title: Durability of the efficacy of integrated care in schizophrenia: a five-year randomized controlled study.
abstract: OBJECTIVE
  The aim of the study was to evaluate the durability of efficacy of the Integrated Care (IC) program in a Swedish context. The IC program is a person-centered flexible assertive community treatment approach delivered through a novel mechanism: a resource group clinical microsystem for each patient.
  
  
  METHODS
  All patients with schizophrenia in a Gothenburg urban-sector catchment area were randomly assigned to either the IC or the Rational Rehabilitation (RR) programs. Sixty-six patients were interviewed and assessed by independent interviewers before treatment, after treatment (24 months), and at follow-up (five years). Analysis was by intention to treat.
  
  
  RESULTS
  At the five-year follow-up, significant improvements were noted in social functioning and consumer satisfaction in the IC group (N=35) compared with the RR group (N=31). No patients were lost to services in either program.
  
  
  CONCLUSIONS
  The major finding was the durability of efficacy of the IC program.
authors.forename: Ulf Ingemar
authors.initials: UI
authors.lastname: Malm
authors.forename: Bo Åke Rutger
authors.initials: BÅ
authors.lastname: Ivarsson
authors.forename: Peter
authors.initials: P
authors.lastname: Allebeck
mesh_terms: D000328:Adult; D003156:Community Mental Health Services / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D010348:Patient Care Team; D018802:Patient-Centered Care / Q000379:methods*; D010549:Personal Satisfaction; D012559:Schizophrenia / Q000534:rehabilitation / Q000628:therapy*; D066107:Social Skills; D013548:Sweden