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Clinical and social changes in severely mentally ill individuals admitted to an outpatient psychosis team: an 18-month follow-up study

Bengtsson-Tops, A and Hansson, Lars LU (2003) In Scandinavian Journal of Caring Sciences 17(1). p.3-11
Abstract
Aim: The study investigated clinical and social changes during an 18-month follow-up period in a group (n = 76) of schizophrenic outpatients admitted to a newly implemented outpatient psychosis team. Changes related to level of contact with the psychosis team were also examined as well as aspects of the content of the treatment interventions and work situation from a staff perspective. Methods: Structured face-to-face interviews with the patients were performed at baseline and after 18 months. The Camberwell Assessment of Need instrument, the Lancashire Quality of Life Profile and the Interview Schedule for Social Interaction were used on both interview occasions along with Global Assessment of Functioning Scale and Brief Psychiatric... (More)
Aim: The study investigated clinical and social changes during an 18-month follow-up period in a group (n = 76) of schizophrenic outpatients admitted to a newly implemented outpatient psychosis team. Changes related to level of contact with the psychosis team were also examined as well as aspects of the content of the treatment interventions and work situation from a staff perspective. Methods: Structured face-to-face interviews with the patients were performed at baseline and after 18 months. The Camberwell Assessment of Need instrument, the Lancashire Quality of Life Profile and the Interview Schedule for Social Interaction were used on both interview occasions along with Global Assessment of Functioning Scale and Brief Psychiatric Rating Scale. Thematic open-ended questions were used in staff interviews. Results: Psychiatric symptoms, number of needs and number of met needs decreased, and perceived quality of life improved for the total sample during the follow-up period. Patients only in contact with a psychiatrist in the psychosis team improved more in symptoms and spent fewer days in hospital during follow-up time compared with those who had combined psychiatric and supportive contacts, and were also more satisfied with their medication. Patients with a combined contact deteriorated in psychosocial functioning compared with the group only in contact with a psychiatrist. Some of the elements in treatment interventions and work situation as well as hindrances in providing community-based care adapted to the patients' needs were identified. Conclusions: Community-based psychiatric services, to a larger extent, need to embrace evidence-based interventions and to perform regular, structured and comprehensive need assessments in order to ensure the effectiveness of interventions. Attention should be paid to staff motivation and education as well as to providing practical guidelines, supervision and support. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
needs for care, schizophrenia, psychosis team, follow-up
in
Scandinavian Journal of Caring Sciences
volume
17
issue
1
pages
3 - 11
publisher
Wiley-Blackwell
external identifiers
  • wos:000181653400002
  • pmid:12581289
  • scopus:0037336808
ISSN
1471-6712
DOI
10.1046/j.1471-6712.2003.00108.x
language
English
LU publication?
yes
id
c4f29f18-f437-4f04-9951-f761241093f1 (old id 900561)
date added to LUP
2008-01-10 13:20:44
date last changed
2018-01-07 09:10:26
@article{c4f29f18-f437-4f04-9951-f761241093f1,
  abstract     = {Aim: The study investigated clinical and social changes during an 18-month follow-up period in a group (n = 76) of schizophrenic outpatients admitted to a newly implemented outpatient psychosis team. Changes related to level of contact with the psychosis team were also examined as well as aspects of the content of the treatment interventions and work situation from a staff perspective. Methods: Structured face-to-face interviews with the patients were performed at baseline and after 18 months. The Camberwell Assessment of Need instrument, the Lancashire Quality of Life Profile and the Interview Schedule for Social Interaction were used on both interview occasions along with Global Assessment of Functioning Scale and Brief Psychiatric Rating Scale. Thematic open-ended questions were used in staff interviews. Results: Psychiatric symptoms, number of needs and number of met needs decreased, and perceived quality of life improved for the total sample during the follow-up period. Patients only in contact with a psychiatrist in the psychosis team improved more in symptoms and spent fewer days in hospital during follow-up time compared with those who had combined psychiatric and supportive contacts, and were also more satisfied with their medication. Patients with a combined contact deteriorated in psychosocial functioning compared with the group only in contact with a psychiatrist. Some of the elements in treatment interventions and work situation as well as hindrances in providing community-based care adapted to the patients' needs were identified. Conclusions: Community-based psychiatric services, to a larger extent, need to embrace evidence-based interventions and to perform regular, structured and comprehensive need assessments in order to ensure the effectiveness of interventions. Attention should be paid to staff motivation and education as well as to providing practical guidelines, supervision and support.},
  author       = {Bengtsson-Tops, A and Hansson, Lars},
  issn         = {1471-6712},
  keyword      = {needs for care,schizophrenia,psychosis team,follow-up},
  language     = {eng},
  number       = {1},
  pages        = {3--11},
  publisher    = {Wiley-Blackwell},
  series       = {Scandinavian Journal of Caring Sciences},
  title        = {Clinical and social changes in severely mentally ill individuals admitted to an outpatient psychosis team: an 18-month follow-up study},
  url          = {http://dx.doi.org/10.1046/j.1471-6712.2003.00108.x},
  volume       = {17},
  year         = {2003},
}