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Professional team's choices of intervention towards problems and needs of patients suffering from schizophrenia across six European countries

Published online by Cambridge University Press:  16 April 2020

Vivianne Kovess ,
José Miguel Caldas de Almeida ,
Mauro Carta ,
Jacques Dubuis ,
Elisabeth Lacalmontie ,
Jacques Pellet ,
Jean-Luc Roelandt ,
Berta Moreno Kustner ,
Dermot Walsh  and
Durk Wiersma
Vivianne Kovess*
Affiliation:
Director of Public Health Research Department MGEN, 3 square Max Hymans, 75748Paris cedex 15, France
José Miguel Caldas de Almeida
Affiliation:
Clinica Universitaria de Psiquiatria e Saude mental, Faculdade de Ciências Medicas de Lisboa, Lisbon, Portugal
Mauro Carta
Affiliation:
Istituto di Clinica Psichiatrica, University of Cagliari, Cagliari, Italy
Jacques Dubuis
Affiliation:
CHS Le Vinatier, Bron, France
Elisabeth Lacalmontie
Affiliation:
DIM, Le Mesnil St.Denis, France
Jacques Pellet
Affiliation:
CHRU St. Etienne, France
Jean-Luc Roelandt
Affiliation:
Clinique Jérôme Bosch, Armentieres, France
Berta Moreno Kustner
Affiliation:
Department of Psychiatry, University of Granada, Granada, Spain
Dermot Walsh
Affiliation:
Health Research Board, Dublin, Ireland
Durk Wiersma
Affiliation:
Department of Social Psychiatry, University Hospital Groningen, Groningen, The Netherlands
*
*Corresponding author. E-mail address:[email protected]. (V. Kovess).
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Abstract

Objectives

This article compares in a systematic way the team's intervention choices of professionals across seven European countries: France, Ireland, Italy, the Netherlands, Portugal and Spain towards problems and needs of patients with schizophrenia and relates this to the diversity of psychiatric systems.

Methods

The clinical and social status of 433 patients was assessed by means of the Schedules for Clinical Assessment in Neuropsychiatry (SCAN) and the Needs for Care Assessment instrument (NFCAS) which was used to determine teams' intervention choices toward the NFCAS problems.

Results

There is no, or little, consensus across Europe on teams' intervention choices towards either the clinical or the social problems and needs of patients suffering from schizophrenic disorders. These comparisons outlined the cultural differences concerning the interventions that were proposed and should be taken into account when interpreting the number of needs and the need status since the need status relies heavily on the interventions proposed. The differences were not connected with the availability of resources; most of the comparisons show differences between centers as well as differences between groups of relatively similar resource countries.

Keywords

SchizophreniaProfessional intervention choicesHealth servicesEurope
Type
Public Issues of Psychiatry
Information
European Psychiatry , Volume 20 , Issue 8 , December 2005 , pp. 521 - 528
Copyright
Copyright © Elsevier SAS 2005

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References

Albaek, JConsensus statement. Schizophrenia, Nord J Psychiatry 1993;47:15–29.10.3109/08039489309096692CrossRefGoogle Scholar
Becker, THülsmann, SKnudsen, HCMartiny, KAmaddeo, FHerran, Aet al.Provision of services for people with schizophrenia in five European regions. Soc Psychiatry Psychiatr Epidemiol 2002;37:465–474.10.1007/s00127-002-0591-2CrossRefGoogle ScholarPubMed
Becker, TKnapp, MKnudsen, HCSchene, AHTansella, MThornicroft, Get al.Aims, outcome measures, study sites and patient sample. EPSILON Study 1. European Psychiatric Services: inputs linked to outcome domains and needs. Br J Psychiatry Suppl 2000;39:1–7.10.1192/bjp.177.39.s1CrossRefGoogle Scholar
Billings, JJohnson, SBebbington, PGreaves, APriebe, SMuijen, Met al.Assertive outreach teams in London: staff experiences and perceptions: Pan-London Assertive Outreach Study, part 2+. Br J Psychiatry 2003;183:139–147.10.1192/bjp.183.2.139CrossRefGoogle ScholarPubMed
Brewin, CRWing, JKMangen, SPBrugha, TSMacCarthy, BPrinciples and practice of measuring needs in the long-term mentally ill: the MRC Needs for Care Assessment. Psychol Med 1987;17:971–981.10.1017/S0033291700000787CrossRefGoogle ScholarPubMed
Brewin, CRWing, JKManual of the MRC needs for care assessment memo London: MRC Social Psychiatry Unit; 1989.Google Scholar
Bustillo, JLauriello, JHoran, WKeith, SThe psychosocial treatment of schizophrenia: an update. Am J Psychiatry 2001;158(2): 163–175.10.1176/appi.ajp.158.2.163CrossRefGoogle ScholarPubMed
De Clercq, CDhondt, JNauwelearts, MLes troubles schizophréniques. Recommandations de la conférence de consensus belge sur le traitement de la schizophrénie De Boeck et Larcier Bruxelles; 2000Google Scholar
Grinshpoon, AShershevsky, YLevinson, DPonizovsky, AShould patients with chronic psychiatric disorders remain in hospital? Results from a service inquiry. Isr J Psychiatry Relat Sci 2003;40(4): 268–273.Google ScholarPubMed
Haaster I, VLCyr, MToupin, JFurther reliability and validity studies of a procedure to assess the needs for care of the chronically mentally ill. Psychol Med 1994;24:215–2222410.1017/S0033291700026970CrossRefGoogle ScholarPubMed
Kissling, WKane, JMBarnes, TREGuidelines for antipsychotic relapse prevention in schizophrenia toward a consensus view. Kissling, WGuidelines for Antipsychotic Relapse Prevention in Schizophrenia Proc Consensus Conf, April 19-20 1989, Bruges, Belgium. Berlin: Springer Verlag; 1991. 155–6310.1007/978-3-642-86922-8CrossRefGoogle Scholar
Kovess, VCaroli, FDurocher, AKipman, SDPascal, JCPenochet, JCZarifian, ELes stratégies thérapeutiques à long terme dans les psychoses schizophréniques. Texte des experts de la Conférence de Consensus Paris: Eds FRISON-ROCHE; 1994.Google Scholar
Kovess, VThe French consensus conference on long term therapeutic strategies for Schizophrenic Psychoses. Soc Psychiatry Psychiatr Epidemiol 1995;30:49–52.10.1007/BF00794941CrossRefGoogle ScholarPubMed
Kovess, VWiersma, DCaldas de Almeida, JMCarta, MGDubuis, JLacalmontic, Eet al.Evolution of needs for patients with schizophrenia in seven European countries. Psychiatric Netw 2000;3(2): 26–40.Google Scholar
Lehman, AFSteinwachs, DMTranslating research into practice: the Schizophrenia Patient Outcomes Research Team (PORT) client survey. Schizophr Bull 1998;24(1): 11–23.10.1093/oxfordjournals.schbul.a033303CrossRefGoogle Scholar
Lehman, AFKreyenbuhl, JBuchanan, RWDickerson, FBDixon, LBGoldberg, Ret al.The Schizophrenia Patient Outcomes Research Team (PORT): updated treatment recommendations 2003. Schizophr Bull 2004;30(2): 193–217.10.1093/oxfordjournals.schbul.a007071CrossRefGoogle ScholarPubMed
Lesage, ADMignolli, GFaccincani, CTansella, MStandardized assessment of the needs for care in a cohort of patients with schizophrenic psychoses. Psychol Med Monogr Suppl 1995;191:27–41.Google Scholar
McCrone, PLeese, MThornicroft, GGriffiths, GPadfield, SSchene, AHet al.Reliability of the Camberwell assessment of need—European Version. EPSILON Study 6. Br J Psychiatr 2000;177(39): 34–40.10.1192/bjp.177.39.s34CrossRefGoogle Scholar
Pilling, SBebington, PKuipers, EGarety, PGeddes, JOrbach, Get al.Psychological treatments in schizophrenia: I. Meta-analysis of family intervention and cognitive behaviour therapy. Psychol Med 2002;32(5): 763–782.10.1017/S0033291702005895CrossRefGoogle ScholarPubMed
Ruggeri, MLasalvia, ABisoffi, GThornicroft, GVazquez-Barquero, JLBecker, Tet al.Satisfaction with mental health services among people with schizophrenia in five European sites: results from the EPSILON Study. Schizophr Bull 2003;29(2): 229–245.10.1093/oxfordjournals.schbul.a007000CrossRefGoogle ScholarPubMed
Van Haaster, ILesage, ADCyr, MToupin, JProblems and needs for care of patients suffering from severe mental illness. Soc Psychiatry Psychiatr Epidemiol 1994;29(3): 141–148.10.1007/BF00796495CrossRefGoogle ScholarPubMed
Wiersma, DNienhuis, FJGiel, Rde Jong, ASlooff, CJAssessment of the need for care 15 years after onset of a Dutch cohort of patients with schizophrenia, and an international comparison. Soc Psychiatry Psychiatr Epidemiol 1996;31(3–4): 114–121.10.1007/BF00785757CrossRefGoogle Scholar
Wiersma, DReliability of the ‘Needs for Care Assessment Schedule' in a European context: an international comparison Department of Social Psychiatry, University of Groningen; 1996Google Scholar
Wing, JKBabor, TBrugha, TBurke, JCooper, JEGiel, Ret al.SCAN: Schedules for Clinical Assessment in Neuropsychiatry. Arch Gen Psychiatry 1990;47:589–593.10.1001/archpsyc.1990.01810180089012CrossRefGoogle ScholarPubMed
http://www.nice.org.uk/page.aspx?o=43210 Media Briefing-Clinical guideline on schizophrenia 2002; December.Google Scholar
http://www.nice.org.uk/pdf/8pressreleasefullschizoguideline.pdf2003/008 NICE welcomes full schizophrenia guideline and training programme 2003; Issued: March.Google Scholar
http://www.rcpsych.ac.uk/cru/sts/index.htm Using and understanding the NICE schizophrenia guideline: a training session 2002; December.Google Scholar
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