Reducing violence in severe mental illness: randomised controlled trial of intensive case management compared with standard care. Issue 7321 (10th November 2001)

• Record Type: Journal Article
• Authors: Walsh, Elizabeth; Gilvarry, Catherine; Samele, Chiara; Harvey, Kate; Manley, Catherine; Tyrer, Peter; Creed, Francis; Murray, Robin; Fahy, Thomas
• Is Part Of: BMJ. Volume 323:Issue 7321(2001)
• Page Start: 1093
• Publication Date: 2001-11-10
• Subjects: Medicine -- Periodicals; Medicine -- Periodicals; Medicine; Periodicals; 610
• DOI: 10.1136/bmj.323.7321.1093
• Languages: English
• ISSNs: 0007-1447

Abstract

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.