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A specialized unit for women with schizophrenia: Results from the healthcare model Observatories-Monitoring Stations and Interventions.

Published online by Cambridge University Press:  27 August 2024

J. P. Paolini San Miguel*
Affiliation:
1Mental Health, Mutua Terrassa University Hospital. University of Barcelona, Terrassa, Spain
M. Natividad
Affiliation:
1Mental Health, Mutua Terrassa University Hospital. University of Barcelona, Terrassa, Spain
M. V. Seeman
Affiliation:
2Psychiatry, University of Toronto, Toronto, Canada
E. Román
Affiliation:
1Mental Health, Mutua Terrassa University Hospital. University of Barcelona, Terrassa, Spain
A. Balagué
Affiliation:
1Mental Health, Mutua Terrassa University Hospital. University of Barcelona, Terrassa, Spain
B. Palacios
Affiliation:
3Clinical and Health Psychology, Autonomous University of the State of Morelos, Cuernavaca, Mexico
N. Bagué
Affiliation:
1Mental Health, Mutua Terrassa University Hospital. University of Barcelona, Terrassa, Spain
E. Izquierdo
Affiliation:
1Mental Health, Mutua Terrassa University Hospital. University of Barcelona, Terrassa, Spain
E. Rial
Affiliation:
1Mental Health, Mutua Terrassa University Hospital. University of Barcelona, Terrassa, Spain
J. A. Monreal
Affiliation:
1Mental Health, Mutua Terrassa University Hospital. University of Barcelona, Terrassa, Spain
A. González Rodríguez
Affiliation:
1Mental Health, Mutua Terrassa University Hospital. University of Barcelona, Terrassa, Spain
*
*Corresponding author.

Abstract

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Introduction

There are many theoretical reasons to implement gender-specific care for schizophrenia. For all these reasons, the Mutua Terrassa-Functional Unit for Women with Schizophrenia was inaugurated in January 2023 in the context of a community mental health service.

Objectives

Our aim today is to describe the health care model applied in this newly initiated unit.

Methods

We created a healthcare model in our new unit consisting of A)Five observatories of Health (somatic morbi-mortality, hyperprolactinemia-HPRL, substance use disorders, social exclusion/discrimination, and drug safety); B)Monitoring stations or vigilance teams (reflecting the 5 observatories); and C)resulting actions (specific interventions). The observatory teams each meet monthly. In this presentation, according to the healthcare model we implemented, we first describe data about the original patient recruitment and then focus on the observatories of somatic morbi-mortality and hyperprolactinemia.

Results

From 265 potentially eligible women, 42 were included in the 5 observatories. (A) of the 11 women in the observatory of somatic morbi-mortality, 10 women had died within the last 24 months. Causes of Death: (1)respiratory tract disease (n=5,45.4%), (2)cancer (n=3;27.3%): lung cancer (n=1), pancreatic cancer (n=1), kidney cancer (n=1), (3)ischemic colitis (n=1;9%), (4)Alzheimer disease (n=1;9%). 2) Morbidity. One woman had an ongoing glioblastoma. (B)Observatory of HPRL. Eight women with moderate/severe HPRL were included. Strategies for lowering prolactin levels were discussed with neuroendocrinologists. Interventions:adjunctive aripiprazole (n=3), switch to aripiprazole (n=2), lowering antipsychotic doses (n=2), and adjunctive cabergoline (n=1).

Conclusions

Designating special teams to focus on specific problems of women with schizophrenia will reduce morbidity and improve outcomes in this vulnerable population.

Disclosure of Interest

None Declared

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2024. Published by Cambridge University Press on behalf of European Psychiatric Association
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