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Integrated care in schizophrenia: a 2-year randomized controlled study of two community-based treatment programs

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Abstract:

Malm U, Ivarsson B, Allebeck P, Falloon IRH. Integrated care in schizophrenia: a 2-year randomized controlled study of two community-based treatment programs.

Acta Psychiatr Scand 2003: 107: 415–423. © Blackwell Munksgaard 2003. Objective: 

To evaluate the efficacy of two community-based programs that combined antipsychotic medication, family interventions and social skills training. Method: 

A randomized controlled trial with 2 years follow-up. The study included 84 patients with schizophrenic disorders, continuously managed in terms of care and treatment, and regularly assessed. Analysis was by intention-to-treat. Results: 

Between-program comparisons showed significantly improved social function and consumer satisfaction in favour of the program ‘Integrated Care’ (IC) at the 2-year follow-up. The main clinically important differences between the two treatment programs studied were the procedures for shared decision making and patient empowerment in IC. Conclusion: 

The implementation of IC in clinical practice can improve social recovery and increase consumer satisfaction for patients with schizophrenic disorders. We identified specific procedures that might be added to improve the effectiveness of any program for severely mental ill people.

Keywords: community mental health services; randomized controlled trials; schizophrenia; treatment outcomes

Document Type: Research Article

DOI: http://dx.doi.org/10.1034/j.1600-0447.2003.00085.x

Affiliations: Institute of Clinical Neuroscience, Department of Psychiatry, Sahlgrenska University Hospital, Bla Straket 15, SE-413 15 Goeteborg, Sweden

Publication date: June 1, 2003

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