Quality of life outcomes for intensive versus standard community mental health services : PRiSM Psychosis Study 9.
Background We reportthe impact on the quality of life (QOL) of people with psychosis of an intensive compared with a standard model of community care.
Method People with psychosis, in two sectors in south London, were interviewed with a variety of measures at baseline, and at two-year follow-up (n=138), After baseline, services within one sector were reorganised, and a more intensive model ofcommunity care was introduced.
QOL was measured using the Lancashire Quality of Life Profile.
Results The two overall QOL measures, global QOL and the average of the domain-specific scores, were remarkably stable over time.
There was weak evidence for an improvement in living situation domain in the intensive sector ; this may be accounted for by a large drop in in-patient admissions.
In both sectors objective QOL was poor, and there was little change in any ofthe objective indicators except in-patient admissions, and a suggestion of increased social activity in the intensive sector.
Conclusions We failed to find an effect of intensive community care on QOL in people with psychosis.
This may indicate an insensitivity to change in QOL measures, or that the intervention failed to produce the kind ofchanges in mental health and functioning which would be reflected in improved QOL.
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, Qualité vie, Evolution, 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, Quality of life, Evolution, Comparative study, Application method, Mental health, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0093493
Code Inist : 002B18I11. Création : 31/05/1999.