A Study on the Effectiveness of Community-Based Case Management Program for the First Episode Psychosis.
10.4306/jknpa.2013.52.4.223
- Author:
Myung Soo LEE
1
;
So Ra AHN
;
Na Yoon SON
;
Jin Hyeong KIM
;
Hee Yeon PARK
;
Yeon Jung CHO
Author Information
1. Seoul Mental Health Center, Seoul, Korea. mslee1010@hanmail.net
- Publication Type:Original Article
- Keywords:
First episode psychosis;
Case management;
Developmental tasks
- MeSH:
Case Management;
Humans;
Mental Disorders;
Psychotic Disorders;
Quality of Life;
Recurrence;
Weights and Measures
- From:Journal of Korean Neuropsychiatric Association
2013;52(4):223-230
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVES: The purpose of this study was to make empirical evidence for a community based case management program for the first episode of psychosis. METHODS: We provided a case management program for first episode psychosis patients and assessed their symptoms, function, insight, and satisfaction using Positive and Negative Syndrome Scale (PANSS), the Health of Nation Outcomes Scales (HoNOS), Scale to assess Unawareness of Mental Disorder (SUMD), Global Assessment of Functioning Scales (GAF), and Quality of Life scales (QOL) at baseline and after the program. We also evaluated the treatment maintenance rate and the changes of their developmental task achievement. RESULTS: Significant improvement was observed in all sub-domains of PANSS and significant changes were also observed in the areas of symptoms and function of HoNOS. Significant improvement was observed in awareness of mental illness itself and its outcomes. The treatment maintenance rate was 87.5%, including three patients who stopped their medication with the doctor's order. The rate of participation in meaningful social activities, such as school or job showed an increase, from 25% at baseline to 81% after the program. CONCLUSION: Results of this study demonstrate the possibility of community programs for prevention of relapse, improvement of symptoms and function, and facilitation of return to meaningful social activities of first episode psychosis patients.
