Journal List > Korean J Schizophr Res > v.22(2) > 1136570

Jeong, Kang, Kwon, Lee, and Lee: The Effectiveness on Prevention of Rehospitalization with Long-Term Psychosocial Interventions for Patients with Major Psychiatric Disorders

Abstract

Objectives

This study aimed to elucidate the effectiveness of long-term psychosocial intervention in reducing the disabling period of patients with major psychiatric disorders by their rehospitalization rate.

Methods

Of the 210 patients with major psychiatric disorders received psychosocial interventions in a Mental Health and Welfare Center, 192 patients (147 with schizophrenia spectrum disorders, 45 with mood disorders) who received interventions more than 6 months were selected. Review of case management records was conducted to obtain information.

Results

The number and length of hospitalization and the hospital days per year significantly decreased after psychosocial intervention. Additional analysis of 102 patients followed up for more than 5 years suggested that the effectiveness of the intervention persisted for a sufficient period. However, no significant difference was observed in the number of rehospitalization in 45 patients with mood disorders, though the length of hospitalization significantly decreased. In addition, the hospital days per year of 21 patients with mood disorder followed up for more than 5 years also showed no significant decrease.

Conclusion

Long-term psychosocial intervention had a significant effect on reducing the number and length of hospitalization for patients with major psychiatric disorder and the effectiveness maintained for more than 5 years.

Figures and Tables

Table 1

Demographic characteristics of the patients with major psychiatric disorder (N=192)

kjsr-22-66-i001

*: Visit once every 2 weeks, if any of the items in Individual Service Plan (ISP) have a severity of 3 or more checked. : Visit once every 1 month, if any of the items in Individual Service Plan (ISP) have a severity of 2 or more checked

Table 2

Demographic comparison between patients with schizophrenia spectrum disorder and patients with mood disorder

kjsr-22-66-i002

*: Visit once every 2 weeks, if any of the items in Individual Service Plan (ISP) have a severity of 3 or more checked, : Visit once every 1 month, if any of the items in Individual Service Plan (ISP) have a severity of 2 or more checked

Table 3

Changes in psychiatric hospitalization status of patients before and after psychosocial intervention

kjsr-22-66-i003
Table 4

Changes in psychiatric hospitalization status of patients with 5 years and more psychosocial intervention

kjsr-22-66-i004

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