Needs for care among patients with schizophrenia in six European countries: a one-year follow-up study

Background This article compares needs for care among patients with schizophrenia across six European countries and examines how this relates to the diversity of psychiatric systems in Europe. Methods A one-year prospective cohort study was set up. Inclusion criteria for patients were: a clinical lifetime diagnosis of schizophrenia according to ICD-10 (F20) diagnostic criteria for research, age between 18 and 65 years and at least one contact with mental health services in 1993. The patients were assessed for their clinical diagnosis and symptoms using the SCAN interview (Schedules for Clinical Assessment in Neuropsychiatry) and the interventions proposed to them were recorded through the systematic use of the NFCAS (Needs For Care Assessment Schedule). Results 438 patients were included and 391 were followed up. The mean age was 38 years, the mean age at onset was 22 years, and 59% were out-patients, 24% in day care and 15% hospitalized. The populations in the different centres were significantly different for almost all the variables: sociodemographic, clinical and social, and the problems identified remained relatively stable over the year. Comparisons highlighted cultural differences concerning the interventions that were proposed. Centres in Italy, Spain and Portugal proposed many interventions even though they were relatively deprived in terms of resources, and the tendency seems to be the reverse for the Northern European countries. On average, one in four patients suffered from needs that were not adequately met by the mental health service in their region. These needs (on average 6 per patient) varied from psychotic symptoms to managing their own affairs. The number of interventions was not correlated to the need status. The availability of community-based treatment, rehabilitation and residential care seems to predict smaller proportions of patients with unmet needs. Conclusion There appeared to be a systematic relationship between the availability of community-based mental health care and the need status of schizophrenic patients: the fewer out-patient and rehabilitation services available, the more unmet needs there were. Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Kovess-Masféty, Viviane [verfasserIn] Wiersma, Durk Xavier, Miguel Caldas de Almeida, José Miguel Carta, Mauro G Dubuis, Jacques Lacalmontie, Elisabeth Pellet, Jacques Roelandt, Jean-Luc Torres-Gonzalez, Francisco Moreno Kustner, Berta Walsh, Dermot

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2006

Schlagwörter:	Schizophrenia Mental Health Service Mental Health Care Psychotic Symptom Schizophrenic Patient

Anmerkung:	© Kovess-Masféty et al; licensee BioMed Central Ltd. 2006

Übergeordnetes Werk:	Enthalten in: Clinical practice and epidemiology in mental health - London : BioMed Central, 2005, 2(2006), 1 vom: 11. Sept.
Übergeordnetes Werk:	volume:2 ; year:2006 ; number:1 ; day:11 ; month:09

Links:	Volltext

DOI / URN:	10.1186/1745-0179-2-22

Katalog-ID:	SPR029345871

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520			\|a Background This article compares needs for care among patients with schizophrenia across six European countries and examines how this relates to the diversity of psychiatric systems in Europe. Methods A one-year prospective cohort study was set up. Inclusion criteria for patients were: a clinical lifetime diagnosis of schizophrenia according to ICD-10 (F20) diagnostic criteria for research, age between 18 and 65 years and at least one contact with mental health services in 1993. The patients were assessed for their clinical diagnosis and symptoms using the SCAN interview (Schedules for Clinical Assessment in Neuropsychiatry) and the interventions proposed to them were recorded through the systematic use of the NFCAS (Needs For Care Assessment Schedule). Results 438 patients were included and 391 were followed up. The mean age was 38 years, the mean age at onset was 22 years, and 59% were out-patients, 24% in day care and 15% hospitalized. The populations in the different centres were significantly different for almost all the variables: sociodemographic, clinical and social, and the problems identified remained relatively stable over the year. Comparisons highlighted cultural differences concerning the interventions that were proposed. Centres in Italy, Spain and Portugal proposed many interventions even though they were relatively deprived in terms of resources, and the tendency seems to be the reverse for the Northern European countries. On average, one in four patients suffered from needs that were not adequately met by the mental health service in their region. These needs (on average 6 per patient) varied from psychotic symptoms to managing their own affairs. The number of interventions was not correlated to the need status. The availability of community-based treatment, rehabilitation and residential care seems to predict smaller proportions of patients with unmet needs. Conclusion There appeared to be a systematic relationship between the availability of community-based mental health care and the need status of schizophrenic patients: the fewer out-patient and rehabilitation services available, the more unmet needs there were.
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allfields	10.1186/1745-0179-2-22 doi (DE-627)SPR029345871 (SPR)1745-0179-2-22-e DE-627 ger DE-627 rakwb eng Kovess-Masféty, Viviane verfasserin aut Needs for care among patients with schizophrenia in six European countries: a one-year follow-up study 2006 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Kovess-Masféty et al; licensee BioMed Central Ltd. 2006 Background This article compares needs for care among patients with schizophrenia across six European countries and examines how this relates to the diversity of psychiatric systems in Europe. Methods A one-year prospective cohort study was set up. Inclusion criteria for patients were: a clinical lifetime diagnosis of schizophrenia according to ICD-10 (F20) diagnostic criteria for research, age between 18 and 65 years and at least one contact with mental health services in 1993. The patients were assessed for their clinical diagnosis and symptoms using the SCAN interview (Schedules for Clinical Assessment in Neuropsychiatry) and the interventions proposed to them were recorded through the systematic use of the NFCAS (Needs For Care Assessment Schedule). Results 438 patients were included and 391 were followed up. The mean age was 38 years, the mean age at onset was 22 years, and 59% were out-patients, 24% in day care and 15% hospitalized. The populations in the different centres were significantly different for almost all the variables: sociodemographic, clinical and social, and the problems identified remained relatively stable over the year. Comparisons highlighted cultural differences concerning the interventions that were proposed. Centres in Italy, Spain and Portugal proposed many interventions even though they were relatively deprived in terms of resources, and the tendency seems to be the reverse for the Northern European countries. On average, one in four patients suffered from needs that were not adequately met by the mental health service in their region. These needs (on average 6 per patient) varied from psychotic symptoms to managing their own affairs. The number of interventions was not correlated to the need status. The availability of community-based treatment, rehabilitation and residential care seems to predict smaller proportions of patients with unmet needs. Conclusion There appeared to be a systematic relationship between the availability of community-based mental health care and the need status of schizophrenic patients: the fewer out-patient and rehabilitation services available, the more unmet needs there were. Schizophrenia (dpeaa)DE-He213 Mental Health Service (dpeaa)DE-He213 Mental Health Care (dpeaa)DE-He213 Psychotic Symptom (dpeaa)DE-He213 Schizophrenic Patient (dpeaa)DE-He213 Wiersma, Durk aut Xavier, Miguel aut Caldas de Almeida, José Miguel aut Carta, Mauro G aut Dubuis, Jacques aut Lacalmontie, Elisabeth aut Pellet, Jacques aut Roelandt, Jean-Luc aut Torres-Gonzalez, Francisco aut Moreno Kustner, Berta aut Walsh, Dermot aut Enthalten in Clinical practice and epidemiology in mental health London : BioMed Central, 2005 2(2006), 1 vom: 11. Sept. (DE-627)629840423 (DE-600)2559748-6 1745-0179 nnns volume:2 year:2006 number:1 day:11 month:09 https://dx.doi.org/10.1186/1745-0179-2-22 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2 2006 1 11 09
spelling	10.1186/1745-0179-2-22 doi (DE-627)SPR029345871 (SPR)1745-0179-2-22-e DE-627 ger DE-627 rakwb eng Kovess-Masféty, Viviane verfasserin aut Needs for care among patients with schizophrenia in six European countries: a one-year follow-up study 2006 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Kovess-Masféty et al; licensee BioMed Central Ltd. 2006 Background This article compares needs for care among patients with schizophrenia across six European countries and examines how this relates to the diversity of psychiatric systems in Europe. Methods A one-year prospective cohort study was set up. Inclusion criteria for patients were: a clinical lifetime diagnosis of schizophrenia according to ICD-10 (F20) diagnostic criteria for research, age between 18 and 65 years and at least one contact with mental health services in 1993. The patients were assessed for their clinical diagnosis and symptoms using the SCAN interview (Schedules for Clinical Assessment in Neuropsychiatry) and the interventions proposed to them were recorded through the systematic use of the NFCAS (Needs For Care Assessment Schedule). Results 438 patients were included and 391 were followed up. The mean age was 38 years, the mean age at onset was 22 years, and 59% were out-patients, 24% in day care and 15% hospitalized. The populations in the different centres were significantly different for almost all the variables: sociodemographic, clinical and social, and the problems identified remained relatively stable over the year. Comparisons highlighted cultural differences concerning the interventions that were proposed. Centres in Italy, Spain and Portugal proposed many interventions even though they were relatively deprived in terms of resources, and the tendency seems to be the reverse for the Northern European countries. On average, one in four patients suffered from needs that were not adequately met by the mental health service in their region. These needs (on average 6 per patient) varied from psychotic symptoms to managing their own affairs. The number of interventions was not correlated to the need status. The availability of community-based treatment, rehabilitation and residential care seems to predict smaller proportions of patients with unmet needs. Conclusion There appeared to be a systematic relationship between the availability of community-based mental health care and the need status of schizophrenic patients: the fewer out-patient and rehabilitation services available, the more unmet needs there were. Schizophrenia (dpeaa)DE-He213 Mental Health Service (dpeaa)DE-He213 Mental Health Care (dpeaa)DE-He213 Psychotic Symptom (dpeaa)DE-He213 Schizophrenic Patient (dpeaa)DE-He213 Wiersma, Durk aut Xavier, Miguel aut Caldas de Almeida, José Miguel aut Carta, Mauro G aut Dubuis, Jacques aut Lacalmontie, Elisabeth aut Pellet, Jacques aut Roelandt, Jean-Luc aut Torres-Gonzalez, Francisco aut Moreno Kustner, Berta aut Walsh, Dermot aut Enthalten in Clinical practice and epidemiology in mental health London : BioMed Central, 2005 2(2006), 1 vom: 11. Sept. (DE-627)629840423 (DE-600)2559748-6 1745-0179 nnns volume:2 year:2006 number:1 day:11 month:09 https://dx.doi.org/10.1186/1745-0179-2-22 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2 2006 1 11 09
allfields_unstemmed	10.1186/1745-0179-2-22 doi (DE-627)SPR029345871 (SPR)1745-0179-2-22-e DE-627 ger DE-627 rakwb eng Kovess-Masféty, Viviane verfasserin aut Needs for care among patients with schizophrenia in six European countries: a one-year follow-up study 2006 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Kovess-Masféty et al; licensee BioMed Central Ltd. 2006 Background This article compares needs for care among patients with schizophrenia across six European countries and examines how this relates to the diversity of psychiatric systems in Europe. Methods A one-year prospective cohort study was set up. Inclusion criteria for patients were: a clinical lifetime diagnosis of schizophrenia according to ICD-10 (F20) diagnostic criteria for research, age between 18 and 65 years and at least one contact with mental health services in 1993. The patients were assessed for their clinical diagnosis and symptoms using the SCAN interview (Schedules for Clinical Assessment in Neuropsychiatry) and the interventions proposed to them were recorded through the systematic use of the NFCAS (Needs For Care Assessment Schedule). Results 438 patients were included and 391 were followed up. The mean age was 38 years, the mean age at onset was 22 years, and 59% were out-patients, 24% in day care and 15% hospitalized. The populations in the different centres were significantly different for almost all the variables: sociodemographic, clinical and social, and the problems identified remained relatively stable over the year. Comparisons highlighted cultural differences concerning the interventions that were proposed. Centres in Italy, Spain and Portugal proposed many interventions even though they were relatively deprived in terms of resources, and the tendency seems to be the reverse for the Northern European countries. On average, one in four patients suffered from needs that were not adequately met by the mental health service in their region. These needs (on average 6 per patient) varied from psychotic symptoms to managing their own affairs. The number of interventions was not correlated to the need status. The availability of community-based treatment, rehabilitation and residential care seems to predict smaller proportions of patients with unmet needs. Conclusion There appeared to be a systematic relationship between the availability of community-based mental health care and the need status of schizophrenic patients: the fewer out-patient and rehabilitation services available, the more unmet needs there were. Schizophrenia (dpeaa)DE-He213 Mental Health Service (dpeaa)DE-He213 Mental Health Care (dpeaa)DE-He213 Psychotic Symptom (dpeaa)DE-He213 Schizophrenic Patient (dpeaa)DE-He213 Wiersma, Durk aut Xavier, Miguel aut Caldas de Almeida, José Miguel aut Carta, Mauro G aut Dubuis, Jacques aut Lacalmontie, Elisabeth aut Pellet, Jacques aut Roelandt, Jean-Luc aut Torres-Gonzalez, Francisco aut Moreno Kustner, Berta aut Walsh, Dermot aut Enthalten in Clinical practice and epidemiology in mental health London : BioMed Central, 2005 2(2006), 1 vom: 11. Sept. (DE-627)629840423 (DE-600)2559748-6 1745-0179 nnns volume:2 year:2006 number:1 day:11 month:09 https://dx.doi.org/10.1186/1745-0179-2-22 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2 2006 1 11 09
allfieldsGer	10.1186/1745-0179-2-22 doi (DE-627)SPR029345871 (SPR)1745-0179-2-22-e DE-627 ger DE-627 rakwb eng Kovess-Masféty, Viviane verfasserin aut Needs for care among patients with schizophrenia in six European countries: a one-year follow-up study 2006 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Kovess-Masféty et al; licensee BioMed Central Ltd. 2006 Background This article compares needs for care among patients with schizophrenia across six European countries and examines how this relates to the diversity of psychiatric systems in Europe. Methods A one-year prospective cohort study was set up. Inclusion criteria for patients were: a clinical lifetime diagnosis of schizophrenia according to ICD-10 (F20) diagnostic criteria for research, age between 18 and 65 years and at least one contact with mental health services in 1993. The patients were assessed for their clinical diagnosis and symptoms using the SCAN interview (Schedules for Clinical Assessment in Neuropsychiatry) and the interventions proposed to them were recorded through the systematic use of the NFCAS (Needs For Care Assessment Schedule). Results 438 patients were included and 391 were followed up. The mean age was 38 years, the mean age at onset was 22 years, and 59% were out-patients, 24% in day care and 15% hospitalized. The populations in the different centres were significantly different for almost all the variables: sociodemographic, clinical and social, and the problems identified remained relatively stable over the year. Comparisons highlighted cultural differences concerning the interventions that were proposed. Centres in Italy, Spain and Portugal proposed many interventions even though they were relatively deprived in terms of resources, and the tendency seems to be the reverse for the Northern European countries. On average, one in four patients suffered from needs that were not adequately met by the mental health service in their region. These needs (on average 6 per patient) varied from psychotic symptoms to managing their own affairs. The number of interventions was not correlated to the need status. The availability of community-based treatment, rehabilitation and residential care seems to predict smaller proportions of patients with unmet needs. Conclusion There appeared to be a systematic relationship between the availability of community-based mental health care and the need status of schizophrenic patients: the fewer out-patient and rehabilitation services available, the more unmet needs there were. Schizophrenia (dpeaa)DE-He213 Mental Health Service (dpeaa)DE-He213 Mental Health Care (dpeaa)DE-He213 Psychotic Symptom (dpeaa)DE-He213 Schizophrenic Patient (dpeaa)DE-He213 Wiersma, Durk aut Xavier, Miguel aut Caldas de Almeida, José Miguel aut Carta, Mauro G aut Dubuis, Jacques aut Lacalmontie, Elisabeth aut Pellet, Jacques aut Roelandt, Jean-Luc aut Torres-Gonzalez, Francisco aut Moreno Kustner, Berta aut Walsh, Dermot aut Enthalten in Clinical practice and epidemiology in mental health London : BioMed Central, 2005 2(2006), 1 vom: 11. Sept. (DE-627)629840423 (DE-600)2559748-6 1745-0179 nnns volume:2 year:2006 number:1 day:11 month:09 https://dx.doi.org/10.1186/1745-0179-2-22 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2 2006 1 11 09
allfieldsSound	10.1186/1745-0179-2-22 doi (DE-627)SPR029345871 (SPR)1745-0179-2-22-e DE-627 ger DE-627 rakwb eng Kovess-Masféty, Viviane verfasserin aut Needs for care among patients with schizophrenia in six European countries: a one-year follow-up study 2006 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Kovess-Masféty et al; licensee BioMed Central Ltd. 2006 Background This article compares needs for care among patients with schizophrenia across six European countries and examines how this relates to the diversity of psychiatric systems in Europe. Methods A one-year prospective cohort study was set up. Inclusion criteria for patients were: a clinical lifetime diagnosis of schizophrenia according to ICD-10 (F20) diagnostic criteria for research, age between 18 and 65 years and at least one contact with mental health services in 1993. The patients were assessed for their clinical diagnosis and symptoms using the SCAN interview (Schedules for Clinical Assessment in Neuropsychiatry) and the interventions proposed to them were recorded through the systematic use of the NFCAS (Needs For Care Assessment Schedule). Results 438 patients were included and 391 were followed up. The mean age was 38 years, the mean age at onset was 22 years, and 59% were out-patients, 24% in day care and 15% hospitalized. The populations in the different centres were significantly different for almost all the variables: sociodemographic, clinical and social, and the problems identified remained relatively stable over the year. Comparisons highlighted cultural differences concerning the interventions that were proposed. Centres in Italy, Spain and Portugal proposed many interventions even though they were relatively deprived in terms of resources, and the tendency seems to be the reverse for the Northern European countries. On average, one in four patients suffered from needs that were not adequately met by the mental health service in their region. These needs (on average 6 per patient) varied from psychotic symptoms to managing their own affairs. The number of interventions was not correlated to the need status. The availability of community-based treatment, rehabilitation and residential care seems to predict smaller proportions of patients with unmet needs. Conclusion There appeared to be a systematic relationship between the availability of community-based mental health care and the need status of schizophrenic patients: the fewer out-patient and rehabilitation services available, the more unmet needs there were. Schizophrenia (dpeaa)DE-He213 Mental Health Service (dpeaa)DE-He213 Mental Health Care (dpeaa)DE-He213 Psychotic Symptom (dpeaa)DE-He213 Schizophrenic Patient (dpeaa)DE-He213 Wiersma, Durk aut Xavier, Miguel aut Caldas de Almeida, José Miguel aut Carta, Mauro G aut Dubuis, Jacques aut Lacalmontie, Elisabeth aut Pellet, Jacques aut Roelandt, Jean-Luc aut Torres-Gonzalez, Francisco aut Moreno Kustner, Berta aut Walsh, Dermot aut Enthalten in Clinical practice and epidemiology in mental health London : BioMed Central, 2005 2(2006), 1 vom: 11. Sept. (DE-627)629840423 (DE-600)2559748-6 1745-0179 nnns volume:2 year:2006 number:1 day:11 month:09 https://dx.doi.org/10.1186/1745-0179-2-22 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2 2006 1 11 09
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source	Enthalten in Clinical practice and epidemiology in mental health 2(2006), 1 vom: 11. Sept. volume:2 year:2006 number:1 day:11 month:09
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topic_title	Needs for care among patients with schizophrenia in six European countries: a one-year follow-up study Schizophrenia (dpeaa)DE-He213 Mental Health Service (dpeaa)DE-He213 Mental Health Care (dpeaa)DE-He213 Psychotic Symptom (dpeaa)DE-He213 Schizophrenic Patient (dpeaa)DE-He213
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title	Needs for care among patients with schizophrenia in six European countries: a one-year follow-up study
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title_full	Needs for care among patients with schizophrenia in six European countries: a one-year follow-up study
author_sort	Kovess-Masféty, Viviane
journal	Clinical practice and epidemiology in mental health
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author_browse	Kovess-Masféty, Viviane Wiersma, Durk Xavier, Miguel Caldas de Almeida, José Miguel Carta, Mauro G Dubuis, Jacques Lacalmontie, Elisabeth Pellet, Jacques Roelandt, Jean-Luc Torres-Gonzalez, Francisco Moreno Kustner, Berta Walsh, Dermot
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author-letter	Kovess-Masféty, Viviane
doi_str_mv	10.1186/1745-0179-2-22
title_sort	needs for care among patients with schizophrenia in six european countries: a one-year follow-up study
title_auth	Needs for care among patients with schizophrenia in six European countries: a one-year follow-up study
abstract	Background This article compares needs for care among patients with schizophrenia across six European countries and examines how this relates to the diversity of psychiatric systems in Europe. Methods A one-year prospective cohort study was set up. Inclusion criteria for patients were: a clinical lifetime diagnosis of schizophrenia according to ICD-10 (F20) diagnostic criteria for research, age between 18 and 65 years and at least one contact with mental health services in 1993. The patients were assessed for their clinical diagnosis and symptoms using the SCAN interview (Schedules for Clinical Assessment in Neuropsychiatry) and the interventions proposed to them were recorded through the systematic use of the NFCAS (Needs For Care Assessment Schedule). Results 438 patients were included and 391 were followed up. The mean age was 38 years, the mean age at onset was 22 years, and 59% were out-patients, 24% in day care and 15% hospitalized. The populations in the different centres were significantly different for almost all the variables: sociodemographic, clinical and social, and the problems identified remained relatively stable over the year. Comparisons highlighted cultural differences concerning the interventions that were proposed. Centres in Italy, Spain and Portugal proposed many interventions even though they were relatively deprived in terms of resources, and the tendency seems to be the reverse for the Northern European countries. On average, one in four patients suffered from needs that were not adequately met by the mental health service in their region. These needs (on average 6 per patient) varied from psychotic symptoms to managing their own affairs. The number of interventions was not correlated to the need status. The availability of community-based treatment, rehabilitation and residential care seems to predict smaller proportions of patients with unmet needs. Conclusion There appeared to be a systematic relationship between the availability of community-based mental health care and the need status of schizophrenic patients: the fewer out-patient and rehabilitation services available, the more unmet needs there were. © Kovess-Masféty et al; licensee BioMed Central Ltd. 2006
abstractGer	Background This article compares needs for care among patients with schizophrenia across six European countries and examines how this relates to the diversity of psychiatric systems in Europe. Methods A one-year prospective cohort study was set up. Inclusion criteria for patients were: a clinical lifetime diagnosis of schizophrenia according to ICD-10 (F20) diagnostic criteria for research, age between 18 and 65 years and at least one contact with mental health services in 1993. The patients were assessed for their clinical diagnosis and symptoms using the SCAN interview (Schedules for Clinical Assessment in Neuropsychiatry) and the interventions proposed to them were recorded through the systematic use of the NFCAS (Needs For Care Assessment Schedule). Results 438 patients were included and 391 were followed up. The mean age was 38 years, the mean age at onset was 22 years, and 59% were out-patients, 24% in day care and 15% hospitalized. The populations in the different centres were significantly different for almost all the variables: sociodemographic, clinical and social, and the problems identified remained relatively stable over the year. Comparisons highlighted cultural differences concerning the interventions that were proposed. Centres in Italy, Spain and Portugal proposed many interventions even though they were relatively deprived in terms of resources, and the tendency seems to be the reverse for the Northern European countries. On average, one in four patients suffered from needs that were not adequately met by the mental health service in their region. These needs (on average 6 per patient) varied from psychotic symptoms to managing their own affairs. The number of interventions was not correlated to the need status. The availability of community-based treatment, rehabilitation and residential care seems to predict smaller proportions of patients with unmet needs. Conclusion There appeared to be a systematic relationship between the availability of community-based mental health care and the need status of schizophrenic patients: the fewer out-patient and rehabilitation services available, the more unmet needs there were. © Kovess-Masféty et al; licensee BioMed Central Ltd. 2006
abstract_unstemmed	Background This article compares needs for care among patients with schizophrenia across six European countries and examines how this relates to the diversity of psychiatric systems in Europe. Methods A one-year prospective cohort study was set up. Inclusion criteria for patients were: a clinical lifetime diagnosis of schizophrenia according to ICD-10 (F20) diagnostic criteria for research, age between 18 and 65 years and at least one contact with mental health services in 1993. The patients were assessed for their clinical diagnosis and symptoms using the SCAN interview (Schedules for Clinical Assessment in Neuropsychiatry) and the interventions proposed to them were recorded through the systematic use of the NFCAS (Needs For Care Assessment Schedule). Results 438 patients were included and 391 were followed up. The mean age was 38 years, the mean age at onset was 22 years, and 59% were out-patients, 24% in day care and 15% hospitalized. The populations in the different centres were significantly different for almost all the variables: sociodemographic, clinical and social, and the problems identified remained relatively stable over the year. Comparisons highlighted cultural differences concerning the interventions that were proposed. Centres in Italy, Spain and Portugal proposed many interventions even though they were relatively deprived in terms of resources, and the tendency seems to be the reverse for the Northern European countries. On average, one in four patients suffered from needs that were not adequately met by the mental health service in their region. These needs (on average 6 per patient) varied from psychotic symptoms to managing their own affairs. The number of interventions was not correlated to the need status. The availability of community-based treatment, rehabilitation and residential care seems to predict smaller proportions of patients with unmet needs. Conclusion There appeared to be a systematic relationship between the availability of community-based mental health care and the need status of schizophrenic patients: the fewer out-patient and rehabilitation services available, the more unmet needs there were. © Kovess-Masféty et al; licensee BioMed Central Ltd. 2006
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title_short	Needs for care among patients with schizophrenia in six European countries: a one-year follow-up study
url	https://dx.doi.org/10.1186/1745-0179-2-22
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author2	Wiersma, Durk Xavier, Miguel Caldas de Almeida, José Miguel Carta, Mauro G Dubuis, Jacques Lacalmontie, Elisabeth Pellet, Jacques Roelandt, Jean-Luc Torres-Gonzalez, Francisco Moreno Kustner, Berta Walsh, Dermot
author2Str	Wiersma, Durk Xavier, Miguel Caldas de Almeida, José Miguel Carta, Mauro G Dubuis, Jacques Lacalmontie, Elisabeth Pellet, Jacques Roelandt, Jean-Luc Torres-Gonzalez, Francisco Moreno Kustner, Berta Walsh, Dermot
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