Matched groups of schizophrenic patients in Portland, Ore., and Vancouver, B.C., were compared approximately 1 year following discharge from an index hospitalization. Whereas Vancouver boasts a rich network of accessible private services and a public mental health system that provides a model of care for the chronically mentally ill, Portland's aftercare facilities at the time of the study were limited. One year after discharge the Vancouver cohort experienced fewer readmissions, was more apt to be employed, and reported a higher level of well-being, all of which suggest that community aftercare positively affects the negative symptoms of schizophrenia.
The aim of the study was to evaluate the durability of efficacy of the Integrated Care (IC) program in a Swedish context. The IC program is a person-centered flexible assertive community treatment approach delivered through a novel mechanism: a resource group clinical microsystem for each patient.
All patients with schizophrenia in a Gothenburg urban-sector catchment area were randomly assigned to either the IC or the Rational Rehabilitation (RR) programs. Sixty-six patients were interviewed and assessed by independent interviewers before treatment, after treatment (24 months), and at follow-up (five years). Analysis was by intention to treat.
At the five-year follow-up, significant improvements were noted in social functioning and consumer satisfaction in the IC group (N=35) compared with the RR group (N=31). No patients were lost to services in either program.
The major finding was the durability of efficacy of the IC program.
[Evaluation of group homes for the mentally ill in the county of Copenhagen--1980-1995. A study of a time-limited stay in the group home assessed by the development of the social situation and duration of hospitalization before and after].
We have assessed the diagnostic and social characteristics of residents, who were living in two small group homes during the period, 1 March 1980-1 August 1994. Almost all the 74 residents had a chronic psychotic disease. They had been living in the group homes for at least three months, on average 19 months.
The investigation was made from case notes and hospital records. The social characteristics were obtained from the first stay in a psychiatric ward, from two years before the patient moved into the group home to the time of moving out and 2, 5, and 10 years thereafter.
Almost all the patients ended up with clear symptoms of schizophrenia and were receiving a social pension. The average duration of hospitalisation for this group was reduced from one third to one seventh of the time from 2 years before to 10 years after they had left the group homes.
Basic Body Awareness Therapy (BBAT) is a physiotherapeutic treatment method that is commonly used in Scandinavian mental health services. However, for patients with schizophrenia, there are few studies that verify the effectiveness of BBAT, or explain which dysfunctions or disabilities BBAT has an effect on in this group of patients. The aim of the present study was thus to describe patients' experiences of BBAT, focusing on perceived main treatment effects. The areas of perceived effects are to be investigated in future research.
In a qualitative study, eight patients with schizophrenia were interviewed. The interview transcriptions were analysed with content analysis methodology.
Patients with schizophrenia report positive treatment effects of physiotherapy with BBAT. Four main categories were identified: affect regulation, body awareness and self-esteem, effects described in a social context and effects on the ability to think. These should be targeted in a future randomized and controlled study.
Organization of and experience gained so far by the Psychotherapy Department for adolescents, a unique establishment of this type in the Soviet Union, are described. This department has a multi-stage structure, and its activities are based on a complete non-constraint of patients' behavior. The therapeutic complex that includes psychotherapeutic management, therapeutic education and the climate of the Department is conventionally called as "joy therapy". The therapeutic and rehabilitation facilities of the Department proved adequate in diagnosing patients suffering from schizophrenia.
The report contains some results of a 3 year study of combined intensive psychopharmacological and occupational therapy of 120 patients (on the basis of the Gannushkin City Mental Hospital N4 and 2 industrial plants) during the stage of a subacute development of the schizophrenic process. On the basis of clinical and methodological criteria the authors distinguish 3 groups of patients and 3 types of rehabilitative programmes respectively. The medical and socio-occupational effectiveness of the new modification of combined intensive psychopharmacological industrial therapy of schizophrenic patients has been confirmed.
To assess the clinical outcomes associated with the inclusion of Integrated Psychological Treatment (IPT) standard medical therapy in nine regular clinical settings, nine clinical teams integrated the complete IPT program (six hierarchically arranged subprograms) with their respective standard medical therapies for outpatients with schizophrenia. A total of 90 patients, young adults to long-term mentally ill patients, participated in the program. Patients were evaluated using standardized instruments at four time points: (1) prior to including the IPT program, (2) after the first three IPT subprograms, (3) at the end of IPT, and (4) 3 to 4 months post-IPT. The IPT program was associated with positive results. Patients improved in terms of overall symptoms, subjective experiences, cognitive and social functioning, and quality of life. IPT is one of the most up-to-date programs to address the rehabilitation needs of persons suffering from schizophrenia. Our experience in nine clinical settings suggests that IPT can successfully be included as part of standard medical therapy in the rehabilitation of patients with schizophrenia.