Case-management for Patients with Schizophrenia in Iran: a Comparative Study of the Clinical Outcomes of Mental Health Workers and Consumers' Family Members As Case Managers

Overview

Journal Community Ment Health J

Specialty Health Services

Date 2009 May 6

PMID 19415489

Citations 18

Authors

Seyed Kazem Malakouti

Marzieh Nojomi

Lili Panaghi

Narjes Chimeh

Yasaman Mottaghipour

Mohammad Taghi Joghatai

Ahmad Ali Noorbala

Jafar Bolhari

Affiliations

Soon will be listed here.

Abstract

The objective of this study was to evaluate the effectiveness of case-management services and the feasibility of considering the Consumers' Family Members (CFM) as service providers in Iran as a developing country. Three trained case-managers were allocated into each group (Mental Health Worker-MHW and CFM), providing 12 months of home-visit services for 129 individuals with schizophrenia. Burden, knowledge, quality of life and the general health condition of the caregivers, as well as positive/negative symptoms and social skills of the consumers were evaluated. Most clinical variables were improved without significant differences between groups. The hospitalization rate was reduced by 67%.

Citing Articles

Effectiveness and cost-effectiveness of community-based mental health services for individuals with severe mental illness in Iran: a systematic review and meta-analysis.

Taban M, Nooraeen S, Tanha K, Moradi-Lakeh M, Malakouti S BMC Psychiatry. 2024; 24(1):256.

PMID: 38575916 PMC: 10993444. DOI: 10.1186/s12888-024-05666-7.

The Challenges of Providing Community Psychiatric Services in the COVID-19 Era: The Probability of Soaring Rehospitalization and Caregivers' Burden of People with Severe Mental Illnesses.

Nooraeen S, Javanbakht M, Malakouti S Med J Islam Repub Iran. 2022; 35:181.

PMID: 35706522 PMC: 9168065. DOI: 10.47176/mjiri.35.181.

Family and Patient Psychoeducation for Severe Mental Disorder in Iran: A Review.

Mottaghipour Y, Tabatabaee M Iran J Psychiatry. 2019; 14(1):84-108.

PMID: 31114622 PMC: 6505048.

Perceptions of psychosocial disability amongst psychiatric service users and caregivers in South Africa.

Brooke-Sumner C, Lund C, Petersen I Afr J Disabil. 2017; 3(1):146.

PMID: 28730007 PMC: 5443050. DOI: 10.4102/ajod.v3i1.146.

Assessment of the burden on caregivers of patients with mental disorders in Jeddah, Saudi Arabia.

Alzahrani S, Fallata E, Alabdulwahab M, Alsafi W, Bashawri J BMC Psychiatry. 2017; 17(1):202.

PMID: 28558771 PMC: 5450140. DOI: 10.1186/s12888-017-1368-1.

References

Oldridge M, Hughes I . Psychological well-being in families with a member suffering from schizophrenia. An investigation into long-standing problems. Br J Psychiatry. 1992; 161:249-51. DOI: 10.1192/bjp.161.2.249. View

Teague G, Drake R, Ackerson T . Evaluating use of continuous treatment teams for persons with mental illness and substance abuse. Psychiatr Serv. 1995; 46(7):689-95. DOI: 10.1176/ps.46.7.689. View

Ziguras S, Stuart G . A meta-analysis of the effectiveness of mental health case management over 20 years. Psychiatr Serv. 2000; 51(11):1410-21. DOI: 10.1176/appi.ps.51.11.1410. View

Marks I, Connolly J, Muijen M, Audini B, McNamee G, Lawrence R . Home-based versus hospital-based care for people with serious mental illness. Br J Psychiatry. 1994; 165(2):179-94. DOI: 10.1192/bjp.165.2.179. View

Felton C, Stastny P, Shern D, Blanch A, Donahue S, Knight E . Consumers as peer specialists on intensive case management teams: impact on client outcomes. Psychiatr Serv. 1995; 46(10):1037-44. DOI: 10.1176/ps.46.10.1037. View

Lehman A . Public health policy, community services, and outcomes for patients with schizophrenia. Psychiatr Clin North Am. 1998; 21(1):221-31. DOI: 10.1016/s0193-953x(05)70368-3. View

Tsang H, Pearson V, Yuen C . Family needs and burdens of mentally ill offenders. Int J Rehabil Res. 2002; 25(1):25-32. DOI: 10.1097/00004356-200203000-00004. View

Okasha A . Focus on psychiatry in Egypt. Br J Psychiatry. 2004; 185:266-72. DOI: 10.1192/bjp.185.3.266. View

Rivera J, Sullivan A, Valenti S . Adding consumer-providers to intensive case management: does it improve outcome?. Psychiatr Serv. 2007; 58(6):802-9. DOI: 10.1176/ps.2007.58.6.802. View

10.

Solomon P, Draine J . Family perceptions of consumers as case managers. Community Ment Health J. 1994; 30(2):165-76. DOI: 10.1007/BF02188627. View

11.

Holloway F, Carson J . Case management: an update. Int J Soc Psychiatry. 2001; 47(3):21-31. DOI: 10.1177/002076400104700303. View

12.

Chinman M, Rosenheck R, Lam J, Davidson L . Comparing consumer and nonconsumer provided case management services for homeless persons with serious mental illness. J Nerv Ment Dis. 2000; 188(7):446-53. DOI: 10.1097/00005053-200007000-00009. View

13.

Marshall M, Lockwood A . Assertive community treatment for people with severe mental disorders. Cochrane Database Syst Rev. 2000; (2):CD001089. DOI: 10.1002/14651858.CD001089. View

14.

Bachrach L . Case management: toward a shared definition. Hosp Community Psychiatry. 1989; 40(9):883-4. DOI: 10.1176/ps.40.9.883. View

15.

Paulson R, Herinckx H, Demmler J, Clarke G, Cutler D, Birecree E . Comparing practice patterns of consumer and non-consumer mental health service providers. Community Ment Health J. 1999; 35(3):251-69. DOI: 10.1023/a:1018745403590. View

16.

Audini B, Marks I, Lawrence R, Connolly J, Watts V . Home-based versus out-patient/in-patient care for people with serious mental illness. Phase II of a controlled study. Br J Psychiatry. 1994; 165(2):204-10. DOI: 10.1192/bjp.165.2.204. View

17.

Mueser K, Drake R, Ackerson T, Alterman A, Miles K, Noordsy D . Antisocial personality disorder, conduct disorder, and substance abuse in schizophrenia. J Abnorm Psychol. 1997; 106(3):473-7. DOI: 10.1037//0021-843x.106.3.473. View

18.

Yasamy M, Shahmohammadi D, Bagheri Yazdi S, Layeghi H, Bolhari J, Razzaghi E . Mental health in the Islamic Republic of Iran: achievements and areas of need. East Mediterr Health J. 2003; 7(3):381-91. View

19.

Burns B, Santos A . Assertive community treatment: an update of randomized trials. Psychiatr Serv. 1995; 46(7):669-75. DOI: 10.1176/ps.46.7.669. View

20.

Kalafi Y, Hagh-Shenas H, Ostovar A . Mental health among Afghan refugees settled in Shiraz, Iran. Psychol Rep. 2002; 90(1):262-6. DOI: 10.2466/pr0.2002.90.1.262. View