Experiences of Community-based Case Management for Early Psychosis: Focusing on Social Treatment for Early Psychosis (STEP) Program

Abstract

Purpose The purpose of this study was to explore the experience of case management for early psychosis and identify factors influencing care management. Methods We conducted in-depth interviews with 10 mental health professionals who implemented the Social Treatment for Early Psychosis (STEP) program. The collected data were analyzed using qualitative content analysis. Results The findings consisted of 4 categories and 15 subcategories. Case management should develop expertise considering the desires of young adults, and grew as experts by promoting family cooperation and coping with mental crises. Administrator's support and peer support programs had a positive impact, while the absence of collaborative systems with psychiatric institution were identified as limitations in the operating system of the basic center. Consulting and monitoring of the metropolitan center provided a foundation for case management at the basic center, while the government's support policy is needed to improve of working environment and set up the youth-friendly early intervention system. Conclusion The results suggest that case management for early psychosis requires multilateral and cooperative efforts by strengthening the capabilities of case managers, establishing an integrated case management network of basic and metropolitan centers, and expanding the government's human and physical infrastructure. Key words: Case management; Community mental health services; Early psychosis; Qualitative research 주요어: ì¡°ê¸°ì •ì‹ ì¦, 사례관리, ì§€ì—­ì‚¬íšŒì •ì‹ ê±´ê°•ì„œë¹„ìŠ¤, ì§ˆì ì—°êµ¬