INTRODUCTION<br />“High utilizing” schizophrenic patients are a problem in routine inpatient care. <br /><br />OBJECTIVES<br />A complex intervention with improved cooperation between in- and outpatient services was applied to 46 “high utilizing” patients after discharge from inpatient care during an intervention phase of 6 months. The study was controlled by a matched group of 47 patients receiving treatment as usual. <br /><br />AIMS<br />The goal of this study was to prevent rehospitalizations and thus optimize satisfaction with treatment and quality of life in patients suffering from schizophrenia. <br /><br />METHODS<br />The intervention was based on a computerized decision support module. Eight psychiatrists in private practices were supplied with this software to obtain guideline-based recommendations according to current psychopathology and clinical state. A local hospital project team arranged specifically suggested interventions. Moderator variables such as socio-demographical aspects or influences of certain interventions to rehospitalization rate were analyzed <br /><br />RESULTS<br />Sociodemographical aspects showed no differences between both groups. The rehospitalization rate and the mean length of inpatient treatment were reduced to nearly 50% (Interventiongroup). The rate of readmissions increased in the control group, leading to a difference of 23% between both groups. Cost effectiveness was higher in the interventiongroup than in the controlgroup. <br /><br />DISCUSSION<br />The most important single factor was the participation in coping skills training, but only the guideline consistent complex therapies caused the significant overall result. Satisfaction increased during 6 months and remained constant during 12 months of follow up. The project described an important step to gain evidence for integrated care for patients with schizophrenia.
Janssen, B., Schmidt-Kraepelin, C., & Gaebel, W. (2011). P03-239 - Complex intervention in schizophrenia. Results of an integrated care project in German psychiatry and psychotherapy. European Psychiatry, 26, 1408. https://doi.org/10.1016/s0924-9338(11)73113-3