This prospective observational study evaluated the effectiveness of a crisis resolution team (CRT) for outpatient treatment of psychiatric patients experiencing an acute episode of severe mental disorder. The effectiveness of the CRT (n = 65) was assessed against the care-as-usual [CAU group (n = 65)]. Patients’ clinical state, overall functioning, quality of life and satisfaction were respectively evaluated at baseline, post intervention and three-month post-intervention.CRT patients compared to the CAU group, had significantly improved outcomes concerning clinical state and patient satisfaction at post intervention phase. Statistically significant improvement was also recorded for the dimensions of environment, physical and psychological health related to quality of life. No significant differences were observed between the two groups regarding overall functioning.On the basis of these results, reforming of existing crisis-management services, in Greece, using the CRT model may improve substantially the services offered to psychiatric patients.
BackgroundSocial interactions have an important effect on the subjective well-being of individuals. However, in periods of financial crisis these interactions are reduced, affecting thus the mental health of the individuals as well.AimTo investigate the effect of the reduction in social interactions, as a result of the economic crisis, on the subjective well-being of non-insurance health care seekers in Greece.MethodTwo hundred and sixty-six individuals participated in this study, 90 (35.6%) males and 163 (64.4%) females, with a mean age of 47. Analysis of data was conducted with Anova, using the SPSS software.ResultsThe findings showed that reductions in social interactions, caused by the financial crisis, led to significant reductions in the subjective well-being of individuals as well (F(1.259) = 13.276, P < 0.001 for social activities and F(1,258) = 14.531, P < 0.001 for peer socialization). More specifically, individuals whose social interactions were greatly affected by the financial crisis reported significantly lower subjective well-being than individuals who reported a medium effect (M = −2.952, SD = .764, P < 0.001). Furthermore, individuals who reported that the economic crisis had a great effect on their peer socialization reported significantly lower subjective well-being compared to both those who reported a medium (M = −1.868, SD = .658, P < 0.015) or low (M = −2.77, SD = .809, P < 0.001) effect of the crisis.ConclusionThe results of this research showed that the financial crisis reduced the well-being of affected individuals through reductions in their social interactions. Further research is needed to investigate appropriate interventions to reduce the negative impact that the financial crisis has on the well-being of affected individuals.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Introduction: Social support networks, with greater support from families, friends and communities are linked to better health. Also, due to the present economic condition they might be the only solution for rehabilitation in patients with lower income. Aim: To investigate the way that social support network can help patients with rehabilitation after hospitalization. Method: All patients that were referred to the social workers network from 2012-2013 were assessed in order to find those who seek rehabilitation programmes. Analysis was performed with SPSS21. Results: 143 patients, 100(69.9%) males, 81(71.7%) with lower education were referred for rehabilitation and poverty reasons. 117(81.8%) were Greeks 75(52.4%) single, 99(69.2%) had no insurance and 125(87.4%) unemployed. The referrals were made mostly from social hospices (N=71) and the hospital clinics(N=59), while the amount of patients was almost identical for the two years(47.6% for 2013 and 50.4% for 2012 respectively). The main reason for the referral was poverty(N=117 81.8%), poverty and health problems(N=22 18.4%), psychiatric problems(N=2 1.4%) and HIV(N=2 1.4%). In the majority of the cases(N=106 74.1%) there was a successful result in finding a rehabilitation hospice. Finally, there was a statistical significant difference between those that had family-support(N=47) and those that didn't(N=96) in the referrals amount (x2=10.894 p=.02). Conclusions: Results indicates that family is a protective factor against social support need, but due to the economic condition and new family bonds, a growing number of people still needing help, even if they have a family that could support them, something that should be further investigated.
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