Citation

Walsh E, Gilvarry C, Samele C, Harvey K, Manley C, Tyrer P, Creed FH, Murray R, Fahy T. Br. Med. J. BMJ 2001; 323(7321): 1093-1096.

Affiliation

Section of Forensic Mental Health, Guy's King's and St. Thomas's School of Medicine, Institute of Psychiatry, London, UK.

Copyright

(Copyright © 2001, BMJ Publishing Group)

DOI

unavailable

PMID

11701572

PMCID

PMC59682

Abstract

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