title: Clinical case management for patients with schizophrenia with high care needs.
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.
authors: Department of Research, Centre d'Higiene Mental Les Corts, Barcelona, Spain.
authors: Laia
authors: L
authors: Mas-Expósito
authors: Juan Antonio
authors: JA
authors: Amador-Campos
authors: Juana
authors: J
authors: Gómez-Benito
authors: Lluís
authors: L
authors: Mauri-Mas
authors: Lluís
authors: L
authors: Lalucat-Jo
mesh_terms: D000328:Adult; D019090:Case Management / Q000706:statistics & numerical data; D003156:Community Mental Health Services / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010043:Outcome and Process Assessment, Health Care; D011569:Psychiatric Status Rating Scales; D012559:Schizophrenia / Q000628:therapy*; D012565:Schizophrenic Psychology; D013030:Spain; D016896:Treatment Outcome