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Mirror image study (10 years of follow-up and 10 of standard pre-treatment) of psychiatric hospitalizations of patients with severe schizophrenia treated in a community-based, case-managed programme.
- Source :
-
Revista de psiquiatria y salud mental [Rev Psiquiatr Salud Ment (Engl Ed)] 2022 Jan-Mar; Vol. 15 (1), pp. 47-53. Date of Electronic Publication: 2022 Jan 31. - Publication Year :
- 2022
-
Abstract
- Objectives: To determine the psychiatric hospitalizations of patients with severe schizophrenia before (standard treatment in mental health centres) and during treatment in a comprehensive, community-based, case-managed programme, as well as the role played by antipsychotic medication (oral or long-acting injectable).<br />Methods: Observational, mirror image study of ten years of follow-up and ten retrospectives ('pre-treatment': standard), of patients with severe schizophrenia in a community-based programme, with pharmacological and psychosocial integrated treatment and intensive case management (N = 344). Reasons for discharge from the programme and psychiatric hospital admissions (and whether they were involuntary) were recorded ten years before and during treatment, as well as the antipsychotic medication prescribed.<br />Results: The retention achieved in the programme was high: after 10 years only 12.2% of the patients were voluntary discharges vs 84.3% on previous standard treatment. The number of patients with hospital admissions, and number of admissions due to relapses decreased drastically after entering the programme (P < .0001), as well the involuntary admissions (P < .001). Being on long-acting injectable antipsychotic medication was related with these results (P < .0001).<br />Conclusions: Treatment of patients with severe schizophrenia in a comprehensive, community-based and case-managed programme achieved high retention rates, and was effective in drastically reducing psychiatric hospitalizations compared to the previous standard treatment in mental health units. Undergoing treatment with long-acting injectable antipsychotics was clearly linked to these outcomes.<br /> (Copyright © 2019 SEP y SEPB. Published by Elsevier España, S.L.U. All rights reserved.)
Details
- Language :
- English
- ISSN :
- 2173-5050
- Volume :
- 15
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Revista de psiquiatria y salud mental
- Publication Type :
- Academic Journal
- Accession number :
- 35101362
- Full Text :
- https://doi.org/10.1016/j.rpsmen.2022.01.002