Background Social networks are important for people with severe mental illness, and services need to assess whether they succeed in improving social contacts.
Method In a prospective controlled study, social network data were obtained in an epidemiologically representative sample of people with psychotic disorders both before (Time I) and two years after (Time 2) the introduction oftwo sectorised community mental health services in south London (one intensive service with two specialist teams, one standard service with a generic team).
Results There were significant baseline differences between sectors with social networks being smaller in the sector later served by the intensive service.
Social network size increased within the intensive service sector, but not in the standard service sector.
There was a significant sector effect for the network component of relatives (intensive>standard) and in the other ('non friends') component (standard>intensive) after adjusting for baseline differences.
Conclusions The findings suggest that the intensive sector community mental health service enhanced people's social networks with their relatives, relative to the standard service.
The reverse is the case for other contacts.
Declaration of interest Funding provided by the Bethlem & Maudsley NHS Trust.
Mots-clés Pascal : Psychose, Traitement communautaire, Psychiatrie communautaire, Angleterre, Grande Bretagne, Royaume Uni, Europe, Service santé, Organisation santé, Réseau social, Interaction sociale, Comportement social, Santé mentale, Homme
Mots-clés Pascal anglais : Psychosis, Community treatment, Community psychiatry, England, Great Britain, United Kingdom, Europe, Health service, Public health organization, Social network, Social interaction, Social behavior, Mental health, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0092405
Code Inist : 002B18I11. Création : 31/05/1999.