TY - JOUR PY - 2001// TI - Reducing violence in severe mental illness: randomised controlled trial of intensive case management compared with standard care JO - British medical journal: BMJ A1 - Walsh, E. A1 - Gilvarry, C. A1 - Samele, C. A1 - Harvey, K. A1 - Manley, C. A1 - Tyrer, P. A1 - Creed, Francis H. A1 - Murray, R. A1 - Fahy, T. SP - 1093 EP - 1096 VL - 323 IS - 7321 N2 - OBJECTIVES: To establish whether intensive case management reduces violence in patients with psychosis in comparison with standard case management. DESIGN: Randomised controlled trial with two year follow up. SETTING: Four inner city community mental health services. PARTICIPANTS: 708 patients with established psychotic illness allocated at random to intervention (353) or control (355) group. INTERVENTION: Intensive case management (caseload 10-15 per case manager) for two years compared with standard case management (30-35 per case manager). MAIN OUTCOME MEASURE: Physical assault over two years measured by interviews with patients and case managers and examination of case notes. RESULTS: No significant reduction in violence was found in the intensive case management group compared with the control group (22.7% v 21.9%, P=0.86). CONCLUSIONS: Intensive case management does not reduce the prevalence of violence in psychotic patients in comparison with standard care.
Language: en
LA - en SN - 0959-8138 UR - http://dx.doi.org/ ID - ref1 ER -