Case Management Knowledge Item 05: Results from HRSA/HAB's SPNS Innovative Models of Care

Knowledge Item: CA-Case Management-05
Retention in Psychosocial Services as Related to the Number of Case Management Sessions and Service Needs and Vulnerabilities

Cox regression survival analysis was used to study the time that 1735 clients in 10 programs were retained in psychosocial services. Combining data from the programs, it was found that clients who received case management as part of their care stayed longer in the program.

Clients who have had relatively more case management sessions are retained longer in the programs. Considering the index of total service needs and vulnerabilities does not add to the prediction of retention: clients with relatively high and relatively low service needs and vulnerabilities stay about the same amount of time after case management, project, and gender differences are accounted for. This suggests that these projects were effective at case managing both relatively high- and low-need and vulnerability clients, or that case management is the "leveler" that insures that all clients have an equal chance to stay in the continuum of services.

The following four scatterplots summarize the relationship between the total number of service needs and vulnerabilities index and the total stay of the client in the program. Four groups are separately shown (from the upper left, clockwise: still in program on last day of data collection, no case management; terminated from program, no case management; terminated from program, case management; still in program on last day of data collection, case management. There is only a very tiny relationship between the total number of needs and length of stay in program.

More Information: Scatterplot "Cloud is Jittered" Smoother

All Clients

By Site

Knowledge Item Citation: Huba, G. J., Melchior, L. A., Panter, A. T., and the HRSA/HAB SPNS Cooperative Agreement Steering Committee (1998-2001). Knowledge Item: CA-Case Management-05 from HRSA/HAB's SPNS Cooperative Agreements on Innovative Models of Care, The Measurement Group Knowledge Base on HIV/AIDS Care, Online at www.TheMeasurementGroup.com.

Last Updated: December 14, 2001; data through June 15, 1999; analyses conducted January - June 2000.

Knowledge Base Citation: The Knowledge Base and this Knowledge Item were designed and authored by G. J. Huba, Ph.D.; in collaboration with Lisa A. Melchior, Ph.D.; A. T. Panter, Ph.D.; and the staff of The Measurement Group. Cite this work as "Huba, G. J., Melchior, L. A., and Panter, A. T. (1998 - 2001). The Measurement Group Knowledge Base on HIV/AIDS Care. On the World Wide Web: http://www.TheMeasurementGroup.com."

Questions or Comments: Contact The Measurement Group.

Use of Knowledge Base Information: Acceptable Uses and Limitations.

Collaborators from Participating Projects: Cooperative Agreement Steering Committee 1999.

Participating Projects: This Knowledge Base is based on the service delivery experiences of 27 Cooperative Agreement Projects on Innovative Models of HIV/AIDS Care. These projects and the Evaluation and Dissemination Center which produced this Knowledge Base were funded by the Health Resources and Services Administration (HRSA), HIV/AIDS Bureau (HAB) as Special Projects of National Significance (SPNS) between 1994 and 1999. Click the Model Programs button above for descriptions of the projects that contributed to this specific Knowledge Item, a list of key staff, and project grant numbers.

Why This Evaluation was Conducted: Editorial.

More Information: Design of this Knowledge Base.

Recommended Citation Format for Web Materials: American Psychological Association Publication Manual Section, Revised 2001.

Work on the Knowledge Base and the cross-cutting evaluation was supported in part by Grant Number 5 U90 HA 00030-05 from the Health Resources and Services Administration (HRSA), HIV/AIDS Bureau's (HAB) Special Projects of National Significance (SPNS). The contents of this Knowledge Base are solely the responsibility of The Measurement Group and do not necessarily represent the official views of HRSA or HRSA/HAB's Special Projects of National Significance nor may they represent the positions of the individual grantees whose projects are included in the cross-cutting evaluation.