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Community psychiatric nurse teams: intensive support versus generic care.

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Title: Community psychiatric nurse teams: intensive support versus generic care.
Authors: Muijen, Matt, Cooney, Margaret, Strathdee, Geraldine, Bell, Ray, Hudson, Annette, Muijen, M (AUTHOR), Cooney, M (AUTHOR), Strathdee, G (AUTHOR), Bell, R (AUTHOR), Hudson, A (AUTHOR)
Source: British Journal of Psychiatry. Aug94, Vol. 165, p211-217. 7p. 5 Charts.
Subjects: Psychiatric nursing, Community health nursing, Pathological psychology, Mental health personnel, Hospital utilization, People with mental illness
Abstract: Background: This study evaluated whether a community psychiatric nurse (CPN) team providing a comprehensive aftercare service, using a case management approach, improves psychopathology and social functioning of the long-term mentally ill, and reduces hospital use compared with a generic CPN team.Method: Patients suffering from severe and persistent mental health problems were randomised to intensive aftercare or generic care after referral to the CPN manager. Each group contained 41 patients who were assessed at baseline and at 6, 12 and 18 months by an independent research psychologist. Outcome measures included the GAS, PSE, SAS, patient and relatives' satisfaction, number of admissions, and length of stay.Results: No difference between the groups was found on any of the outcome measures, despite the much higher number of contacts of the intensive (n = 52) versus generic CPNs (n = 13) and the much greater range of interventions.Conclusions: Intensive aftercare for people with persistent mental health problems was not found to be of greater benefit than generic CPN care. Many factors need to be considered for aftercare to be effective, including community resources, process of care, and staff training. [ABSTRACT FROM AUTHOR]
Copyright of British Journal of Psychiatry is the property of Cambridge University Press and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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DbLabel: Psychology and Behavioral Sciences Collection
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PubType: Academic Journal
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  Data: Community psychiatric nurse teams: intensive support versus generic care.
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  Data: <searchLink fieldCode="AR" term="%22Muijen%2C+Matt%22">Muijen, Matt</searchLink><br /><searchLink fieldCode="AR" term="%22Cooney%2C+Margaret%22">Cooney, Margaret</searchLink><br /><searchLink fieldCode="AR" term="%22Strathdee%2C+Geraldine%22">Strathdee, Geraldine</searchLink><br /><searchLink fieldCode="AR" term="%22Bell%2C+Ray%22">Bell, Ray</searchLink><br /><searchLink fieldCode="AR" term="%22Hudson%2C+Annette%22">Hudson, Annette</searchLink><br /><searchLink fieldCode="AR" term="%22Muijen%2C+M%22">Muijen, M</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Cooney%2C+M%22">Cooney, M</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Strathdee%2C+G%22">Strathdee, G</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bell%2C+R%22">Bell, R</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hudson%2C+A%22">Hudson, A</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22British+Journal+of+Psychiatry%22">British Journal of Psychiatry</searchLink>. Aug94, Vol. 165, p211-217. 7p. 5 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Psychiatric+nursing%22">Psychiatric nursing</searchLink><br /><searchLink fieldCode="DE" term="%22Community+health+nursing%22">Community health nursing</searchLink><br /><searchLink fieldCode="DE" term="%22Pathological+psychology%22">Pathological psychology</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health+personnel%22">Mental health personnel</searchLink><br /><searchLink fieldCode="DE" term="%22Hospital+utilization%22">Hospital utilization</searchLink><br /><searchLink fieldCode="DE" term="%22People+with+mental+illness%22">People with mental illness</searchLink>
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  Data: <bold>Background: </bold>This study evaluated whether a community psychiatric nurse (CPN) team providing a comprehensive aftercare service, using a case management approach, improves psychopathology and social functioning of the long-term mentally ill, and reduces hospital use compared with a generic CPN team.<bold>Method: </bold>Patients suffering from severe and persistent mental health problems were randomised to intensive aftercare or generic care after referral to the CPN manager. Each group contained 41 patients who were assessed at baseline and at 6, 12 and 18 months by an independent research psychologist. Outcome measures included the GAS, PSE, SAS, patient and relatives' satisfaction, number of admissions, and length of stay.<bold>Results: </bold>No difference between the groups was found on any of the outcome measures, despite the much higher number of contacts of the intensive (n = 52) versus generic CPNs (n = 13) and the much greater range of interventions.<bold>Conclusions: </bold>Intensive aftercare for people with persistent mental health problems was not found to be of greater benefit than generic CPN care. Many factors need to be considered for aftercare to be effective, including community resources, process of care, and staff training. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of British Journal of Psychiatry is the property of Cambridge University Press and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – TitleFull: Community psychiatric nurse teams: intensive support versus generic care.
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              Text: Aug94
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