2004 issue 2

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Volume 13, issue 2

Original article

Socio-demographic and behavioural predictors of mobile community teams efficacy

Ludmiła Boguszewska1, STANISŁAW WÓJTOWICZ1, Elżbieta Słupczyńska-Kossobudzka1
1. Zakład Organizacji Ochrony Zdrowia Instytutu Psychiatrii i Neurologii w Warszawie
Postępy Psychiatrii i Neurologii 2004; 13 (2): 105-113
Keywords: predictors, efficacy, mobile community teams

Abstract

Aim. To check which patient characteristics influence the efficacy of care provided by mobile community teams.

Subjects. Participants in the study were 136 patients diagnosed with schizophrenia or schizoaffective psychosis.

Methods. Efficacy measures consisted in the degree of change in 3 areas (social functioning, family burden, duration of hospitalisation). Two groups of predictors were taken into account: the first included socio-demographic characteristics, while the other one the baseline level of efficacy measures regarded as independent variables.

Results. Social functioning and family burden have improved both in patients with severe and in those with mild deficits in these areas. Hospitalisation length decreased significantly only in patients who had been previously hospitalised for a long time. As regards sociodemographic variables, age turned out to be the only characteristic affecting some treatment outcomes.

Conclusions. The problem of severity of functioning deficits as a criterion for the patient's referral to mobile community team s care is still controversial in the literature. Our findings suggest that not only patients with the most difficult symptoms should be treated, but also those with less pronounced symptomatology. The results corroborate also the recently predominating view that hospitalisation should not be avoided at all costs. The patients functioning prior to their enrolment in the mobile community team care is a predictor of the community care efficacy.

Address for correspondence:
Mgr Ludmiła Boguszewska,
Zakład Organizacji Ochrony Zdrowia Instytutu Psychiatrii i Neurologii,
ul. Sobieskiego 9,
02-957 Warszawa,
e-mail: boguszew@ipin.edu.pl