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Considering Variables for the Assignment of Patients with Schizophrenia to a Case Management Programme

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Abstract

The elements and intensity of case management (CM) practices should be established according to patients’ needs. Therefore, greater understanding of patients’ needs in such community-based programmes is essential. This paper addresses this issue by characterizing two groups of patients receiving CM or a standard treatment programme (STP) and identifying the characteristics of patients receiving CM services. We recruited 241 patients with schizophrenia from 10 Adult Mental Health Centres in Barcelona (Catalonia, Spain). We analyzed the profile of new patients included in a clinical, non-intensive CM program against that of patients in a STP. CM patients, compared with STP patients, have a lower educational level and quality of life; greater use of health care services, and higher levels of psychiatric symptoms, disability and unmet needs. Community psychiatric visits, social services, education, physical health and needs were significantly associated with CM services. This study may help in identifying patients’ needs and strengthening the CM programme.

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Acknowledgments

This study was supported by grant PI050789 from the Ministry of Health and Consumer Affairs of Spain, Carlos III Institute of Health, Health Research Fund, Madrid, Spain, and grant 2009SGR00822 from the Agency for Management of University and Research Grants, Government of Catalonia, Barcelona, Spain.

Conflict of interest

The authors declare that they have no conflict of interest and accept responsibility for the manuscript.

Author information

Authors and Affiliations

  1. Department of Research, Centre d’Higiene Mental Les Corts, c/Numància 103-105 baixos, 08029, Barcelona, Spain

    Laia Mas-Expósito & Lluís Lalucat-Jo

  2. Department of Personality, Assessment and Psychological Treatment, Faculty of Psychology, University of Barcelona, Barcelona, Spain

    Laia Mas-Expósito & Juan Antonio Amador-Campos

  3. Institute for Brain, Cognition and Behaviour (IR3C), Barcelona, Spain

    Juan Antonio Amador-Campos & Juana Gómez-Benito

  4. Department of Methodology of the Behavioral Sciences, Faculty of Psychology, University of Barcelona, Barcelona, Spain

    Juana Gómez-Benito

  5. Research Commission, Fòrum d’Iniciatives Assistencials i de Gestió en Salut Mental a Catalunya, Barcelona, Spain

    Lluís Lalucat-Jo

Authors
  1. Laia Mas-Expósito
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  2. Juan Antonio Amador-Campos
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  3. Juana Gómez-Benito
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  4. Lluís Lalucat-Jo
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Corresponding author

Correspondence to Lluís Lalucat-Jo.

Additional information

This study was conducted for the Research Group on Severe Mental Disorder.

The members of the Research Group on Severe Mental Disorder are provided in “Appendix”.

Appendix: Research Group on Severe Mental Disorder

Appendix: Research Group on Severe Mental Disorder

The Working Group on Severe Mental Disorder is composed of the following members from Adult Mental Health Care Centres in Barcelona: Mª A. Argany, F. Asensio, M. Berruezo, C. Blecua, I. Bros, A. I. Cerrillo, A. del Cuerpo, A. Escudero, J. Farré, C. Fort, M. García, M. C. González, E. Leno, L. Mauri, I. Mitjà, M. Montoro, M. Nicolás, R. Ordoñez, C. Pinedo, M. Prats, M. J. Redin, M. T. Romero, F. Segarra, J. C. Valdearcos, I. Zafra, M. Zamora and A. Zúñiga.

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Mas-Expósito, L., Amador-Campos, J.A., Gómez-Benito, J. et al. Considering Variables for the Assignment of Patients with Schizophrenia to a Case Management Programme. Community Ment Health J 49, 831–840 (2013). https://doi.org/10.1007/s10597-013-9621-7

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  • DOI: https://doi.org/10.1007/s10597-013-9621-7

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