Case-management for Patients with Schizophrenia in Iran: A Comparative Study of the Clinical Outcomes of Mental Health Workers and Consumers’ Family Members as Case Managers

  • Seyed Kazem Malakouti
  • Marzieh Nojomi
  • Lili Panaghi
  • Narjes Chimeh
  • Yasaman Mottaghipour
  • Mohammad Taghi Joghatai
  • Ahmad Ali Noorbala
  • Jafar Bolhari
Original Paper


The objective of this study was to evaluate the effectiveness of case-management services and the feasibility of considering the Consumers’ Family Members (CFM) as service providers in Iran as a developing country. Three trained case-managers were allocated into each group (Mental Health Worker-MHW and CFM), providing 12 months of home-visit services for 129 individuals with schizophrenia. Burden, knowledge, quality of life and the general health condition of the caregivers, as well as positive/negative symptoms and social skills of the consumers were evaluated. Most clinical variables were improved without significant differences between groups. The hospitalization rate was reduced by 67%.


Schizophrenia Case-management Caregivers Consumers’ family members Relapse Mental health 


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Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  • Seyed Kazem Malakouti
    • 1
    • 2
  • Marzieh Nojomi
    • 3
    • 2
  • Lili Panaghi
    • 4
  • Narjes Chimeh
    • 5
  • Yasaman Mottaghipour
    • 6
  • Mohammad Taghi Joghatai
    • 7
  • Ahmad Ali Noorbala
    • 8
    • 9
  • Jafar Bolhari
    • 1
    • 2
  1. 1.Department of PsychiatryIran University of Medical Sciences, Mental Health Research CentreTehranIran
  2. 2.Tehran Psychiatric InstituteTehranIran
  3. 3.Department of Community MedicineIran University of Medical Sciences, Mental Health Research CentreTehranIran
  4. 4.Department of Community MedicineShahid Beheshti University, Family Research InstituteTehranIran
  5. 5.Shahid Beheshti University, Family Research InstituteTehranIran
  6. 6.Department of PsychologyShahid Beheshti University of Medical Sciences, Taleghanee HospitalTehranIran
  7. 7.Cellular Biology of Research CenterIran University of Medical SciencesTehranIran
  8. 8.Tehran University of Medical Sciences, Psychiatric Research CenterTehranIran
  9. 9.Roozbeh Psychiatric HospitalTehranIran

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