Effects of an integrated care program for outpatients with affective or psychotic disorders

Johannes Hamann, Stephan Heres, Ute Seemann, Romain Beitinger, Birgit Spill, Werner Kissling

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

For many psychiatric conditions outcomes of standard care still fall short of outcomes that are possible according to research literature. One of the major reasons is patient[U+05F3]s non-adherence to long-term medication. We performed a mirror image interventional study involving patients suffering from affective (N=219) or psychotic disorders (N=210) who participated in an integrated care program focusing on treatment adherence. The main outcome variable was the number of inpatients days during the integrated care program compared to the time before the program. The integrated care project studied showed a drop of inpatient days of approx. 75% within the 18-months observation period for both groups. In the affective (psychotic) sample inpatients days dropped from M=47.1 days (M=62.2 days) in the 18 months before the program to M=10.8 days (M=15.3 days) during the adherence program. Patients with affective disorders additionally profited with regard to symptom reduction, quality of life and self-reported adherence. Thus, a complex intervention addressing frequent weaknesses of routine psychiatric outpatient care and focussing on adherence and linking up outpatient services is effective with regard to the reduction of inpatient days for patients with affective and patients with schizophrenic disorders.

Original languageEnglish
Pages (from-to)15-19
Number of pages5
JournalPsychiatry Research
Volume217
Issue number1-2
DOIs
StatePublished - 30 Jun 2014
Externally publishedYes

Keywords

  • Adherence
  • Depression
  • Quality of care
  • Schizophrenia

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