A Community-Based Clinic Survey of Antidepressant Use in Persons with Schizophrenia

1998 ◽  
Vol 43 (5) ◽  
pp. 513-516 ◽  
Author(s):  
Raymond W Lam ◽  
Ron Peters ◽  
Nicholas Sladen-Dew ◽  
Siemion Altman
Keyword(s):  
Mental Health ◽  
Survey Questionnaire ◽  
Gender Ratio ◽  
Community Based ◽  
Antipsychotic Medications ◽  
Combination Treatment Group ◽  
Health Centres ◽  
Canadian City ◽  
Antidepressant Use ◽  
Persons With Schizophrenia

Objective: To determine the rates of antidepressant and antipsychotic use in the treatment of schizophrenia. Method: The primary therapists at 8 community mental health centres in a metropolitan Canadian city completed a survey questionnaire for all of their active clients. Information was collected about diagnoses, medication treatments, and clinical variables. Results: There were 3555 clients, 1552 (43.7%) of which had a diagnosis of schizophrenia. Of clients with schizophrenia, 94% were prescribed antipsychotic medications, and 11.6% of these were also prescribed antidepressant medications. There were differences between the combination-treatment group and the antipsychotic-alone group in gender ratio, rates of concurrent diagnoses of mood disorder, level of current functioning, and total number of hospitalizations. Conclusion: In this community-based sample of clients with schizophrenia, antidepressants and antipsychotics are commonly prescribed in combination, even though the rate of concurrent mood disorders diagnoses is low. Further studies should clarify the efficacy and indications for antidepressant use in this population.

North Staffordshire Community Beds Study: Longitudinal evaluation of psychiatric in-patient units attached to community mental health centres

1999 ◽  
Vol 175 (1) ◽  
pp. 70-78 ◽  
Author(s):  
Anthony P. Boardman ◽  
Richard E. Hodgson ◽  
Martyn Lewis ◽  
Keith Allen
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Unmet Need ◽  
Community Based ◽  
Care Services ◽  
After Care ◽  
Catchment Areas ◽  
Health Centres ◽  
Acute Psychiatric Wards ◽  
Satisfaction With Services

BackgroundThis study evaluates two in-patient units attached to community mental health centres (CMHCs) that were designed to supplement acute in-patient care and to integrate with community-based after-care services.AimTo examine the comparative outcome of patients with severe mental illness (SMI) admitted to the two units.MethodAll patients with SMI admitted to the acute psychiatric wards serving the two CMHCs, those transferred to the community in-patient units and those admitted directly to these units (n=110) were compared with patients (n=67) admitted to acute wards serving two similar catchment areas without associated community beds. Baseline clinical and social measures were made and repeated at six and 12 months. Satisfaction with services was assessed at 12 months.ResultsThe experimental group showed significantly better outcomes, significant reduction in unmet need and better satisfaction with services.ConclusionsThe use of the community beds appears to have significant benefits for patients with SMI.

Implementing Family Supportive Interventions for Schizophrenia in Public Mental Health Centres

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
A. Fiorillo ◽  
L. Magliano ◽  
M. Maj
Keyword(s):  
Mental Health ◽  
Public Mental Health ◽  
Clinical Work ◽  
Clinical Aspects ◽  
Training Course ◽  
Training And Supervision ◽  
Health Centres ◽  
Drug Treatments ◽  
Persons With Schizophrenia ◽  
Psychoeducational Interventions

Studies aimed at implementing supportive treatments for families in clinical practice report that after a training course 7 to 27 percent of professionals apply these treatments in clinical work and a mean of 1.4 to 1.7 families per trainee receive these interventions.We carried out a study in 23 Italian mental health centres in order to explore the feasibility of providing psychoeducational interventions for persons with schizophrenia and their families in routine conditions.Two professionals from each center attended three monthly training sessions for psychoeducational interventions. After the training, each professional provided informative sessions on schizophrenia to five families of service users with schizophrenia, which consisted of three meetings with each family on clinical aspects of schizophrenia, drug treatments, and detection of early signs of relapse. Each professional then provided the intervention to families for six months.Thirty-eight of the 46 participants completed the training course, and 34 provided the intervention to 71 families. Twenty-nine of the 34 provided the entire intervention to the families and five of the 34 held only informative sessions on schizophrenia. Ninety-one percent of the participants who completed the study reported difficulties in integrating the intervention with their work responsibilities, and 96 percent acknowledged the positive effect that the intervention had on the center's relationship with patients with schizophrenia and their families.These results support the idea that it is possible to introduce psychoeducational interventions in mental health centres after a relatively brief period of training and supervision.

scholarly journals An Exploration of Facilitators and Challenges to Young Adult Engagement in a Community-Based Program for Mental Health Promotion

2020 ◽  
Vol 7 ◽  
pp. 233339362092282
Author(s):  
Anne Marie Creamer ◽  
Jean Hughes ◽  
Nicole Snow
Keyword(s):  
Mental Health ◽  
Young Adulthood ◽  
Mental Health Center ◽  
Health Issues ◽  
Community Based ◽  
Health Concerns ◽  
Mental Health Issues ◽  
Canadian City ◽  
Trauma Informed ◽  
Adolescence And Young Adulthood

Adolescence and young adulthood can be particularly daunting for those with mental health concerns. In one Canadian city, a community-based drop-in psychosocial mental health center (Center) was designed specifically for youth who self-identified as struggling with mental health issues. The purpose of this study was to identify the features of the program that promoted or discouraged engagement. Narrative inquiry was used to guide the project. One-on-one interviews were conducted with 10 Center users. Four major categories were identified: (a) Reasons for Coming: Motivated to Work on Goals; (b) Facilitators of Engagement and Beyond; (c) Challenges to Engagement; and (d) Benefits of Engaging: Finding My Way. These categories were further delineated into themes. All participants had experienced trauma, and the Center assisted them in their coping. The researchers believe that to aid recovery, agencies working with this population need to use trauma-informed and healing-centered engagement.

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