Development and evaluation of Intensive Case Management Screening Sheet in the Japanese population

Abstract Background In Japan, the mental health system has been shifting from hospitalization-based to community-based care; some organizations have gradually begun providing intensive case management (ICM) services. We developed an Intensive Case Management Screening Sheet (ICMSS) to screen for the...

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Main Authors: Kota Suzuki, Sosei Yamaguchi, Yasunari Kawasoe, Kazumi Nayuki, Tsutomu Aoki, Naomi Hasegawa, Chiyo Fujii
Format: Article
Language:English
Published: BMC 2019-04-01
Series:International Journal of Mental Health Systems
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13033-019-0278-7
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author Kota Suzuki
Sosei Yamaguchi
Yasunari Kawasoe
Kazumi Nayuki
Tsutomu Aoki
Naomi Hasegawa
Chiyo Fujii
author_facet Kota Suzuki
Sosei Yamaguchi
Yasunari Kawasoe
Kazumi Nayuki
Tsutomu Aoki
Naomi Hasegawa
Chiyo Fujii
author_sort Kota Suzuki
collection DOAJ
description Abstract Background In Japan, the mental health system has been shifting from hospitalization-based to community-based care; some organizations have gradually begun providing intensive case management (ICM) services. We developed an Intensive Case Management Screening Sheet (ICMSS) to screen for the need for ICM in people with mental illness. Methods The aim of this study was to examine the psychometric properties and discriminative ability of ICMSS. Subjects consisted of 911 people with mental illness. The ICMSS score was rated by a professional such as a nurse, social worker, or occupational therapist. Results Exploratory factor analysis showed a one-factor structure with 14 items. The factor structure was supported by confirmatory factor analysis (comparative fit index, 0.98; Tucker–Lewis index, 0.97; root mean square error test of close fit, 0.05). In the receiver operating characteristic analysis for discriminating between users and non-users of ICM services, the area under the curve (AUC) for ICMSS was significantly larger than for Global Assessment of Functioning and Personal and Social Performance Scale, indicating better discriminative ability. However, the AUC for ICMSS was moderate. Thus, we suggest that the need for ICM services is determined by quantitative assessment (i.e., ICMSS) and clinical judgment. Conclusion ICMSS is a brief tool for mental health professionals that will be useful in routine clinical practice. We expect that ICMSS will be used as a measure that reflects the views of professionals from various disciplines in Japanese institutions.
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spelling doaj.art-f64f11e8ff744bc9bd20e28d857399532022-12-21T17:50:16ZengBMCInternational Journal of Mental Health Systems1752-44582019-04-011311810.1186/s13033-019-0278-7Development and evaluation of Intensive Case Management Screening Sheet in the Japanese populationKota Suzuki0Sosei Yamaguchi1Yasunari Kawasoe2Kazumi Nayuki3Tsutomu Aoki4Naomi Hasegawa5Chiyo Fujii6Department of Community Mental Health and Law, National Institute of Mental Health, National Center of Neurology and Psychiatry (NCNP)Department of Community Mental Health and Law, National Institute of Mental Health, National Center of Neurology and Psychiatry (NCNP)Asahi General HospitalAsahi General HospitalAsahi General HospitalPsychiatric Day Care & Clinic Hotto StationDepartment of Community Mental Health and Law, National Institute of Mental Health, National Center of Neurology and Psychiatry (NCNP)Abstract Background In Japan, the mental health system has been shifting from hospitalization-based to community-based care; some organizations have gradually begun providing intensive case management (ICM) services. We developed an Intensive Case Management Screening Sheet (ICMSS) to screen for the need for ICM in people with mental illness. Methods The aim of this study was to examine the psychometric properties and discriminative ability of ICMSS. Subjects consisted of 911 people with mental illness. The ICMSS score was rated by a professional such as a nurse, social worker, or occupational therapist. Results Exploratory factor analysis showed a one-factor structure with 14 items. The factor structure was supported by confirmatory factor analysis (comparative fit index, 0.98; Tucker–Lewis index, 0.97; root mean square error test of close fit, 0.05). In the receiver operating characteristic analysis for discriminating between users and non-users of ICM services, the area under the curve (AUC) for ICMSS was significantly larger than for Global Assessment of Functioning and Personal and Social Performance Scale, indicating better discriminative ability. However, the AUC for ICMSS was moderate. Thus, we suggest that the need for ICM services is determined by quantitative assessment (i.e., ICMSS) and clinical judgment. Conclusion ICMSS is a brief tool for mental health professionals that will be useful in routine clinical practice. We expect that ICMSS will be used as a measure that reflects the views of professionals from various disciplines in Japanese institutions.http://link.springer.com/article/10.1186/s13033-019-0278-7Case (care) managementCommunity mental healthFactor analysisReceiver operating characteristic analysisSchizophreniaMood disorder
spellingShingle Kota Suzuki
Sosei Yamaguchi
Yasunari Kawasoe
Kazumi Nayuki
Tsutomu Aoki
Naomi Hasegawa
Chiyo Fujii
Development and evaluation of Intensive Case Management Screening Sheet in the Japanese population
International Journal of Mental Health Systems
Case (care) management
Community mental health
Factor analysis
Receiver operating characteristic analysis
Schizophrenia
Mood disorder
title Development and evaluation of Intensive Case Management Screening Sheet in the Japanese population
title_full Development and evaluation of Intensive Case Management Screening Sheet in the Japanese population
title_fullStr Development and evaluation of Intensive Case Management Screening Sheet in the Japanese population
title_full_unstemmed Development and evaluation of Intensive Case Management Screening Sheet in the Japanese population
title_short Development and evaluation of Intensive Case Management Screening Sheet in the Japanese population
title_sort development and evaluation of intensive case management screening sheet in the japanese population
topic Case (care) management
Community mental health
Factor analysis
Receiver operating characteristic analysis
Schizophrenia
Mood disorder
url http://link.springer.com/article/10.1186/s13033-019-0278-7
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