The effectiveness of community care for people with severe mental disorders
Journal Title: Archives of Psychiatry and Psychotherapy - Year 2009, Vol 11, Issue 4
Abstract
Background. A constant effort is observed all over the world to displace treatment from mental hospitals and other long stay institutions to a community form of care. Community care is poorly developed in Poland. This induces surveys estimating the effectiveness of community care recently formed. Aim. The aim was to estimate the efficacy of a new community model of treatment of patients with schizophrenia. It was expected that community care decreases hospitalizations and enables better functioning in the environment, which in turn improves their quality of life. Method. The study was carried out on 37 patients and 25 caregivers assessed at the referral to the community care and after one year in care. The study uses PANSS, Birchwood Scale and the Quality of Life Scale. Polish questionnaires: Family Burden Questionnaire and Questionnaire of Burdensome Behaviour were used to measure family burden in the patients’ and their relatives’ views. The focus group was used to evaluate treatment satisfaction. Cost assessment was made using the data form Administrative Departure of the institution. Results. Improvement in psychic state, contacts with family and satisfaction from life were achieved. Reduction in destructive behaviours was noted. Improvement occurred in withdrawal and undertaking social roles. Reduction in costs occurred due to a major decrease in the length of hospitalisations. Conclusions. Community care enables social inclusion through improving social functioning and subjective quality of life and sense of freedom. The community model is cost effective as a result of reduction of hospitalisations.
Authors and Affiliations
Katarzyna Prot-Klinger, Małgorzata Pawłowska
Keywords
Related Articles
- EP ID EP160223
- DOI -
- Views 74
- Downloads 0
Why is research involving people with Alzheimer’s disease difficult?
The article reflects the reasons for the scarcity of patient-inclusive projects in Alzheimer’s disease psychosocial research. Among the prejudices concerning research methods the authors identify and examine: 1. the expe...
Postnatal mental depression in two outpatient clinics in Katowice: analysing frequency and risk factors
Aim. The objective of the research was the analysis of the frequency with which postnatal disorders occur in the early period after the delivery, the assessment of their character, and studying the risk features of affec...
Efficient and valid assessment of personality traits: population norms of a brief version of the NEO Five-Factor Inventory (NEO-FFI)
Aim of the studyThe NEO Five-Factor Inventory (NEO-FFI), a well-established 60-item questionnaire based on theFive-Factor Model (FFM) of personality, provides a valuable framework for the interdisciplinary approachto per...
Selected psychological traits and body image characteristics in females suffering from binge eating disorder
Aim. This paper reports the results of the author’s own research aimed at diagnosing specific psychological (personality) traits and body image characteristics in a population of selected females suffering from binge eat...
The phenomenon of dual diagnosis in the light of attachment theory – a case study
A key precept of Bowlby’s attachment theory is that every human being has a biologically and genetically imprinted need to develop relationships with other people. The relationship, which develops between a child and mot...