COMPARISON OF HOSPITALIZATION RATE AND SOCIAL FUNCTIONING OF PATIENTS RECEIVING COMMUNITY MENTAL HEALTH SERVICE AND OUTPATIENT PSYCHIATRY POLICLINIC

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dc.authoridErsan, Etem Erdal/0000-0002-7104-2908
dc.authoridKurt, Aydin/0000-0001-7293-1646
dc.contributor.authorKurt, Aydin
dc.contributor.authorErsan, Etem Erdal
dc.date.accessioned2024-11-07T13:25:08Z
dc.date.available2024-11-07T13:25:08Z
dc.date.issued2021
dc.departmentNiğde Ömer Halisdemir Üniversitesi
dc.description.abstractBackground: This study aimed to compare the hospitalization rates and social functioning of patients receiving Community Mental Health Center (CMHC) services and those treated in the psychiatry policlinics of hospitals. Subjects and methods: A total of 145 patients who were diagnosed with schizophrenia or schizoaffective disorder according to DSM-V criteria were included in the study. Of them, 81 received CMHC services at least for one year (CMHC group) and 64 were followed-up in psychiatry policlinics (hospital group). A personal information form containing socio-demographic and disease/treatment characteristics and hospitalization counts in the last year, Social Functioning Assessment Scale (SFAS) and Positive and Negative Syndrome Scale (PANSS) were used to collect data. The hospital group received antipsychotic medication therapy while a semi-structured psycho-social intervention program combined with antipsychotic drug therapy was applied in the CMHC group. The hospitalization counts, SFAS and PANSS scores of the groups were compared and the correlation of related factors were evaluated. Results: Hospitalization rates were 0.21 +/- 0.56 in the CMHC group and 1.03 +/- 1.31 in the hospital group. The mean hospitalization rate was significantly lower in the CMHC group (p<0.001). The mean scores for the overall SFAS and its interpersonal relationships and entertaining subscale; were significantly higher in the CMHC. The mean overall PANSS scores were 84.23 +/- 15.28 and 99.50 +/- 15.99 in the CMHC and hospital groups, respectively (p<0.05). There was a moderate positive relationship between hospitalization rates and all PANSS scores. Conclusions: CMHC services led to a serious decrease in hospitalization rates, increased the psychosocial functioning of patients and improved their compliance to treatment. Transition to a community-based mental health model should be accelerated for holistic treatment. Further longitudinal studies with a control group should be conducted.
dc.identifier.doi10.24869/psyd.2021.532
dc.identifier.endpage540
dc.identifier.issn0353-5053
dc.identifier.issn1849-0867
dc.identifier.issue4
dc.identifier.pmid34928901
dc.identifier.scopus2-s2.0-85122630358
dc.identifier.scopusqualityQ3
dc.identifier.startpage532
dc.identifier.urihttps://doi.org/10.24869/psyd.2021.532
dc.identifier.urihttps://hdl.handle.net/11480/14534
dc.identifier.volume33
dc.identifier.wosWOS:000733967200010
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherMedicinska Naklada
dc.relation.ispartofPsychiatria Danubina
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_20241106
dc.subjectCMHC
dc.subjectschizophrenia
dc.subjecthospitalization
dc.subjectsocial functioning
dc.titleCOMPARISON OF HOSPITALIZATION RATE AND SOCIAL FUNCTIONING OF PATIENTS RECEIVING COMMUNITY MENTAL HEALTH SERVICE AND OUTPATIENT PSYCHIATRY POLICLINIC
dc.typeArticle

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