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Experience about therapeutic adherence and clinical remission in patients with severe mental disease in a community mental health center

Published online by Cambridge University Press:  16 April 2020

J.L. Hernandez Fleta
Affiliation:
Unidad de Salud Mental de Canalejas, Las Palmas de Gran Canaria, Spain
M.E. Terres Ruiz
Affiliation:
Unidad de Salud Mental de Canalejas, Las Palmas de Gran Canaria, Spain
T. Sanchez-Araña Moreno
Affiliation:
Unidad de Salud Mental de Canalejas, Las Palmas de Gran Canaria, Spain
A. Salesansky Davidovsky
Affiliation:
Unidad de Salud Mental de Canalejas, Las Palmas de Gran Canaria, Spain
A. Dominguez Santana
Affiliation:
Unidad de Salud Mental de Canalejas, Las Palmas de Gran Canaria, Spain
E. Zerek Benitez
Affiliation:
Unidad de Salud Mental de Canalejas, Las Palmas de Gran Canaria, Spain

Abstract

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Objectives:

1. To analyze different aspects related to patients that could influence on therapeutic adherence to a model of “Long Acting Injectable Clinic”(LAIC). 2. To evaluate therapeutic adherence.

Methods:

Sixty patients treated with long-acting injectable risperidone (RLAI) for the previous 24 months in a community mental health center (CMHC) were retrospectively studied. Data concerning sociodemographic characteristics, diagnosis and time since diagnosis, level of insight, GCI, comorbilities, time since last hospitalization, reasons for treatment change, follow-up at the CMHC and remission criteria (according to Remission in Schizophrenia Working Group) were collected. Descriptive data are shown in the present report.

Results:

The most common diagnosis were paranoid (53.3%) and residual schizophrenia (15.9%). The main reason for a change in therapeutic strategy was to improve tolerability (29.3%) and non-compliance with previous treatment (26,8%). Retention rate to treatment with RILD were 72.67%; 27.33% of patients withdrew the treatment, mainly due to lack of response and new symptoms appearance. 74% of patients met remission criteria

Conclusion:

Most of the patients continue being treated with RILD, while 27.3% had to withdraw due to severity, treatment resistance or adverse effects. 74% of patients met remission criteria according to Remission in Schizophrenia Working Group.

Type
Poster Session 1: Antipsychotic Medications
Copyright
Copyright © European Psychiatric Association 2007
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