{Reference Type}: Journal Article
{Title}: Mirror image study (10 years of follow-up and 10 of standard pre-treatment) of psychiatric hospitalizations of patients with severe schizophrenia treated in a community-based, case-managed programme.
{Author}: Díaz-Fernández S;Frías-Ortiz DF;Fernández-Miranda JJ;Díaz-Fernández S;Frías-Ortiz DF;Fernández-Miranda JJ;
{Journal}: Rev Psiquiatr Salud Ment (Engl Ed)
{Volume}: 15
{Issue}: 1
{Year}: Jan-Mar 2022
暂无{DOI}: 10.1016/j.rpsmen.2022.01.002
{Abstract}: <B>OBJECTIVE: </B>To determine the psychiatric hospitalizations of patients with severe schizophrenia before (standard treatment in mental health centres) and during treatment in a comprehensive, community-based, case-managed programme, as well as the role played by antipsychotic medication (oral or long-acting injectable).<BR><B>METHODS: </B>Observational, mirror image study of ten years of follow-up and ten retrospectives ('pre-treatment': standard), of patients with severe schizophrenia in a community-based programme, with pharmacological and psychosocial integrated treatment and intensive case management (N = 344). Reasons for discharge from the programme and psychiatric hospital admissions (and whether they were involuntary) were recorded ten years before and during treatment, as well as the antipsychotic medication prescribed.<BR><B>RESULTS: </B>The retention achieved in the programme was high: after 10 years only 12.2% of the patients were voluntary discharges vs 84.3% on previous standard treatment. The number of patients with hospital admissions, and number of admissions due to relapses decreased drastically after entering the programme (P < .0001), as well the involuntary admissions (P < .001). Being on long-acting injectable antipsychotic medication was related with these results (P < .0001).<BR><B>CONCLUSIONS: </B>Treatment of patients with severe schizophrenia in a comprehensive, community-based and case-managed programme achieved high retention rates, and was effective in drastically reducing psychiatric hospitalizations compared to the previous standard treatment in mental health units. Undergoing treatment with long-acting injectable antipsychotics was clearly linked to these outcomes.