{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,12]],"date-time":"2025-03-12T04:14:41Z","timestamp":1741752881444,"version":"3.38.0"},"reference-count":24,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2008,1,1]],"date-time":"2008-01-01T00:00:00Z","timestamp":1199145600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Australas Psychiatry"],"published-print":{"date-parts":[[2008,2]]},"abstract":"<jats:p> Objective: To investigate the rates of relapse of mental illness in adults requiring acute intervention at a mental health service following a planned discharge process from community case management. <\/jats:p><jats:p> Method: A planned approach to identifying and facilitating patient discharge was identified and incorporated into clinical team reviews. Data regarding service contacts of all discharged patients were collected at 1 year and then 3 years following planned discharge and reviewed in detail. Demographic factors and clinical variables were collected in anticipation that useful predictors for successful discharge might be identified. <\/jats:p><jats:p> Results: Using a planned approach, a greater number of patients were discharged from case management to the care of a primary treating practitioner. Discharges increased from 11 in 2000 to 46 in 2001. Of the 46 patients discharged from case management, 22 patients (47.8%) had no contact with the service during the first 12 months. Twenty-four patients accessed the Service requiring no further action, but at some point nine (19.6%) required acute intervention. The remaining 15 patients (32.6%) were managed successfully either by the triage service or non-urgent referral for psychiatric consultation. During the 3 year period 10 patients (21.7%) continued to have no contact with the service. Nineteen patients (41.3%) required acute intervention; the remaining 17 (36.9%) were successfully managed through triage or via non-urgent psychiatric review requiring no further action by the Service. Of the seven patients who had been on a community treatment order during their treatment, only one had further contact with the Service. <\/jats:p><jats:p> Conclusions: A planned approach to the discharge of patients from case management to the community resulted in an increased number of patient discharges. While most patients did not rapidly relapse, a number of patients did have contact with the Service and 19 (41.3%) required at least one acute intervention during the 3 year follow-up period. The findings reflect the importance of relapse prevention and management and service re-entry planning with triage services, patients, carers and other key workers. The frequency of service use and the variation of services required by patients highlight the importance of availability of a variety of adequately resourced levels of service response. <\/jats:p>","DOI":"10.1080\/10398560701613871","type":"journal-article","created":{"date-parts":[[2008,1,18]],"date-time":"2008-01-18T12:30:00Z","timestamp":1200659400000},"page":"33-38","source":"Crossref","is-referenced-by-count":7,"title":["Outcome of Planned Discharge from Case Management: A 3 Year Retrospective Study"],"prefix":"10.1177","volume":"16","author":[{"given":"Linda","family":"Backus","sequence":"first","affiliation":[{"name":"Community Care Unit, Werribee Mercy Mental Health Program, Werribee, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Weinkove","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, University of Pretoria, Pretoria, South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marilyn","family":"Lucas","sequence":"additional","affiliation":[{"name":"School of Arts, Monash South Africa, Johannesburg, South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sean","family":"Jespersen","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, University of Melbourne, Melbourne, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2008,1,1]]},"reference":[{"key":"bibr1-10398560701613871","first-page":"895","volume":"43","author":"Curtis JL","year":"1992","journal-title":"Hospital and Community Psychiatry"},{"key":"bibr2-10398560701613871","doi-asserted-by":"publisher","DOI":"10.1007\/s001270050007"},{"key":"bibr3-10398560701613871","doi-asserted-by":"publisher","DOI":"10.1080\/09638239718941"},{"key":"bibr4-10398560701613871","doi-asserted-by":"publisher","DOI":"10.1176\/ps.46.12.1263"},{"key":"bibr5-10398560701613871","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(98)12191-8"},{"journal-title":"Cochrane Database System Review","year":"2000","author":"Marshall M","key":"bibr6-10398560701613871"},{"key":"bibr7-10398560701613871","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.51.11.1410"},{"journal-title":"Cochrane Database of Systematic Review","year":"1998","author":"Marshall M","key":"bibr8-10398560701613871"},{"key":"bibr9-10398560701613871","doi-asserted-by":"publisher","DOI":"10.1046\/j.1440-1614.2001.00956.x"},{"key":"bibr10-10398560701613871","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.66.1.7"},{"volume-title":"Victoria's Mental Health, Service Resources for Case Managers. 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