Mood and Emotion 2024;22(3):87-93

doi: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 1 ; Kyungmin KIM ; Bo-Hyun YOON ; Young-Hwa SEA ; Suhee PARK ; Jye-Heon SONG ; Ha-Ran JUNG ; Yuran JEONG ; Hyunju YUN ; Jaegil JO ; Hangoeunbi KANG

Affiliations

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Country

Republic of Korea

Language

English

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.