Effects of community services on disability and symptoms : PRIsM Psychosis Study 4.
Background Community care for people with psychosis can be provided via several different service models.
The study compared two models
Standard community treatment with high patient : staff ratios, and intensive community treatment in which there was more of an emphasis on community involvement and lower patient : staff ratios.
Method All people fulfilling diagnostic criteria for psychosis and living in two defined geographical areas in south London were identified.
These people were provided with either an intensive or standard service depending on their address.
Their social behaviour and symptoms were measured at the beginning ofthe study and after two years.
Results There is little evidence of any effects ofthe two service models on levels of symptoms.
However, the standard service did seem to be advantageous in reducing social disability for those with medium or low levels of disability.
Conclusions The effect of intensive community services was the opposite to that predicted.
Despite improvements in outcomes (e.g
Hospital admission), there were no advantages for this type ofservice in the measures of disability or symptoms.
In fact, the standard service was effective in reducing disability, whereas in the intensive service there was no change.
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, Etude comparative, Modalité traitement, Santé mentale, Homme
Mots-clés Pascal anglais : Psychosis, Community treatment, Community psychiatry, England, Great Britain, United Kingdom, Europe, Health service, Public health organization, Comparative study, Application method, Mental health, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0092460
Code Inist : 002B18I11. Création : 31/05/1999.