beijersbergen,
Judith Wolf
Publication year - 2013
Publication title -
american journal of public health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.284
H-Index - 264
eISSN - 1541-0048
pISSN - 0090-0036
DOI - 10.2105/ajph.2013.301491
Subject(s) - assertive community treatment , case management , psychopathology , mentally ill , randomized controlled trial , intervention (counseling) , psychiatry , medicine , medline , psychology , family medicine , mental illness , mental health , political science , surgery , law
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.
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