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The Effect of Community-Based Mental Health Rehabilitation Services for Schizophrenia: a Retrospective Cohort Study.
Psychiatr Q. 2020 12; 91(4):1453-1463.PQ

Abstract

Deliberative efforts are constantly made to provide community-based mental health rehabilitation services to people with mental health disabilities nationwide. In this study we aimed to assess the effectiveness of rehabilitation services in Israel by assessing the impact of utilization of rehabilitation services on hospitalization rates among a cohort of patients diagnosed with schizophrenia. Data derived from the Clalit Health Services were crossed with the Ministry of Health rehabilitation and psychiatric hospitalization case registries. Patients utilizing rehabilitation services were assessed for rates and durations of hospitalizations before and after the utilization of the rehabilitation services, and were compared to patients who did not use these services (n = 185). Mixed-model analyses of covariance (ANCOVA) were conducted to assess changes in rates and durations of hospitalizations at the beginning and end of the cohort period. Patients who used rehabilitation services showed higher rates and durations of hospitalizations prior to utilization of rehabilitation services, as well as higher decreases in number and duration of hospitalizations after utilizing their rights to rehabilitation services, as compared to patients who did not receive these services. Schizophrenia patients tend to show a decreasing trend in number and duration of hospitalizations over time. Nonetheless, the utilization of rehabilitation services offers larger gains in hospitalization prevention, primarily to schizophrenia patients who experience high rates and durations of hospitalizations at the beginning of illness. These findings provide additional support for the necessity of rehabilitation services, primarily for patients with severe onset.

Authors+Show Affiliations

Shalvata Mental Health Center, Hod Hasharon, affiliated with the Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.Shalvata Mental Health Center, Hod Hasharon, affiliated with the Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel. danatz@ariel.ac.il. Department of Behavioral Sciences, Ariel University, 40700, Ariel, Israel. danatz@ariel.ac.il.Geha Mental Health Center, Petak Tikvah, Israel.Department of Mental Health, Ministry of Health, Jerusalem, Israel.Shalvata Mental Health Center, Hod Hasharon, affiliated with the Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32424545

Citation

Krieger, Israel, et al. "The Effect of Community-Based Mental Health Rehabilitation Services for Schizophrenia: a Retrospective Cohort Study." The Psychiatric Quarterly, vol. 91, no. 4, 2020, pp. 1453-1463.
Krieger I, Bitan DT, Sharon-Garty R, et al. The Effect of Community-Based Mental Health Rehabilitation Services for Schizophrenia: a Retrospective Cohort Study. Psychiatr Q. 2020;91(4):1453-1463.
Krieger, I., Bitan, D. T., Sharon-Garty, R., Baloush-Kleinman, V., & Zamir, L. (2020). The Effect of Community-Based Mental Health Rehabilitation Services for Schizophrenia: a Retrospective Cohort Study. The Psychiatric Quarterly, 91(4), 1453-1463. https://doi.org/10.1007/s11126-020-09772-z
Krieger I, et al. The Effect of Community-Based Mental Health Rehabilitation Services for Schizophrenia: a Retrospective Cohort Study. Psychiatr Q. 2020;91(4):1453-1463. PubMed PMID: 32424545.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The Effect of Community-Based Mental Health Rehabilitation Services for Schizophrenia: a Retrospective Cohort Study. AU - Krieger,Israel, AU - Bitan,Dana Tzur, AU - Sharon-Garty,Rachel, AU - Baloush-Kleinman,Vered, AU - Zamir,Leora, PY - 2020/5/20/pubmed PY - 2021/11/9/medline PY - 2020/5/20/entrez KW - Effectiveness KW - Hospitalizations KW - Rehabilitation services KW - Retrospective cohort KW - Schizophrenia SP - 1453 EP - 1463 JF - The Psychiatric quarterly JO - Psychiatr Q VL - 91 IS - 4 N2 - Deliberative efforts are constantly made to provide community-based mental health rehabilitation services to people with mental health disabilities nationwide. In this study we aimed to assess the effectiveness of rehabilitation services in Israel by assessing the impact of utilization of rehabilitation services on hospitalization rates among a cohort of patients diagnosed with schizophrenia. Data derived from the Clalit Health Services were crossed with the Ministry of Health rehabilitation and psychiatric hospitalization case registries. Patients utilizing rehabilitation services were assessed for rates and durations of hospitalizations before and after the utilization of the rehabilitation services, and were compared to patients who did not use these services (n = 185). Mixed-model analyses of covariance (ANCOVA) were conducted to assess changes in rates and durations of hospitalizations at the beginning and end of the cohort period. Patients who used rehabilitation services showed higher rates and durations of hospitalizations prior to utilization of rehabilitation services, as well as higher decreases in number and duration of hospitalizations after utilizing their rights to rehabilitation services, as compared to patients who did not receive these services. Schizophrenia patients tend to show a decreasing trend in number and duration of hospitalizations over time. Nonetheless, the utilization of rehabilitation services offers larger gains in hospitalization prevention, primarily to schizophrenia patients who experience high rates and durations of hospitalizations at the beginning of illness. These findings provide additional support for the necessity of rehabilitation services, primarily for patients with severe onset. SN - 1573-6709 UR - https://www.unboundmedicine.com/medline/citation/32424545/The_Effect_of_Community_Based_Mental_Health_Rehabilitation_Services_for_Schizophrenia:_a_Retrospective_Cohort_Study_ L2 - https://doi.org/10.1007/s11126-020-09772-z DB - PRIME DP - Unbound Medicine ER -