2001 issue 4

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Volume 10, issue 4

Original article

Effectiveness of mobile community teams in four centers – a two-year follow up study

Elżbieta Słupczyńska-Kossobudzka1, Ludmiła Boguszewska1, STANISŁAW WÓJTOWICZ1
1. Zakład Organizacji Ochrony Zdrowia Instytutu Psychiatrii i Neurologii w Warszawie
Postępy Psychiatrii i Neurologii, 2001, 10, 289-299
Keywords: mobile community teams, effectiveness, community psychiatry

Abstract

The aim of the study was to compare effectiveness of mobile community teams and traditional outpatient psychiatric care provision to patients with chronic psychoses, schizophrenia mostly. Participants were 107 patients (randomly assigned to either experimental or control conditions), and their family members. All the participants were examined thrice: at baseline, at 10 months and at 22 months. Effects attained after 22 months of community-based care were found to be significantly better than those of the traditional care on the majority of measures used in the study. The following indicators evidenced a higher effectiveness of care provided by mobile community teams: duration of hospitalization, four areas of social functioning (general, interpersonal contacts, independence, work), patients' satisfaction with services, patients' troublesome behaviors, and family burden. Effectiveness of mobile community teams was not found to be higher on the following measures: number of hospital admissions, and three areas of social functioning (withdrawal, recreation, pro-social activities). Effects of mobile community teams' work were evidently better after 22 months than these at 10 months, especially as regards family burden, troublesome behaviors and duration of hospitalization – at 10 months there were no intergroup differences, while at 22 months a significantly higher improvement was attained in patients receiving community-based care than in those provided with traditional outpatient care.

Address for correspondence:
Dr Elżbieta Slupczyńska-Kossobudzka, Zakład Organizacji Ochrony Zdrowia
Instytutu Psychiatrii i Neurologii,
Al. Sobieskiego 9,
02-957 Warszawa