The purpose of this study was to examine the Modified Community-Based Care Management (M-CBCM) &IPS care model for psychiatric patients who readmitted psychiatric patients within three month of discharge. This study was conducted with the cooperation of a psychiatric hospital in Kyushu at which M-CBCM&IPS were provided to 41 schizophrenic patients from the time of their readmission to six months after discharge. The patients had been unstable both in their psychiatric symptoms and in self-care management. All were either readmitted within three months of their previous discharge or their hospitalization continued more than three months. Evaluations were made upon of readmission, discharge, three months and six months after discharge. Evaluations were based on indexes rating psychiatric symptoms, daily living skills, social functioning, family perceptions of the patient being a burden, Quality of Life (QOL) and work-rate. The patients were divided into two groups: 18 patients (Group A) were provided MCBCM&IPS and 23 patients (Group B) were provided only M-CBCM. Many of the patients of both groups lived with their families, with parents playing the major role in terms of family support. Significant difference were not recognized between two groups regarding the Brief Psychiatric Rating Scale (BPRS), the Life Skills Profile (LSP), QOL and work-rate. However Significant improvements were recognized BPRS, GAF and FAS. And work-rate at the times of six month after the discharge were not recognized between two groups. But patients in A-Group had high work-rate at the A type working house with that of B-Group. But many patients in both groups were working at B-type working house for psychiatric patients, not in the company. These results were discussed from a viewpoint acknowledging the significance of MCBCM&IPS, the necessiy of finding and utilizing community resources, and the importance of transitional support from A-type working house to A-type working house.
雑誌名
熊本大学医学部保健学科紀要
巻
9
ページ
63 - 72
発行年
2013-03-30
ISSN
18807151
書誌レコードID
AA12010572
フォーマット
application/pdf
形態
1222160 bytes
著者版フラグ
publisher
日本十進分類法
492.927
その他の言語のタイトル
An Evaluation of Modified Community-Based Care Management (M-CBCM) & IPS (Individual Placement and Support) for Psychiatric Patients Readmitted within 3 months of Discharge
再入院を繰り返す精神障害者へのM-CBCMおよびIPSモデルの開発
MH0009_063-072.pdf
(1.22MB)
