Intensive case management does not reduce violence in psychosis

Increasing the intensity of contact with a case manager does not reduce the prevalence of violence over two years in patients with psychosis. Walsh and colleagues (p 1093) compared intensive case management with standard care as part of the large UK700 study. Risk factors for violence included previous violence, drug misuse, victimisation, younger age, and learning difficulties. The association between violence and psychosis is attributable to a small subgroup of patients, and community psychiatric teams are trying to minimise this risk.


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Relevant Article

Reducing violence in severe mental illness: randomised controlled trial of intensive case management compared with standard care
Elizabeth Walsh, Catherine Gilvarry, Chiara Samele, Kate Harvey, Catherine Manley, Peter Tyrer, Francis Creed, Robin Murray, and Thomas Fahy
BMJ 2001 323: 1093. [Abstract] [Full Text] [PDF]




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