Case management for people with substance abuse disorders can improve linkage with relevant services

Clinical question: 
Is case management helpful for people with substance abuse disorders?
Bottom line: 
Compared with treatment as usual or other variable treatment options, such as psycho-education or brief interventions, case management can enhance linkage with other community and treatment services. The use of a manual to guide the delivery of case management seemed to increase linkage.
Caveat: 
The extent of linkage varied significantly between studies. There was no conclusive evidence that case management improved other outcomes, such as reducing drug use. One study was conducted in Europe; the other studies were conducted in North America.
Context: 
Case management is a client-centred strategy involving assessment, planning, linking to relevant services and community resources, and advocacy. The intent is to improve the coordination and continuity of delivery of services.
Review CD#: 
CD006265
PEARLS No: 
52
Date: 
April, 2008
Authored by: 
Brian R McAvoy