A comparison of patient clinical and social outcomes before and after the introduction of an extended-hours community mental health team
Open accessAbstract
OBJECTIVE: The aim of this study was to assess the effectiveness of the addition of standard community treatment to a hospital-based service in a regional district of Australia. METHOD: The study was a naturalistic investigation of a routine clinical service and utilized a longitudinal panel design. Two matched groups of seriously mentally ill patients were recruited,one before the addition of the community mental health team (CMHT)and one after. Each sample was followed up for one year using a semistructured questionnaire and instruments including the Brief Psychiatric Rating Scale, the Global Assessment Scale, the Life Skills Profile and the Rosenberg Self-Esteem Scale as well as hospital records. RESULTS: Patients in both groups showed similar patterns of improvements. Although the aims of the new service included reducing in-patient utilization and improving social functioning,there were few significant differences between the two groups. While the number of admissions and length of stay were lower in the post-CMHTsample most were admitted rather than treated in their homes by the CMHT. CONCLUSION: The study concludes that better outcomes might have been achieved if the aims of the CMHT had been limited to either crisis or rehabilitation interventions, but not both. More attention needs to be paid to the service context in which model programmes are introduced so that new developments can be more closely tailored to the realities of what is likely to be achievable.
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An extended-hours community mental health team and bilingual case management had no significant effect on any of the outcomes assessed.
“An extended-hours community mental health team and bilingual case management had no significant effect on any of the outcomes assessed (Ziguras 2001;Habibis et al. 2002).”
From Effect of community mental health care programs in Australia: A systematic review (2020) · cites this paper as Habibis et al. 2002
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Effect of community mental health care programs in Australia: A systematic review
O'Donnell, R., Savaglio, M., Vicary, D., & Skouteris, H. (2020) · Australian Journal of Primary Health · doi:10.1071/py20147 · Cited by 19 · see citing works
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CURRICULUM VITAE Personal Details
Bowling, C. (2007)
- Authors
- Habibis, D., Hazelton, M., Schneider, R., Bowling, A., & Davidson, J.
- Affiliations
- University of Tasmania (AU)
- Launceston General Hospital (AU)
- Venue
- Australian and New Zealand Journal of Psychiatry
- Publisher
- SAGE Publications
- Published
- 2002-01
- Volume
- 36
- Issue
- 3
- Pages
- 392-398
- ISSN
- 0004-8674 (ISSN-L)
- 1440-1614
- OpenAlex
- W2153911266
- Cited by
- 9
- References
- 18
- Citations by year
- 2022: 1 · 2020: 1 · 2018: 2 · 2016: 1
- FWCI
- 0.89
- Type
- journal article
- Language
- en
- Open access
- green
- figshare.com
- Licence
- cc-by
- Locations
- Australian & New Zealand Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- eCite Digital Repository (University of Tasmania) (submittedVersion)
- Cross Connect (Southern Cross University) (submittedVersion)
- Figshare (submittedVersion, cc-by)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- community mental health teams, severe mental illness, hospital-based mental health services, hospitalization, length of hospital stay, social functioning, self-esteem, life skills, service evaluation, crisis intervention, rehabilitation
- MeSH terms
- Adolescent, Adult, Aged, Analysis of Variance, Australia, Mental Disorders, Community Mental Health Services, Female, Humans, Male, Middle Aged, Psychiatric Status Rating Scales, Social Behavior, Time Factors, Patient Satisfaction, Outcome Assessment, Health Care
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