An Integrated Medical and Psychosocial Treatment Program for Psychotic Disorders: Patient Characteristics and Outcome

Abstract

It is possible to provide effective continuity of care from inpatient treatment to community adjustment for most individuals with psychotic disorders across the spectrum by blending hospital and community resources within an integrated case-management model of care.

Soutien d’intensité variable (SIV) et rétablissement : que nous apprennent les études expérimentales et quasi expérimentales ?

“…Une étude rapporte une augmentation des hospitalisations (Curtis et al, 1992) ; cinq autres ne rapportent pas d'effet. Sur seize évaluations au niveau des symptômes, de la qualité de vie ou du fonctionnement, une seule, sur des domaines spécifiques d'une mesure de qualité de vie, rapporte des effets positifs ; les autres ne notent pas d'effet (McClary et al, 1989 ;Hornstra et al, 1993 ;McGurrin et Worley, 1993 ;Rössler et al, 1995 ;Ford et al, 1996 ;Malla et al, 1998 ;Ryan et al, 1999 ;Björkman et Hansson, 2000 ;Ford et al, 2001 ;Björkman et Hansson, 2007). Cinq études sur treize ont noté un effet positif sur les symptômes, la qualité de vie et le fonctionnement, les huit autres aucun effet.…”

Predictors of Service Use and Social Conditions in Patients with Psychotic Disorders

“…Up to the initiation of this study, 134 patients with a diagnosis ofa nonorganic psychotic disorder had been assessed and treated in this program. Patients had been in treatment in the program for a mean of 34.5 months, and details of data collection are available in an earlier paper (25).…”

“…have been provided elsewhere (25). Treatment is provided within the context of a comprehensive case-management model and consists of low-dosage antipsychotic medication, patient psychoeducation, family intervention, skills training, and crisis management.…”

Implementing a New Model of Integrated Women's Health in Academic Health Centers: Lessons Learned from the National Centers of Excellence in Women's Health

“…In the healthcare literature, the term integration is used to describe (1) the coordination of multiple disciplines in clinical care, [3][4][5] (2) the merger of mainstream and complementary medicine, 6 (3) the use of information systems to track patients or measure quality of care, (7) (4) the incorporation of women's health issues into the medical curriculum, 8,9 or (5) various financial and organizational arrangements (horizontal or vertical integration). [10][11][12] In contrast, the CoE model defines integration as a dynamic and multidisciplinary linkage of women's health practice with research, teaching, education, community outreach, and faculty development.…”