Revolving door phenomenon: the effect of application of community-based mental health services model at acute psychiatric hospitalization

Aydın, Erkan; Tabo, Abdulkadi̇r; Karamustafalıoğlu, K. Oğuz; Alataş, Gazi; Aydın, Esra; Yiğit, Sadık; Erkuş, Gizem H.

doi:10.5455/apd.33996

Cited by 9 publications

(10 citation statements)

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“…Klinik durumun şiddetini değerlendirdiğimiz ölçeklerde, TRSM grubunda anlamlı ölçüde belirti şiddetinin düşük bulunması literatür ile uyumludur. 20 Gruplar arasında depresif belirtilerinin benzer oranda olduğu görülmektedir. Literatürde şizofrenide depresif belirtilerin normal popülasyona göre oldukça sık görüldüğü ve sosyal işlevlerde bozulma ile ilişkisini gösteren çalışmalar vardır.…”

Section: Discussionunclassified

“…14- 16 Ensari ve arkadaşları TRSM uygulamalarının şizofreni hastalarında yaşam kalitesini artırmada, yeti kaybını azaltmada ve işlevselliklerini artırmada yararlı olduğu-nu, 17 Arslan ve arkadaşları başlangıç ve üçüncü yıl karşılaştırmasında hem klinik, hem de toplumsal işlevsellik ölçütlerinde anlamlı iyileşme olduğunu 5 , Saruç ve arkadaşları TRSM örnekleminin %22.9'unun bakım evinde kaldığı, büyük oranda gelirleri olmadığı ve alt sosyoekonomik düzeyde yer aldıklarını, 18 Yazıcı ve arkadaşları ise, aile ve bakım veren yükü ile ilişkili olarak hastanın işlev-selliği, bağımsız olma ve gelir durumunun önem gösterdiğini bildirmişlerdir. 19 Araştırmalarda TRSM'lerde izlenen gruplarda tedavi sürecinin grup içinde tedavi öncesi ve sonunda yapılan karşılaştırma 5,17,20 veya kesitsel olarak hastaların aile, sosyal durum ve bakım gereksinmelerinin değerlendirilmesi yer almaktadır. 18,19 Bu çalışmalarda kontrol grubunun yer almamasının kısıtlılık olarak verildiği görülmek-tedir.…”

Section: Introductionunclassified

“…18,19 Bu çalışmalarda kontrol grubunun yer almamasının kısıtlılık olarak verildiği görülmek-tedir. 5,20 TRSM'lerde ruhsal-toplumsal yaklaşım-larla birlikte ilaç tedavisi de düzenli olarak uygulanmakta, hasta ve ailelerine bakım gereksinme-lerine göre sosyal destek verilmektedir. Verilen sosyal destekle birlikte merkezlerde doğal olarak bulunan akran desteğinin de önemli bir değişken olduğu belirtilmiştir.…”

Section: Introductionunclassified

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Investigation of the efficacy of a psychiatric-social rehabilitation performed on individuals with schizophrenia in a community mental health center: Controlled study

Özdemir¹,

Şafak²,

Örsel³

et al. 2017

Anadolu Psikiyatri Derg

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Section: Discussionunclassified

Section: Introductionunclassified

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Investigation of the efficacy of a psychiatric-social rehabilitation performed on individuals with schizophrenia in a community mental health center: Controlled study

Özdemir¹,

Şafak²,

Örsel³

et al. 2017

Anadolu Psikiyatri Derg

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“…The first study was conducted in Bolu CMHC (five years after the implementation of CMHC on a national plan for mental health in Turkey) on 18 patients with severe mental illness who were frequently admitted (more than three hospitalization in 18 months) to a hospital. The study showed that CMHC systems may reduce the number of acute hospitalizations [10]. However, as far as we know, there is no large-scale study in the literature about rehospitalization rates of all patients using CMHC services, regardless of participation frequency in Turkey.…”

Section: Introductionmentioning

confidence: 99%

Hospitalization Rates of Patients Using Community Mental Health Center Services

Şahin¹,

Elboğa²,

Altındağ³

2019

ijhsrp

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Non-adherence to treatment and hospital admissions are the common problems in severe mental disorders. To determine the contribution of community mental health services to increased hospitalization rates of patients previously diagnosed with severe mental disorders such as schizophrenia spectrum and other psychotic disorders and bipolar disorders. 356 patients diagnosed with bipolar disorder, schizophrenia, schizoaffective disorder, and unspecified schizophrenia spectrum and other (USSO) psychotic disorders in accordance with the DSM-5 criteria and treated in the CMHC on the south coast of Turkey were included in this retrospective study.The hospitalization records of the patients were examined over three different periods. First and second period: two divided years which patients had not yet received CMHC services before registration. Third period: one-year, during which patients using CMHC services. A total of 356 patients were included in the study. SPSS 22.0 (IBM Corporation, Armonk, New York, United States) software was used in the analysis of variables. Normal distribution of data was assessed with the Shapiro-Wilk test. The diagnosis of the participants in the study were 157 (44%) schizophrenia, 35 (9.8%) schizoaffective disorder, 102 (28.7%) bipolar disorder and 62 (17.4%) unspecified schizophrenia spectrum and other psychotic disorders. As a result of the hospitalization rates, there was a significant difference between three periods. The median number of hospitalization days during the first episod was calculated as 1.0 (mean 13.9), the second period 0.7 (mean 18.59) and third period 0.6 (mean 5.83), respectively.The rate of hospitalization was 32.9% in the first period, 42.4% in the second period and 12.9% in the third period. This study provides the new evidence regarding the ability of primary services offered in the community mental health centers.

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“…Sosyal işlevsellik, sağlık ve tedavi, günlük yaşam becerileri, mesleki işlevsellik başlıklı 4 alt ölçeğe sahiptir. Türkçe'de güvenilirlik ve geçerlik araştırması yapılmıştır 24 Genel anlamda sık yatış olarak tanımlanan 'döner kapı olgusu' ölçütlerini karşılayan hastaların yatış sayıları toplum temelli bakım planı temelinde sunulan hizmetlerle azalmıştır 31 . Çalışmamızda TRSM hizmeti alanlar ile almayanlar arasında yatış sayısı arasında anlamlı fark olmamısının sebebi yaşam boyu toplam yatış sayılarına bakılmış olmasıdır.…”

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Toplum ruh sağlığı merkezinden yararlanan hastaların yaşam kalitesi, tıbbi tedaviye uyumu, içgörü ve işlevsellikleri

Şahin¹,

Elboğa²

2019

Cukurova Medical Journal

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Öz Purpose: The purpose of this study is to determine the effects of Community Mental Health Centers (CMHC) on decreased insight, nonadherence to treatment, functionality and quality of life in psychiatric diseases such as bipolar disorder, schizophrenia and other psychoses. Materials and Methods: 88 patients that previously received CMHC services for at least 6 months and 88 patients that did not previously receive services were included in the study. Patients were evaluated and compared using the Clinical Global Impression, Medication Adherence Rating Scale, Global Assessment of Functioning Scale, Positive and Negative Syndrome Scale, Quality of Life Scale, Schedule for Assessing the Three Components of Insight and Functional Remission of General Schizophrenia scale. Results: After the clinical evaluation of 176 patients consisting of 112 (63.64%) males and 64 (36.36%) females, the mean scale scores of the group that received CMHC services were compared with those of the patients who did not receive CMHC services. There were significant differences between the two groups in all the assessment tests. Conclusion: Patients' insight, quality of life, general and social functioning increased remarkably and disease symptoms were significantly reduced as a result of provided services. This study provides new evidence regarding the ability of primary services offered in community mental health centers to achieve improvement in the quality of holistic care in adults with chronic mental health issues.

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Revolving door phenomenon: the effect of application of community-based mental health services model at acute psychiatric hospitalization

Cited by 9 publications

References 0 publications

Investigation of the efficacy of a psychiatric-social rehabilitation performed on individuals with schizophrenia in a community mental health center: Controlled study

Investigation of the efficacy of a psychiatric-social rehabilitation performed on individuals with schizophrenia in a community mental health center: Controlled study

Hospitalization Rates of Patients Using Community Mental Health Center Services

Toplum ruh sağlığı merkezinden yararlanan hastaların yaşam kalitesi, tıbbi tedaviye uyumu, içgörü ve işlevsellikleri

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