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Clinical Case Management for Patients with Schizophrenia with High Care Needs

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Abstract

The aim of this study is to establish the effectiveness of a clinical case management (CM) programme compared to a standard treatment programme (STP) in patients with schizophrenia. Patients for the CM programme were consecutively selected among patients in the STP with schizophrenia who had poor functioning. Seventy-five patients were admitted to the CM programme and were matched to 75 patients in the STP. Patients were evaluated at baseline and at 1 year follow-up. At baseline, patients in the CM programme showed lower levels of clinical and psychosocial functioning and more care needs than patients in the STP. Both treatment programmes were effective in maintaining contact with services but the CM programme did not show advantages over the STP on outcomes. Differences between groups at baseline may be masking the effects of CM at one year follow-up. A longer follow-up may be required to evaluate the real CM practices effects.

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Acknowledgments

This study was supported by Grant PI050789 from the Ministry of Health and Consumer Affairs of Spain, Carlos III Institute of Health, Health Research Fund, Madrid, Spain, and Grant 2009SGR00822 from the Agency for Management of University and Research Grants, Government of Catalonia, Barcelona, Spain.

Author information

Authors and Affiliations

  1. Department of Research, Centre d’Higiene Mental Les Corts, Barcelona, Spain

    Laia Mas-Expósito & Lluís Lalucat-Jo

  2. Department of Personality, Assessment and Psychological Treatment, Faculty of Psychology, University of Barcelona, Barcelona, Spain

    Laia Mas-Expósito & Juan Antonio Amador-Campos

  3. Institute for Brain, Cognition and Behaviour, (IR3C), University of Barcelona, Barcelona, Spain

    Juan Antonio Amador-Campos & Juana Gómez-Benito

  4. Department of Methodology of the Behavioral Sciences, Faculty of Psychology, University of Barcelona, Barcelona, Spain

    Juana Gómez-Benito

  5. Department of Research and Teaching, Fundació Hospital Sant Pere i Claver, Barcelona, Spain

    Lluís Mauri-Mas

  6. Research Commission, Fòrum d’Iniciatives Assistencials i de Gestió en Salut Mental a Catalunya, Barcelona, Spain

    Lluís Lalucat-Jo

  7. Departament de Docència, Formació, Recerca i Publicacions, Centre d’Higiene Mental Les Corts, c/Numància 103-105 baixos, 08029, Barcelona, Spain

    Lluís Lalucat-Jo

Authors
  1. Laia Mas-Expósito
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  2. Juan Antonio Amador-Campos
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  3. Juana Gómez-Benito
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  4. Lluís Mauri-Mas
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  5. Lluís Lalucat-Jo
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Corresponding author

Correspondence to Lluís Lalucat-Jo.

Additional information

For the Research Group on Severe Mental Disorder.

The Working Group on Severe Mental Disorder is provided in the Appendix.

Appendix

Appendix

The Working Group on Severe Mental Disorder is composed of the following members from Adult Mental Health Care Centres in Barcelona: Mª A. Argany, F. Asensio, M. Berruezo, C. Blecua, I. Bros, A. I. Cerrillo, A. del Cuerpo, A. Escudero, J. Farré, C. Fort, M. García, M. C. González, E. Leno, L. Mauri, I. Mitjà, M. Montoro, M. Nicolás, R. Ordoñez, C. Pinedo, M. Prats, M. J. Redin, M. T. Romero, F. Segarra, J. C. Valdearcos, I. Zafra, M. Zamora, A. Zúñiga.

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Mas-Expósito, L., Amador-Campos, J.A., Gómez-Benito, J. et al. Clinical Case Management for Patients with Schizophrenia with High Care Needs. Community Ment Health J 51, 165–170 (2015). https://doi.org/10.1007/s10597-014-9741-8

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  • DOI: https://doi.org/10.1007/s10597-014-9741-8

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