Treatment adherence of a case managed program for patients with severe schizophrenia compared to standard care in mental health units.
Introduction Although some studies have reported that case management (CM), when is compared with standard care, reduces the loss of contact with health services, the debate continues about its superiority over other treatment models. Objectives To assess treatment adherence and reasons for treatme...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Cambridge University Press
2023-03-01
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| Series: | European Psychiatry |
| Online Access: | https://www.cambridge.org/core/product/identifier/S092493382302312X/type/journal_article |
| _version_ | 1797616866488745984 |
|---|---|
| author | S. Díaz-Fernández J. J. Fernández-Miranda F. López-Muñoz |
| author_facet | S. Díaz-Fernández J. J. Fernández-Miranda F. López-Muñoz |
| author_sort | S. Díaz-Fernández |
| collection | DOAJ |
| description |
Introduction
Although some studies have reported that case management (CM), when is compared with standard care, reduces the loss of contact with health services, the debate continues about its superiority over other treatment models.
Objectives
To assess treatment adherence and reasons for treatment discontinuation, and the impact of the type of APs administration on it, for a group of patients with schizophrenia treated in a CMP or receiving standard treatment in mental health units (MHUs).
Methods
An observational, longitudinal study (ten-year follow-up) was conducted on 688 patients with severe schizophrenia (CGI-S ≥ 5). All the causes of the end of treatment were recorded, together with the AP medication prescribed and kind of regimes.
Results
43.6% of the patients had discontinued treatment in MHUs and only 12.1% on the CMP (p < 0.0001). 27.6% of patients in MHUs were on long-acting injectables (LAIs), and 57.6 on the CMP (p < 0.001). Treatment discontinuation was closely linked to be on OAPs medication in both cases (p < 0.001).Table 1.
Treatment discontinuation, hospital admissions and suicide attempts [N(%)]
N= 688
MHU (N=344)
CMP (N= 344)
P value
Treatment discontinuation
290 (84.3)
42 (12.2)
<0.00001
OAP
LAI
OAP
LAI
Treatment discontinuation
180(52.3)
90(26.2)a
34(9.9)
8(2.3)b
Hospital admissions
260 (75.6)
80 (23.5)
<0.001
OAP
LAI
OAP
LAI
Hospital admissions
180 (52.3)
80 (23.5)a
65 (18.9)
15 (4.4)b
Suicide attempts
134 (38.9)
26 (7.7)
<0.0001
OAP
LAI
OAP
LAI
Suicide attempts
160(46.5)
74(21.5)a
18(5.2)
8(2.3)b
a: p<0.01 b: p<0.001 N: number of patients %: percentage of patients
MHU: mental health unit CMP: case managed programme
AP: antipsychotic FGA, SGA: first, second generation antipsychotic
OAP: oral antipsychotic LAI: long-acting injectable antipsychotic
Conclusions
Our findings show how specific strategies as programs with an integrated treatment and case-managed approach, increase adherence. Moreover, treating with LAI APs clearly contributes to the achievement of these results. The widespread implementation of comprehensive community programs with case management, and the use of LAI-APs, should be an effective choice for people with schizophrenia and clinical severity and impairment, and at high risk of treatment discontinuation.
Disclosure of Interest
None Declared |
| first_indexed | 2024-03-11T07:47:27Z |
| format | Article |
| id | doaj.art-9e6090ff0f6348558abaa10144e8f5bc |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-11T07:47:27Z |
| publishDate | 2023-03-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-9e6090ff0f6348558abaa10144e8f5bc2023-11-17T05:07:19ZengCambridge University PressEuropean Psychiatry0924-93381778-35852023-03-0166S1088S108910.1192/j.eurpsy.2023.2312Treatment adherence of a case managed program for patients with severe schizophrenia compared to standard care in mental health units.S. Díaz-Fernández0J. J. Fernández-Miranda1F. López-Muñoz2AGC Salud Mental V- HUCAB, Servicio de Salud del Principado de Asturias-SESPA, GijónAGC Salud Mental V- HUCAB, Servicio de Salud del Principado de Asturias-SESPA, GijónHealth Sciencies, Universidad Camilo J. Cela, Madrid, Spain Introduction Although some studies have reported that case management (CM), when is compared with standard care, reduces the loss of contact with health services, the debate continues about its superiority over other treatment models. Objectives To assess treatment adherence and reasons for treatment discontinuation, and the impact of the type of APs administration on it, for a group of patients with schizophrenia treated in a CMP or receiving standard treatment in mental health units (MHUs). Methods An observational, longitudinal study (ten-year follow-up) was conducted on 688 patients with severe schizophrenia (CGI-S ≥ 5). All the causes of the end of treatment were recorded, together with the AP medication prescribed and kind of regimes. Results 43.6% of the patients had discontinued treatment in MHUs and only 12.1% on the CMP (p < 0.0001). 27.6% of patients in MHUs were on long-acting injectables (LAIs), and 57.6 on the CMP (p < 0.001). Treatment discontinuation was closely linked to be on OAPs medication in both cases (p < 0.001).Table 1. Treatment discontinuation, hospital admissions and suicide attempts [N(%)] N= 688 MHU (N=344) CMP (N= 344) P value Treatment discontinuation 290 (84.3) 42 (12.2) <0.00001 OAP LAI OAP LAI Treatment discontinuation 180(52.3) 90(26.2)a 34(9.9) 8(2.3)b Hospital admissions 260 (75.6) 80 (23.5) <0.001 OAP LAI OAP LAI Hospital admissions 180 (52.3) 80 (23.5)a 65 (18.9) 15 (4.4)b Suicide attempts 134 (38.9) 26 (7.7) <0.0001 OAP LAI OAP LAI Suicide attempts 160(46.5) 74(21.5)a 18(5.2) 8(2.3)b a: p<0.01 b: p<0.001 N: number of patients %: percentage of patients MHU: mental health unit CMP: case managed programme AP: antipsychotic FGA, SGA: first, second generation antipsychotic OAP: oral antipsychotic LAI: long-acting injectable antipsychotic Conclusions Our findings show how specific strategies as programs with an integrated treatment and case-managed approach, increase adherence. Moreover, treating with LAI APs clearly contributes to the achievement of these results. The widespread implementation of comprehensive community programs with case management, and the use of LAI-APs, should be an effective choice for people with schizophrenia and clinical severity and impairment, and at high risk of treatment discontinuation. Disclosure of Interest None Declaredhttps://www.cambridge.org/core/product/identifier/S092493382302312X/type/journal_article |
| spellingShingle | S. Díaz-Fernández J. J. Fernández-Miranda F. López-Muñoz Treatment adherence of a case managed program for patients with severe schizophrenia compared to standard care in mental health units. European Psychiatry |
| title | Treatment adherence of a case managed program for patients with severe schizophrenia compared to standard care in mental health units. |
| title_full | Treatment adherence of a case managed program for patients with severe schizophrenia compared to standard care in mental health units. |
| title_fullStr | Treatment adherence of a case managed program for patients with severe schizophrenia compared to standard care in mental health units. |
| title_full_unstemmed | Treatment adherence of a case managed program for patients with severe schizophrenia compared to standard care in mental health units. |
| title_short | Treatment adherence of a case managed program for patients with severe schizophrenia compared to standard care in mental health units. |
| title_sort | treatment adherence of a case managed program for patients with severe schizophrenia compared to standard care in mental health units |
| url | https://www.cambridge.org/core/product/identifier/S092493382302312X/type/journal_article |
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