Day hospital versus outpatient care for people with schizophrenia

Abstract

of findings for the main comparison. DAY HOSPITAL versus OUTPATIENT CARE for people with schizophrenia near or on discharge DAY HOSPITAL versus OUTPATIENT CARE for people with schizophrenia near or on discharge Patient or population: patients with people with schizophrenia near or on discharge Settings: high income countries Intervention: DAY HOSPITAL versus OUTPATIENT CARE Illustrative comparative risks* (95% CI) Assumed risk Corresponding risk Outcomes Control DAY HOSPITAL versus OUTPATIENT CARE 242 (2 studies) ⊕⊕⊝⊝ low 2,3 See 'Effects of interventions' 1.3 Study population 639 per 1000 454 per 1000 (358 to 569) Service use: 1c. Admitted to hospital during study-beyond 12 months Medium risk population RR 0.71 (0.56 to 0.89) 242 (2 studies) ⊕⊕⊕⊝ moderate 4 See 'Effects of interventions' 1.3

A case study of the organisation of research knowledge by systematic reviews within the mental health care field

“…By applying the inclusion criteria on the full text of these reviews, we singled out 57 reviews for further critical appraisal. We only included the reviews that were of good methodological quality, [8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24] which we assessed using the AMSTAR checklist 25 (17/57). As three of these 17 identified reviews did not include any studies, 9,13,15 we extracted data from 14 systematic reviews.…”

Appendix A: Terminologies

“…Outpatient/ambulatory clinics This has been described as "office-based practice which aims to provide support and maintenance therapy for people with mental disorders" [26]. Care may be delivered by a medical practitioner, psychiatrist, or specialized nurse, who may assess symptoms, identify adverse effects, adjust medication, assist with social problems, and deliver therapy.…”

Effects of a Psychosocial Rehabilitation Program in Addition to Medication in Schizophrenic Patients: A Controlled Study

“…It has been reported that psychosocial rehabilitation programs together with medication have increased treatment efficiency [2][3][4] and patients' quality of life 5,6 and have decreased family load 7 . Day hospital programs have been reported to have results that include: i) higher recovery in symptoms when compared to outpatients, ii) faster recovery and lower care costs, iii) lower relapse rates, and iv) decreases in the frequency and duration of hospitalizations 8 . Therefore, in mental diseases that lead to heavy disability like schizophrenia, a contemporary and up-to-date understanding includes a multidimensional approach to increasing functionality and decreasing the destructive results of the disease 3,9,10 .…”