The influence of community-based psychiatry in Copenhagen on the treatment of chronic psychoses.
Several factors influence the outcome of prevention of relapse in patients with chronic psychoses--mainly schizophrenia. A key word in the prophylactic treatment is compliance. Compliance is primarily related to drug treatment, but seen in a broader perspective it depends on the circumstances under which the treatment is offered. From 3 cohort investigations in Copenhagen mainly including patients with chronic psychoses, it seems as if community-based psychiatry in Copenhagen possesses some of the ingredients--high professional standard, continuity, care and support--that are considered to improve the outcome of treatment. However, suicidality and social isolation are some of the important areas that need further attention.
Gjerris
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Department of Psychiatry, Sct. Hans Hospital, Roskilde, Denmark.
D002908:Chronic Disease; D015331:Cohort Studies; D003156:Community Mental Health Services / Q000458:organization & administration / Q000592:standards*; D003718:Denmark; D006801:Humans; D010349:Patient Compliance; D017060:Patient Satisfaction; D011618:Psychotic Disorders / Q000628:therapy*; D012008:Recurrence