A follow-up on patients with severe mental disorders in Sardinia after two changes in regional policies: poor resources still correlate with poor outcomes

BACKGROUND: This survey followed a cohort of patients with chronic psychosis recruited from five catchment areas (DSMs) of the Sardinian community mental health services. The objective was to examine whether the amount of resources in the different sites may be a determinant of the outcomes. METHODS...

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Autores principales: Carta, Mauro Giovanni, Angermeyer, Matthias C, Sancassiani, Federica, Tuligi, Francesco, Pirastu, Roberto, Pisano, Anna, Pintus, Elisa, Mellino, Gisa, Pintus, Mirra, Pisanu, Emanuele, Moro, Maria Francesca, Massidda, Davide, Trincas, Giuseppina, Bhugra, Dinesh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4029176/
https://www.ncbi.nlm.nih.gov/pubmed/24313930
http://dx.doi.org/10.1186/1471-244X-13-333
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author Carta, Mauro Giovanni
Angermeyer, Matthias C
Sancassiani, Federica
Tuligi, Francesco
Pirastu, Roberto
Pisano, Anna
Pintus, Elisa
Mellino, Gisa
Pintus, Mirra
Pisanu, Emanuele
Moro, Maria Francesca
Massidda, Davide
Trincas, Giuseppina
Bhugra, Dinesh
author_facet Carta, Mauro Giovanni
Angermeyer, Matthias C
Sancassiani, Federica
Tuligi, Francesco
Pirastu, Roberto
Pisano, Anna
Pintus, Elisa
Mellino, Gisa
Pintus, Mirra
Pisanu, Emanuele
Moro, Maria Francesca
Massidda, Davide
Trincas, Giuseppina
Bhugra, Dinesh
author_sort Carta, Mauro Giovanni
collection PubMed
description BACKGROUND: This survey followed a cohort of patients with chronic psychosis recruited from five catchment areas (DSMs) of the Sardinian community mental health services. The objective was to examine whether the amount of resources in the different sites may be a determinant of the outcomes. METHODS: Naturalistic follow-up study on 309 consecutive users with diagnosis of schizophrenic disorder, schizoaffective disorder, bipolar affective disorder with psychotic symptoms (DSM-IV TR) of five Sardinian community mental health services. Mental state and clinical symptoms along with functioning were assessed using semi-structured clinical interviews (ANTAS), Clinical Global Impression Severity Scale (CGI-S), Global Assessment of Functioning Scale (GAF) and Health of the Nation Outcome Scales (HONOS). Assessments were conducted at the beginning of the study and after one year. RESULTS: The proportion of professionals working in all DSMs participating in the study was found lower than the national Italian standard (0.7 vs 1.0 per 1,500 inhabitants). Follow-up revealed significant differences between DSMs in the improvement of the Honos scores (F = 5.932, p = 0.000). These differences correlate with the improvement of resources in terms of number of professionals during, and one year prior, to the trial. CONCLUSIONS: The study shows that mental health services provided in the public sector in Sardinia are still very resource-poor, at least in terms of human resources. Our findings suggest that mental health service resources influence outcomes as regards the social functioning of users. We urge policy makers to take these observations into account when planning future services.
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spelling pubmed-40291762014-05-22 A follow-up on patients with severe mental disorders in Sardinia after two changes in regional policies: poor resources still correlate with poor outcomes Carta, Mauro Giovanni Angermeyer, Matthias C Sancassiani, Federica Tuligi, Francesco Pirastu, Roberto Pisano, Anna Pintus, Elisa Mellino, Gisa Pintus, Mirra Pisanu, Emanuele Moro, Maria Francesca Massidda, Davide Trincas, Giuseppina Bhugra, Dinesh BMC Psychiatry Research Article BACKGROUND: This survey followed a cohort of patients with chronic psychosis recruited from five catchment areas (DSMs) of the Sardinian community mental health services. The objective was to examine whether the amount of resources in the different sites may be a determinant of the outcomes. METHODS: Naturalistic follow-up study on 309 consecutive users with diagnosis of schizophrenic disorder, schizoaffective disorder, bipolar affective disorder with psychotic symptoms (DSM-IV TR) of five Sardinian community mental health services. Mental state and clinical symptoms along with functioning were assessed using semi-structured clinical interviews (ANTAS), Clinical Global Impression Severity Scale (CGI-S), Global Assessment of Functioning Scale (GAF) and Health of the Nation Outcome Scales (HONOS). Assessments were conducted at the beginning of the study and after one year. RESULTS: The proportion of professionals working in all DSMs participating in the study was found lower than the national Italian standard (0.7 vs 1.0 per 1,500 inhabitants). Follow-up revealed significant differences between DSMs in the improvement of the Honos scores (F = 5.932, p = 0.000). These differences correlate with the improvement of resources in terms of number of professionals during, and one year prior, to the trial. CONCLUSIONS: The study shows that mental health services provided in the public sector in Sardinia are still very resource-poor, at least in terms of human resources. Our findings suggest that mental health service resources influence outcomes as regards the social functioning of users. We urge policy makers to take these observations into account when planning future services. BioMed Central 2013-12-06 /pmc/articles/PMC4029176/ /pubmed/24313930 http://dx.doi.org/10.1186/1471-244X-13-333 Text en Copyright © 2013 Carta et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Carta, Mauro Giovanni
Angermeyer, Matthias C
Sancassiani, Federica
Tuligi, Francesco
Pirastu, Roberto
Pisano, Anna
Pintus, Elisa
Mellino, Gisa
Pintus, Mirra
Pisanu, Emanuele
Moro, Maria Francesca
Massidda, Davide
Trincas, Giuseppina
Bhugra, Dinesh
A follow-up on patients with severe mental disorders in Sardinia after two changes in regional policies: poor resources still correlate with poor outcomes
title A follow-up on patients with severe mental disorders in Sardinia after two changes in regional policies: poor resources still correlate with poor outcomes
title_full A follow-up on patients with severe mental disorders in Sardinia after two changes in regional policies: poor resources still correlate with poor outcomes
title_fullStr A follow-up on patients with severe mental disorders in Sardinia after two changes in regional policies: poor resources still correlate with poor outcomes
title_full_unstemmed A follow-up on patients with severe mental disorders in Sardinia after two changes in regional policies: poor resources still correlate with poor outcomes
title_short A follow-up on patients with severe mental disorders in Sardinia after two changes in regional policies: poor resources still correlate with poor outcomes
title_sort follow-up on patients with severe mental disorders in sardinia after two changes in regional policies: poor resources still correlate with poor outcomes
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4029176/
https://www.ncbi.nlm.nih.gov/pubmed/24313930
http://dx.doi.org/10.1186/1471-244X-13-333
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