Hostname: page-component-586b7cd67f-2plfb Total loading time: 0 Render date: 2024-11-24T10:29:57.288Z Has data issue: false hasContentIssue false
  • English
  • Français

An observational study of effectiveness in community residential facilities

Published online by Cambridge University Press:  11 October 2011

Antonio Lora ,
Antonio Contartese ,
Maurizio Franco ,
Maria Crocina Lo Maglio ,
Emanuela Molteni ,
Alessandra Pallavicini ,
Elena Rasi ,
Maristella Rossini ,
Elisabetta Violanti  and
Dino Lanzara
Antonio Lora*
Affiliation:
Unità Operativa di Psichiatria di Desio (Milano), Azienda Ospedaliera “Ospedale Civile di Vimercate”, Desio
Antonio Contartese
Affiliation:
Unità Operativa di Psichiatria di Desio (Milano), Azienda Ospedaliera “Ospedale Civile di Vimercate”, Desio
Maurizio Franco
Affiliation:
Unità Operativa di Psichiatria di Desio (Milano), Azienda Ospedaliera “Ospedale Civile di Vimercate”, Desio
Maria Crocina Lo Maglio
Affiliation:
2Ricercatrice
Emanuela Molteni
Affiliation:
Unità Operativa di Psichiatria di Desio (Milano), Azienda Ospedaliera “Ospedale Civile di Vimercate”, Desio
Alessandra Pallavicini
Affiliation:
Unità Operativa di Psichiatria di Desio (Milano), Azienda Ospedaliera “Ospedale Civile di Vimercate”, Desio
Elena Rasi
Affiliation:
Unità Operativa di Psichiatria di Desio (Milano), Azienda Ospedaliera “Ospedale Civile di Vimercate”, Desio
Maristella Rossini
Affiliation:
Unità Operativa di Psichiatria di Desio (Milano), Azienda Ospedaliera “Ospedale Civile di Vimercate”, Desio
Elisabetta Violanti
Affiliation:
Unità Operativa di Psichiatria di Desio (Milano), Azienda Ospedaliera “Ospedale Civile di Vimercate”, Desio
Dino Lanzara
Affiliation:
Unità Operativa di Psichiatria di Desio (Milano), Azienda Ospedaliera “Ospedale Civile di Vimercate”, Desio
*
Address for correspondence: Dr. A. Lora, Servizio Psichiatrico di Diagnosi e Cura, Unità Operativa di Psichiatria, Ospedale di Desio, Piazza Benefattori, 20033 Desio (Milano) Fax: +39-0362-383.865 E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Summary

Aims — Evaluation of community residential facilities effectiveness in the Department of Mental Health of Desio (Milan). Method — Outcomes in symptoms, disability, family burden and quality of life were evaluated during one year through a longitudinal study, using a pre—test and post test design without control group. Results — Residential care is effective in reducing disability and symptoms, while it is not effective towards family burden. Quality of life is improved in some domains, but not in others (e.g. social and family relationships). Conclusions — Outcome assessment is feasible in residential facilities, following a multiaxial and multifactorial model. We need to clarify the goals of residential care, focussing on active components of the residential treatment.

Declaration of Interest

the research project was funded by Department of Health of Regione Lombardia (DGR n. 37596 del 24.7.1998).

Keywords

effectivenessresidential caresymptomsdisabilityfamily burdenquality of life.
Type
Original Papers
Information
Epidemiology and Psychiatric Sciences , Volume 13 , Issue 3 , September 2004 , pp. 198 - 208
Copyright
Copyright © Cambridge University Press 2004

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

BIBLIOGRAFIA

Barbato, A., D'Avanzo, B., Rocca, G., Amatulli, A. & Lampugnani, D. (2004). A study of long-stay patients resettled in the community after closure of a psychiatric hospital in Italy. Psychiatric Services 54, 1, 67–70.CrossRefGoogle Scholar
Boot, B., Hall, W. & Andrews, G. (1997). Disability, outcome and casemix in acute psychiatric in-patient units. British Journal of Psychiatry 171, 242–246.CrossRefGoogle ScholarPubMed
Chilvers, R., Macdonald, G.M. & Hayes, A.A. (2002). Supported housing for people with severe mental disorders. Cochrane Library, Issue 2.Google Scholar
De Girolamo, G., Picardi, A., Micciolo, R., Falloon, I., Fioritti, A. & Morosini, P. for the PROGRES Group (2002). Residential care in Italy - National survey of non-hospital facilities. British Journal of Psychiatry 181, 220–225.CrossRefGoogle ScholarPubMed
Evans, C. (1998). The contribution of reliable and clinically significant change methods to evidence based mental health. Evidence-Based Mental Health 1(3), 70–72.Google Scholar
Fakhoury, W., Murray, A., Shepherd, G. & Priebe, S. (2002). Research in supported housing. Social Psychiatry and Psychiatric Epidemiology 37, 301–315.Google Scholar
Jacobson, N.S. & Truax, P. (1991). Clinical significance: a statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology 59, 12–19.CrossRefGoogle ScholarPubMed
Johnson, S., Kuhlmann, R. & the EPCAT group (1997). The European Service Mapping Schedule [ESMS] version 3. University of London: London.Google Scholar
Lanzara, D., Cosentino, U., Lo Maglio, A.M., Lora, A., Nicold, A. & Rossini, M.S. (1999). I problemi dei pazienti con disturbi schizofrenici e delle loro famiglie. Epidemiologia e Psichiatria Sociale 2, 117–130.CrossRefGoogle Scholar
Leff, J. (1997). Care in Community: Illusion o Reality? Wiley: London.Google Scholar
Lora, A., Bai, G., Bianchi, S., Bolongaro, G., Civenti, G., Erlicher, A., Maresca, G., Monzani, E., Panetta, B., Von Morgen, D., Rossi, F., Torri, V. & Morosini, P. (2001). La versione italiana della HoNOS (“Health of the Nation Outcome Scales”), una scala per la valutazione della gravita e dell'esito nei servizi di salute mentale. Epidemiologia e Psichiatria Sociale 10, 198–212.CrossRefGoogle Scholar
Margison, F.R., Barkham, M., Evans, C, McGrath, G., Clark, M., Audin, K., & Connel, J. (2000). Measurement and psychotherapy. British Journal of Psychiatry 177, 123–130.Google Scholar
Middelboe, T. (1997). Prospective study of clinical and social outcome of stay in small group homes for people with mental illness. British Journal of Psychiatry 171, 251–255.Google Scholar
Morosini, P.L. & Casacchia, M. (1995). Traduzione italiana della Brief Psychiatric Rating Scale versione 4.0 ampliata (BPRS 4.0). Rivista di Riabilitazione Psichiatrica e Psicosociale 3, 195–198.Google Scholar
Morosini, P.L. & Perraro, F. (1999). Enciclopedia della Gestione di Qualità in Sanità. Centro Scientifico Editore: Torino.Google Scholar
Morosini, P., Veltro, F., Cerreta, A., Gaio, R., Palomba, U. & Ventra, C. (1988). Disabilità sociale e carico familiare. Studio di riproducibilita di uno nuovo strumento di valutazione. Rivista Sperimentale di Freniatria 3, 541–563.Google Scholar
Oliver, J.P., Huxley, P.J., & Priebe, S. (1997). Measuring the quality of life of severely mentally ill people using the Lancashire Quality of Life Profile. Social Psychiatry and Psychiatric Epidemiology 32, 76–83.CrossRefGoogle ScholarPubMed
Pallavicini, A. & Lora, A. (2002). Le strutture residenziali: un approccio valutativo. Psichiatria di Comunita 1-2, 36-46. Progetto Obiettivo Tutela della Salute Mentale 1998-2000 (1999). Gazzetta Ufficiale della Repubblica Italiana 274, 4–13.Google Scholar
Ruggeri, M. & Dall'Agnola, R. (2000). Come Valutare I'Esito nei Dipartimenti di Salute Mentale. II Pensiero Scientifico Editore: Roma.Google Scholar
SAMHSA (2000). Sixteen-State Indicator Project. Retrieved June 23, 2004, from http://www.mhsip.org/sixteenstate.Google Scholar
Ventura, J., Lukoff, D. & Neuchterlein, K.H. (1993). A Brief Psychiatric Rating Scale (BPRS) Expanded Version (4.0). Scales, anchor points and administrator manual. International Journal of Method in Psychiatric Research 3, 227–243.Google Scholar
Wing, J., Curtis, R.H., Beevor, A.S., Park, B.G., Hadden, S. & Burns, A. (1998). Health of the Nation Outcome Scales (HoNOS): research and development. British Journal of Psychiatry 172, 11–18.CrossRefGoogle ScholarPubMed
World Health Organization (1988). WHO Psychiatric Disability Assessment Schedule (WHO-D.A.S.) With a Guide to Its Use. WHO: Geneva.Google Scholar