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Báo cáo y học: " Systematic monitoring of needs for care and global outcomes in patients with severe mental illness"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Systematic monitoring of needs for care and global outcomes in patients with severe mental illness | Drukker et al. BMC Psychiatry 2010 10 36 http www.biomedcentral.com 1471-244X 10 36 BMC Psychiatry RESEARCH ARTICLE Open Access Systematic monitoring of needs for care and global outcomes in patients with severe mental illness Marjan Drukker 1 Jim van Os1 2 Maarten Bak1 3 Joost à Campo3 and Philippe Delespaul1 3 Abstract Background It was hypothesised that the introduction of tools that allow clinicians to assess patients needs and to negotiate treatment Cumulative Needs for Care Monitor CNCM would be associated with global outcome improvements in patients diagnosed with severe mental illness. Methods The CNCM was introduced in one region in South Limburg the Netherlands in 1998 REGION-1998 and in the rest of South Limburg in 2004 REGION-2004 . By comparing these two regions changes after the introduction of the CNCM could be assessed between-region comparison . In addition a pre-post within-patient comparison was conducted in both regions. Results The within-patient comparison revealed that global outcomes of psychopathology and impairment improved in the first 3-5 years after the introduction of the CNCM. The between-region comparison revealed an improvement in global psychopathology but not in global impairment in REGION-2004 after 2004 while there was no such improvement in REGION-1998. Conclusion Systematic clinical monitoring of individual severe mental illness patients in combination with provision of feedback is associated with global improvement in psychopathology. More research is needed to determine the degree to which this association reflects a causal effect. Background It is assumed that a person-based rehabilitation strategy informed by systematic and cumulative assessments of need for care and severity of symptoms may contribute to improved outcomes in patients diagnosed with severe mental illness SMI . However there is little empirical data to suggest that such a systematic needs-based approach benefits individual patients. SMI is best .