Does cognitive remediation modify the use of psychiatric services and the patterns of care of patients with schizophrenia?
The use of inpatient and outpatient psychiatric services were assessed in the 12months before and after a cognitive remediation (CR) intervention or treatment as usual (TAU) in a sample of 84 patients with schizophrenia who previously underwent an effectiveness study of CR. A smaller number and shorter duration of hospitalizations in acute wards and a higher total number of outpatient and rehabilitative interventions, as well as a more constant, intensive and articulated rehabilitation in the 12months after the intervention were found in patients who received CR, compared with those who received TAU. CR may modify the use of psychiatric services and the patterns of care of patients with schizophrenia.
Department of Mental Health, Spedali Civili Hospital, Brescia, Italy; University of Brescia, School of Medicine, Brescia, Italy. Electronic address: vita.dsm@libero.it.
Antonio
A
Vita
Department of Mental Health, Spedali Civili Hospital, Brescia, Italy.
Giacomo
G
Deste
Department of Mental Health, Spedali Civili Hospital, Brescia, Italy.
Stefano
S
Barlati
University of Brescia, School of Medicine, Brescia, Italy.
Antonino
A
Grano
Hospital Istituti Ospitalieri, Cremona, Italy.
Roberto
R
Poli
Department of Mental Health, Spedali Civili Hospital, Brescia, Italy; University of Brescia, School of Medicine, Brescia, Italy.
Emilio
E
Sacchetti
D000328:Adult; D000553:Ambulatory Care / Q000706:statistics & numerical data; D000072466:Cognitive Remediation; D005260:Female; D006760:Hospitalization; D006801:Humans; D008297:Male; D008605:Mental Health Services / Q000706:statistics & numerical data*; D012559:Schizophrenia / Q000628:therapy*; D016896:Treatment Outcome
Cognitive remediation; Pattern of care; Psychiatric services; Schizophrenia