Skip to main content
Log in

Does Additional Care Provided by a Consumer Self-Help Group Improve Psychiatric Outcome? A Study in an Italian Community-based Psychiatric Service

  • Published:
Community Mental Health Journal Aims and scope Submit manuscript

Abstract

This study compares the two-year clinical and social outcome, the use of services and the direct costs of patients of the South-Verona Community Psychiatric Service who were members of a self-help group, with those who were not. Use of services and costs in the two years before the baseline were compared with those occurring two years after the baseline. Self-help subjects decreased their use of hospital stay as to number of admissions and days in hospital, with a reduction of costs; they were more satisfied as to work/education while non self-help matches presented an increase of unmet needs. Clinical and social outcome showed no significant difference. The findings suggest that consumer participation may possibly enhance the effects of psychiatric treatment on outcome.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  • F. Amaddeo J. Beecham P. Bonizzato A. Fenyo M. Knapp M. Tansella (1997) ArticleTitleThe use of a case register to evaluate the costs of psychiatric care Acta Psychiatrica Scandinavica 95 189–198 Occurrence Handle9111851

    PubMed  Google Scholar 

  • J. H. Beard R. N. Propst T. J. Malamud (1982) ArticleTitleThe fountain house model of psychiatric rehabilitation Psychosocial Rehabilitation Journal 5 47–53

    Google Scholar 

  • L. Blankertz D. Hazem (2002) ArticleTitleAssessing consumer program needs: advantages of a brief unstructured format Community Mental Health Journal 38 277–286 Occurrence Handle10.1023/A:1015951524232 Occurrence Handle12166915

    Article  PubMed  Google Scholar 

  • G. R. Bond D. R. Becker R. E. Drake C. A. Rapp N. Meisler A. F. Lehman M. D. Bell C. R. Blyler (2001) ArticleTitleImplementing supported employment as an evidence-based practice Psychiatric Services 52 313–322 Occurrence Handle10.1176/appi.ps.52.3.313 Occurrence Handle11239097

    Article  PubMed  Google Scholar 

  • L. Burti E. Guerriero (2003) ArticleTitlePsychiatric rehabilitation. An open-network orientation Epidemiologia e Psichiatria Sociale 12 160–166 Occurrence Handle14610851

    PubMed  Google Scholar 

  • J. Chamberlin (1978) On our own: patient-controlled alternatives to the mental health system McGraw-Hill New York

    Google Scholar 

  • P. W. Corrigan J. D. Calabrese S. E. Diwan C. B. Keogh L. Keck C. Mussey (2002) ArticleTitleSome recovery processes in mutual-help groups for persons with mental illness; I: qualitative analysis of program materials and testimonies Community Mental Health Journal 38 287–301 Occurrence Handle10.1023/A:1015997208303 Occurrence Handle12166916

    Article  PubMed  Google Scholar 

  • S. M. Gilbody A. O. House T. A. Sheldon (2002) ArticleTitleOutcomes research in mental health. Systematic review British Journal of Psychiatry 181 8–16 Occurrence Handle10.1192/bjp.181.1.8 Occurrence Handle12091257

    Article  PubMed  Google Scholar 

  • M. Knapp D. Chisholm M. Leese F. Amaddeo M. Tansella A. Schene G. Thornicroft J. L. Vazquez-Barquero H. C. Knudsen T. Becker (2002) ArticleTitleComparing patterns and costs of schizophrenia care in five European countries: the EPSILON study. European Psychiatric Services: Inputs Linked to Outcome Domains and Needs Acta Psychiatrica Scandinavica 105 42–54 Occurrence Handle10.1034/j.1600-0447.2002._10310.x Occurrence Handle12086225

    Article  PubMed  Google Scholar 

  • J. Leff (2001) ArticleTitleCan we manage without the mental hospital? Australian and New Zealand Journal of Psychiatry 35 421–427 Occurrence Handle10.1046/j.1440-1614.2001.00887.x Occurrence Handle11531720

    Article  PubMed  Google Scholar 

  • L. R. Mosher L. Burti (1994) Community mental health: A practical guide Norton New York

    Google Scholar 

  • M. Ruggeri (2002) ArticleTitleFeasibility, usefulness, limitations and perspectives of routine outcome assessment: The South-Verona Outcome Project Epidemiologia e Psichiatria Sociale 11 177–185 Occurrence Handle12451964

    PubMed  Google Scholar 

  • M. Ruggeri G. Bisoffi L. Fontecedro R. Warner (2001) ArticleTitleSubjective and objective dimensions of quality of life in psychiatric patients: a factor analytical approach: The South Verona Outcome Project 4 British Journal of Psychiatry 178 268–275 Occurrence Handle10.1192/bjp.178.3.268 Occurrence Handle11230039

    Article  PubMed  Google Scholar 

  • M. Ruggeri R. Gater G. Bisoffi C. Barbui M. Tansella (2002) ArticleTitleDeterminants of subjective quality of life in patients attending community-based mental health services. The South-Verona Outcome Project 5 Acta Psychiatrica Scandinavica 105 131–140 Occurrence Handle10.1034/j.1600-0447.2002.01293.x Occurrence Handle11939963

    Article  PubMed  Google Scholar 

  • S. Simmonds J. Coid P. Joseph S. Marriott P. Tyrer (2001) ArticleTitleCommunity mental health team management in severe mental illness: a systematic review British Journal of Psychiatry 178 497–502 Occurrence Handle10.1192/bjp.178.6.497 Occurrence Handle11388964

    Article  PubMed  Google Scholar 

  • S. Sytema R. Giel G. H. ten Horn M. Balestrieri N. Davies (1989) ArticleTitleThe reliability of diagnostic coding in psychiatric case registers Psychological Medicine 19 999–1006 Occurrence Handle2594895 Occurrence Handle10.1017/S0033291700005729

    Article  PubMed  Google Scholar 

  • S. Sytema R. Micciolo M. Tansella (1997) ArticleTitleContinuity of care for patients with schizophrenia and related disorders: a comparative south-Verona and Groningen case-register study Psychological Medicine 27 1355–1362 Occurrence Handle10.1017/S0033291797005539 Occurrence Handle9403907

    Article  PubMed  Google Scholar 

  • M. Tansella F. Amaddeo L. Burti N. Garzotto M. Ruggeri (1998) Community-based mental health care in Verona, Italy D. Goldberg G. Thornicroft (Eds) Mental health in our future cities Psychology Press Hove (UK) 239–262

    Google Scholar 

  • G. Thornicroft M. Tansella (1999) The mental health matrix Cambridge University Press Cambridge

    Google Scholar 

  • R. Warner (1994) Recovery from schizophrenia Routledge New York

    Google Scholar 

  • InstitutionalAuthorNameWorld Health Organization (1992) ICD-10. The international statistical classification of diseases and related health problems, tenth revision World Health Organisation Geneva

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Lorenzo Burti M.D..

Rights and permissions

Reprints and permissions

About this article

Cite this article

Burti, L., Amaddeo, F., Ambrosi, M. et al. Does Additional Care Provided by a Consumer Self-Help Group Improve Psychiatric Outcome? A Study in an Italian Community-based Psychiatric Service. Community Ment Health J 41, 705–720 (2005). https://doi.org/10.1007/s10597-005-6428-1

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10597-005-6428-1

Key words

Navigation