We evaluated integrated, multidisciplinary, community-based care for a cohort of people with treated long-term mental illness over two years in a field trial set in a semi-rural setting.
The aim was to organise local psychiatric services on an extramural basis with general practitioner teams as the key element.
Trained research workers used a structured interview to collect standardised baseline and three-monthly socio-demographic, clinical, social, family adjustment and burden, and treatment measures from patients, informants, and key-workers.
Analysis included descriptive statistics and, for longitudinal data, analysis of best-fitted straight lines.
We studied 34 patients who had a mean of 12 years continuous illness.
At baseline, they were mainly characterised by research workers as mildly ill with fair social adaptive functioning.
Over two years, there were statistically significant, slight improvements in clinical global impressions ratings by research workers, and in informants ratings of target symptoms and social performance.
Integrated, multidisciplinary, community-based psychiatric care for people with treated long-term mental illness is feasible in a semi-rural setting : patients receiving pharmacotherapy and regular psychosocial treatments remained relatively stable on clinical and social measures over two years.
Mots-clés Pascal : Trouble psychiatrique, Soin, Long terme, Psychiatrie communautaire, Traitement communautaire, Organisation santé, Traitement, Chimiothérapie, Etude cohorte, Evaluation, Service santé, Etude longitudinale, Royaume Uni, Europe, Homme
Mots-clés Pascal anglais : Mental disorder, Care, Long term, Community psychiatry, Community treatment, Public health organization, Treatment, Chemotherapy, Cohort study, Evaluation, Health service, Follow up study, United Kingdom, Europe, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0426657
Code Inist : 002B18I11. Création : 01/03/1996.