Patients are referred by the integrated multi-disciplinary case management team.
Videoconference links PAH-based specialists to healthcare professionals at the patients' bedside, deploying mobile wireless VC carts (Fig. 2) for this purpose, followed by multi-disciplinary case conferencing.
This model can be described as multi-disciplinary case management of high-risk patients, and tends to focus on reducing these patients' use of acute, secondary care services.
A multi-disciplinary case management team has been established including members of the police, the Bar Council, local government and UNICEF's partner NGOs, Save the Children UK and Jagrata Jubo Shangha (JJS).
Surgery was performed after our standard presurgical work-up, including EEG-video telemetry, conventional MRI (T1- and T2-weighted, proton density and FLAIR), psychological and psychiatric assessments and multi-disciplinary case conference.
There was no difference between absconders and those on agreed leave in terms of the number under enhanced levels of aftercare (the Care Programme Approach (CPA); a mechanism which provides supervision by a care co-ordinator and regular multi-disciplinary case reviews to patients with complex health and social care needs).
The sample was drawn from within a South Australian community mental health service serving the needs of approximately 800 people with mental illness (with approximately 10%% of these on a CTO) via a multi-disciplinary case management team of approximately 40 health professionals.
More and more care models are being implemented in Germany as well as worldwide that offer in one way or another home treatment, case management and multi-disciplinary care to persons who are severely mentally ill [ 7].
First, multi-disciplinary care may be warranted in some cases.
Another very important aspect of case management involves a multi disciplinary team approach peri-operatively.
The effectiveness of the project could have been strengthened by a stronger governance system to oversee management and monitor quality assurance, as well as by a stronger multi-agency, multi-disciplinary approach to case management.
