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Conference Paper: Evaluation Of A Community Case-Management Program For Patients With Schizophrenia-Spectrum Disorder: A Prospective 1-Year Case-Control Study

TitleEvaluation Of A Community Case-Management Program For Patients With Schizophrenia-Spectrum Disorder: A Prospective 1-Year Case-Control Study
Authors
Issue Date2014
PublisherElsevier BV. The Journal's web site is located at http://www.elsevier.com/locate/schres
Citation
The 4th Biennial Schizophrenia International Research Conference, Florence, Italy, 5-9 April 2014. In Schizophrenia Research, 2014, v. 153 suppl. 1, p. S185-S186, poster no. S264 How to Cite?
AbstractBACKGROUND: The Personalized Care Programme (PCP) is a government funded community psychiatric service in Hong Kong. PCP, which was launched in three pilot districts in 2010, adopts intensive case-management and multi-disciplinary approaches involving community partners to deliver individualized, recovery-oriented care to adult patients with severe mental illness, in particular psychotic disorders. This study aimed to systematically evaluate the effectiveness of PCP in community-dwelling patients with schizophrenia-spectrum disorder (schizophrenia, schizophreniform disorder or schizoaffective disorder) using concurrent case-control design. METHODS: This prospective 1-year follow-up study compared patients receiving PCP (n=81) with those managed by non-PCP community psychiatric care (control treatment, n=80). The two groups were matched in terms of age, sex and DSM-IV diagnosis. Comprehensive evaluation on multiple outcome domains encompassing symptom (Positive and Negative Syndrome Scale, PANSS; Calgary Depression Scale, CDS), psychosocial functioning (Social and Occupational Functioning Assessment Scale, SOFAS), needs (Camberwell Assessment of Need, CAN), subjective quality of life (WHO-QoL Brief version) and service satisfaction (Patient Satisfaction Questionnaire, PSQ) was conducted at study entry and at 12 months of follow-up. RESULTS: There were no significantly differences between the two groups in socio-demographics, past illness history characteristics, baseline clinical and functional ratings. At 12 months, Patients in PCP group had significantly fewer number of unmet needs (t=3.9, p<0.05) (in particular social needs of care: t=7.2, p<0.01) and greater degree of service satisfaction than those in non-PCP group (t=0.7, p=0.50). No significant between-group differences were noted in 12-months outcome on symptoms severity, functioning and subjective quality of life. Longitudinal analysis revealed a trend (though statistically non-significant) suggesting that patients in PCP group had greater improvement in depressive symptom (CDS) and general psychopathology (PANSS) ratings, and various domains of WHO-QoL measures than those in non-PCP group over 1-year follow-up period. DISCUSSION: This study provided supportive evidence to the 1-year pilot implementation of PCP for patients with schizophrenia-spectrum disorder in HK with regard to improvement in unmet need management and service satisfaction. Further research is required to evaluate the longer-term effects of this community-oriented case-management service on clinical and functional outcomes.
DescriptionPoster #S264
This journal suppl. entitled: Abstracts of the 4th Biennial Schizophrenia International Research Conference
Persistent Identifierhttp://hdl.handle.net/10722/197701
ISSN
2015 Impact Factor: 4.453
2015 SCImago Journal Rankings: 2.304

 

DC FieldValueLanguage
dc.contributor.authorChang, WCen_US
dc.contributor.authorChen, SMen_US
dc.contributor.authorChan, KWen_US
dc.contributor.authorLee, HMEen_US
dc.contributor.authorHui, CLMen_US
dc.contributor.authorChen, EYHen_US
dc.date.accessioned2014-05-29T08:43:27Z-
dc.date.available2014-05-29T08:43:27Z-
dc.date.issued2014en_US
dc.identifier.citationThe 4th Biennial Schizophrenia International Research Conference, Florence, Italy, 5-9 April 2014. In Schizophrenia Research, 2014, v. 153 suppl. 1, p. S185-S186, poster no. S264en_US
dc.identifier.issn0920-9964-
dc.identifier.urihttp://hdl.handle.net/10722/197701-
dc.descriptionPoster #S264-
dc.descriptionThis journal suppl. entitled: Abstracts of the 4th Biennial Schizophrenia International Research Conference-
dc.description.abstractBACKGROUND: The Personalized Care Programme (PCP) is a government funded community psychiatric service in Hong Kong. PCP, which was launched in three pilot districts in 2010, adopts intensive case-management and multi-disciplinary approaches involving community partners to deliver individualized, recovery-oriented care to adult patients with severe mental illness, in particular psychotic disorders. This study aimed to systematically evaluate the effectiveness of PCP in community-dwelling patients with schizophrenia-spectrum disorder (schizophrenia, schizophreniform disorder or schizoaffective disorder) using concurrent case-control design. METHODS: This prospective 1-year follow-up study compared patients receiving PCP (n=81) with those managed by non-PCP community psychiatric care (control treatment, n=80). The two groups were matched in terms of age, sex and DSM-IV diagnosis. Comprehensive evaluation on multiple outcome domains encompassing symptom (Positive and Negative Syndrome Scale, PANSS; Calgary Depression Scale, CDS), psychosocial functioning (Social and Occupational Functioning Assessment Scale, SOFAS), needs (Camberwell Assessment of Need, CAN), subjective quality of life (WHO-QoL Brief version) and service satisfaction (Patient Satisfaction Questionnaire, PSQ) was conducted at study entry and at 12 months of follow-up. RESULTS: There were no significantly differences between the two groups in socio-demographics, past illness history characteristics, baseline clinical and functional ratings. At 12 months, Patients in PCP group had significantly fewer number of unmet needs (t=3.9, p<0.05) (in particular social needs of care: t=7.2, p<0.01) and greater degree of service satisfaction than those in non-PCP group (t=0.7, p=0.50). No significant between-group differences were noted in 12-months outcome on symptoms severity, functioning and subjective quality of life. Longitudinal analysis revealed a trend (though statistically non-significant) suggesting that patients in PCP group had greater improvement in depressive symptom (CDS) and general psychopathology (PANSS) ratings, and various domains of WHO-QoL measures than those in non-PCP group over 1-year follow-up period. DISCUSSION: This study provided supportive evidence to the 1-year pilot implementation of PCP for patients with schizophrenia-spectrum disorder in HK with regard to improvement in unmet need management and service satisfaction. Further research is required to evaluate the longer-term effects of this community-oriented case-management service on clinical and functional outcomes.-
dc.languageengen_US
dc.publisherElsevier BV. The Journal's web site is located at http://www.elsevier.com/locate/schres-
dc.relation.ispartofSchizophrenia Researchen_US
dc.titleEvaluation Of A Community Case-Management Program For Patients With Schizophrenia-Spectrum Disorder: A Prospective 1-Year Case-Control Studyen_US
dc.typeConference_Paperen_US
dc.identifier.emailChang, WC: changwc@hku.hken_US
dc.identifier.emailChan, KW: kwsherry@hku.hken_US
dc.identifier.emailLee, HME: edwinlhm@hku.hken_US
dc.identifier.emailHui, CLM: christyh@hkucc.hku.hken_US
dc.identifier.emailChen, EYH: eyhchen@hku.hken_US
dc.identifier.authorityChang, WC=rp01465en_US
dc.identifier.authorityChan, KW=rp00539en_US
dc.identifier.authorityLee, HME=rp01575en_US
dc.identifier.authorityChen, EYH=rp00392en_US
dc.identifier.doi10.1016/S0920-9964(14)70543-2-
dc.identifier.hkuros228999en_US
dc.identifier.volume153en_US
dc.identifier.issuesuppl. 1en_US
dc.identifier.spageS185, poster no. S264en_US
dc.identifier.epageS186en_US
dc.identifier.epageS186-
dc.publisher.placeNetherlands-

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