RESEARCH ARTICLE / ARAŞTIRMA YAZISI


Impact Of Community Mental Health Centers To Clinical Variables Of Schizophrenia

Toplum Ruh Sağlığı Merkezi Uygulamalarının Şizofreni Hastalığının Sürecine Klinik Değişkenler Temelinde Etkisi

Onur DURMAZ1, Neslihan AKKİŞİ KUMSAR2


Abstract:
Aim of current study was to investigate the impact of Community Mental Health Center(CMHC) interventions to outcome in schizophrenia patients. Data between May 2018-July 2018 retrieved from hospital database belonged to 69 outpatient schizophrenia patients who were following in a CMHC of Erenköy Training and Research Hospital for Mental Health and Neurological Diseases (CMHCH group) and 75 hospitalized schizophrenia subjects had not been involved in CMHC services (Non-CMHC group) was included in study. Substance use history and number of patients who were given a medical board report to place under guardianship were significantly higher in non-CMHC group (p=0.01, p=0.005; respectively). Involuntary admissions was found to be significantly higher in non-CMHC group (p<0.001). By comparison, there was a significant difference in terms of emergency visits between groups before involving to CMHC relative to nonCMHC group (CMHC group=2(1-5), non-CMHC group=5(2-11); p<0.001). A vast majority of emergency visits in CMHC group was conducted before involving to CMHC services (Before CMHC involvement = 4.2±6.2, after CMHC involvement=1.3±3.1). Our results suggest that a significant decrease in emergency visits and hospitalizations might be associated with a CMHC follow up in schizophrenia. Involuntary admissions and placing under guardianship were also higher in those who were not under CMHC follow up.

Keywords: Rehabilitation, Schizophrenia, Community Mental Health Service

 

Uzm. Dr., Erenköy Ruh ve Sinir Hastalıkları Eğitim ve Araştırma Hastanesi, Psikiyatri Servisi, İstanbul-Turkiye, Orcid İd: https://orcid.org/ 0000-0002-0876-7658
Doç. Dr., Erenköy Ruh ve Sinir Hastalıkları Eğitim ve Araştırma Hastanesi, Psikiyatri Sevisi, İstanbul-Turkiye, Orcid İd: https://orcid.org/ 0000-0002-5010-6466
Address of correspondence/Yazışma adresi: Uzm. Dr., Onur DURMAZ Erenköy Ruh ve Sinir Hastalıkları Eğitim ve Araştırma Hastanesi, Psikiyatri Servisi İstanbul-Turkiye E.mail: drodurmaz@gmail.com
Date of Received/Geliş Tarihi: 18.04.2020, Date of Revision/Düzeltme Tarihi: 10.06.2020, Date of Acceptance/Kabul Tarihi: 14.06.2020, Date of Online Publication/Çevirimiçi Yayın Tarihi: 27.07.2020
Citing/ Referans Gösterimi: Durmaz, O. ve Akkişi Kumsar, N. (2020). Toplum Ruh Sağlığı Merkezi Uygulamalarının Şizofreni Hastalığının Sürecine Klinik Değişkenler Temelinde Etkisi. Kıbrıs Türk Psikiyatri ve Psikoloji Dergisi, 2(2): 82-88 doi:10.35365/ctjpp.20.02.12


© 2020 The Author(s). Published by Cyprus Mental Health Institute / Cyprus Turkish Journal of Psychiatry and Psychology (www.ktppdergisi.com). This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 license which permits use, sharing, adaptation, distribution and reproduction in any medium or format, provided the original work is properly cited and is not used for commercial purposes. http://creativecommons.org/licenses/by/4.0/