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Acta Psychiatr Scand. 2008 Jun;117(6):449-54. doi: 10.1111/j.1600-0447.2008.01170.x. Epub 2008 Mar 10.

Clinical case management of revolving door patients - a semi-randomized study.

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Department of Psychiatry, Herzog Hospital, Hebrew University of Jerusalem, Jerusalem, Israel.



To assess the effectiveness of psychiatric clinical case management.


Subjects with at least three admissions in the previous 2 years were randomized into a clinical case management group (CMG; n = 122) and a standard care group (SCG; n = 95). Individuals who refused or were not located were included in a third, non-randomized no-treatment group (NTG; n = 153). Parameters assessed included utilization of in-patient services and psychosocial functioning.


We found no difference between the CMG and the SCG in psychosocial functioning as evaluated by interviewers, and no difference between the three groups in hospitalization. In subjects' self-ratings, the CMG showed slight improvement in psychosocial functioning.


Clinical case management did not prove itself superior to standard care in a revolving door population.

[Indexed for MEDLINE]

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