Article

[Effect of a coordinated management program on the outcome of a cohort of ambulatory psychiatric patients]

Authors:
P Huguelet
P Huguelet
P Huguelet
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S Vogel
S Vogel
S Vogel
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O Lusti
O Lusti
O Lusti
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Jérôme Favrod at Swiss Society of Social Psychiatry
Jérôme Favrod
  • Swiss Society of Social Psychiatry
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Abstract

This study describes a one year follow-up study of 53 ambulatory patients treated with case management oriented care. These patients, characterized by a chronic evolution for an average of 10 years, presented after a one year period a significant improvement of different symptomatic parameters (positive and negative psychotic symptoms). Psychosocial adaptation was also improved for their dependency, their activity and the amount of their social contacts. These results underline the usefulness of case management, which permits an optimal use of available therapeutic facilities. Moreover, the setting of such a program allows a more specifical treatment of this category of patients.

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Factors and motives associated with drop-out in an ambulatory service for patients with psychotic disorders
Article
  • Jul 2003
The aim is to study motives and factors associated with treatment drop-out in an ambulatory psychiatric service, which integrates medical, social, familial and rehabilitation treatments. Only 9% of the psychotic patients dropped out, whose motives were non-compliance with medication and unawareness of illness, and the associated factors were comorbidity of substance abuse, social isolation and male gender.
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