Care Management Arrangements for Older People and those with Mental Health Problems: Integration and Differentiation

This project aims to identify the distinctive characteristics of different care management arrangements and discriminate between these in terms of their structures, processes and outcomes, in order to identify differences in their relative costs and benefits.

There is a significant variation in care management arrangements across England, with very little evidence of the presence of intensive care management or integration of health and social care at this level.  A number of studies have been published covering the variation in patterns of care management: the extent to which different models can be identified; integration; and balance of care.

Research Summaries

Research and Policy Update 1

Research and Policy Update 2

Research and Policy Update 3

Research and Policy Update 4

Research and Policy Update 10

Publications

Challis DJ, Darton R, Hughes J, Stewart KJ, Weiner K. (2001). Intensive care management at home: an alternative to institutional care? Age and Ageing, 30, 409-413.

Challis DJ, Weiner K, Darton R, Hughes J, Stewart KJ. (2001). Emerging patterns of care management: Arangements for older people in England. Social Policy and Administration, 35, 6, 672-687.

Hughes J, Stewart KJ, Challis DJ, Darton R, Weiner K. (2001). Care management and the care programme approach: Towards integration in old age mental health services. International Journal of Geriatric Psychiatry, 16 ,3, 266-272.

Challis DJ, Hughes J. (2002). Frail older people at the margins of care: some recent research findings. British Journal Of Psychiatry, 180, 126-130.

Weiner K, Stewart KJ, Hughes J, Challis DJ, Darton R. (2002). Care Management Arrangements for Older People in England: key areas of variation in a national study. Ageing and Society, 22, 4, 419-439.

Stewart KJ, Hughes J, Challis DJ, Darton R, Weiner K. (2003). Care Management for Older People: Access, Targeting and the Balance between Assessment, Monitoring and Review. Research Policy and Planning, 21,3, 13-22.

Weiner K, Hughes J, Challis DJ, Pedersen I. (2003). Integrating health and social care at the micro level: health care professionals as care managers for older people. Social Policy and Administration, 37, 498-515.

Venables D, Hughes J, Stewart KJ, Challis DJ. (2005). Variations in Care Management Arrangements for People with Mental Health Problems in England. Care Management Journals, 6, 3, 131-138.

Challis DJ, Jacobs SR, Hughes J, Stewart KJ, Venables D, Kate Weiner. (2005). Are Different Forms of Care Management Associated with Variations in Case-Mix, Service Use and Care Managers Time Use in Mental Health Services? Research Policy and Planning, 23, 71-85.

Hughes J, Stewart KJ, Challis DJ, Jacobs SR, Venables D, Weiner Kate. (2005). Exploring the factors influencing care management arrangements in adult mental health services in England. Research, Policy and Planning, 23, 31-42.

Jacobs SR, Hughes J, Challis DJ, Stewart KJ, Kate Weiner. (2006). Care managers'time use: differences between community mental health and older people’s services in the United Kingdom. Care Management Journals, 7, 169-178.

Jacobs SR, Hughes J, Challis DJ, Stewart KJ, Weiner K. (2006). From Care Management to Case Management: What can the NHS learn from the Social Care Experience? Journal of Integrated Care, 14, 3, 22-31.

Venables D, Hughes J, Reilly S, Stewart KJ, Challis DJ. (2006). Patterns of Care Management Arrangements for People with Mental Health Problems in England. Australian Journal of Case Management, 7, 2, 3-9.

Challis DJ, Stewart KJ, Donnelly M, Weiner K, Hughes J. (2006). Care Management for Older People: Does Integration make a difference? Journal of Interprofessional Care, 20, 335-48.

Challis DJ, Hughes J, Jacobs SR, Stewart KJ, Kate Weiner. (2007). Are different forms of care-management for older people in England associated with variations in case-mix, service use and care-managers; use of time? Ageing and Society, 27, 25-48.

Jacobs S, Challis DJ. (2007). Assessing the impact of care management in the community: associations between key organisational components and service outcomes. Age Ageing, 36( 3), 336-9.

Reilly S, Challis DJ, Donnelly Michael, Hughes J, Stewart KJ. (2007). Care management in mental health services in England and Northern Ireland: do integrated organizations promote integrated practice? Journal of Health Services Research and Policy, 12, 236-241.

Tucker SE, Hughes J, Sutcliffe CL, Challis DJ. (2008). Care Management for Older People with mental health problems: From evidence to practice. Australian Health Review, 32, 210-222.

Sutcliffe C, Hughes J, Chester H, Xie C, and Challis D. (2010) Changing patterns of care coordination within old age services in England. Care Management Journals, 11, 3, 157-166.

PSSRU Project Team

David Challis, Professor of Community Care Research; Jane Hughes, Senior Research Fellow; Caroline Sutcliffe, Research Associate; and Chengqiu Xie, Research Associate