A Method to Compare the Delivery of Psychiatric Care for People with Treatment-Resistant Schizophrenia

Community services are gaining ground when it comes to attention to patients with psychiatric diseases. Regarding patients with treatment-resistant schizophrenia (TRS), the use of information and communication technology (ICT) could help to shift the focus from hospital-centered attention to communi...

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Bibliographic Details
Published in:International journal of environmental research and public health 2020-10, Vol.17 (20), p.7527
Main Authors: Alonso-Solís, Anna, Ochoa, Susana, Grasa, Eva, Rubinstein, Katya, Caspi, Asaf, Farkas, Kinga, Unoka, Zsolt, Usall, Judith, Huerta-Ramos, Elena, Isohanni, Matti, Seppälä, Jussi, Reixach, Elisenda, Berdún, Jesús, Corripio, Iluminada, Group, M-Resist
Format: Article
Language:English
Subjects:
Directories
Drug Resistance
Empowerment
Europe
Health care access
Health services
Humans
Hungary
Israel
Long term health care
Mental disorders
Mental health
Mental Health Services
Patients
Questionnaires
Research methodology
Schizophrenia
Schizophrenia - therapy
Self help
Spain
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Summary:Community services are gaining ground when it comes to attention to patients with psychiatric diseases. Regarding patients with treatment-resistant schizophrenia (TRS), the use of information and communication technology (ICT) could help to shift the focus from hospital-centered attention to community services. This study compares the differences in mental health services provided for patients with TRS in Budapest (Hungary), Tel-Aviv (Israel) and Catalonia (Spain) by means of a method for the quick appraisal of gaps among the three places, for a potential implementation of the same ICT tool in these regions. An adapted version of the Description and Standardised Evaluation of Services and Directories in Europe for Long Term Care (DESDE-LTC) instrument was made by researchers in Semmelweis University (Budapest, Hungary), Gertner Institute (Tel-Aviv, Israel) and Hospital de la Santa Creu I Sant Pau and Parc Sanitari Sant Joan de Déu (Catalonia, Spain). Two types of outpatient care services were available in the three regions. Only one type of day-care facility was common in the whole study area. Two residential care services, one for acute and the other for non-acute patients were available in every region. Finally, two self-care and volunteer-care facilities were available in the three places. Although the availability of services was different in each region, most of the services provided were sufficiently similar to allow the implementation of the same ICT solution in the three places.
ISSN:1660-4601
1661-7827
1660-4601
DOI:10.3390/ijerph17207527