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  1. Needs for care and effectiveness of mental health care provision for schizophrenic patients in two European regions : a comparison between Granada (Spain) and Mannheim (Germany).

    Article - En anglais

    Objective 

    The aims of this study were to develop an indicator for comparing the effectiveness of community mental health care across different areas, and to compare the effectiveness of care for schizophrenic patients in two European regions.

    Method 

    In a long-term follow-up, service utililization, needs for care and met needs of schizophrenic patients were assessed.

    An indicator of effectiveness of care was calculated for each region and compared.

    Results 

    Patients in Mannheim received much more intervention in all types of mental health care.

    Despite differing utilization patterns, the indicator of effectiveness of care revealed no differences in the area of symptoms and behaviour problems between the two regions, while significant differences in the area of skills and abilities of patients were detected.

    Conclusion 

    We succeeded in defining a measure that describes effectiveness of mental health care in terms of the long-term relationship between needs and unmet needs of patients.

    Our results contribute to an evidence-based discussion of the improvement of community mental health care networks.

    Mots-clés Pascal : Schizophrénie, Traitement, Traitement communautaire, Santé mentale, Communauté, Besoin utilisateur, Utilisation, Service santé, Efficacité traitement, Etude transculturelle, Environnement social, Région géographique, Espagne, Europe, Etude comparative, Allemagne, Homme, Psychose

    Mots-clés Pascal anglais : Schizophrenia, Treatment, Community treatment, Mental health, Community, User need, Use, Health service, Treatment efficiency, Crosscultural study, Social environment, Geographical division, Spain, Europe, Comparative study, Germany, Human, Psychosis

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0518746

    Code Inist : 002B18I11. Création : 18/05/2000.