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The Effect of Intensive Case Management on Hospitalization of Patients With Schizophrenia
Robijn K. Hornstra; Virginia Bruce-Wolfe; Kemal Sagduyu; Donald W. Riffle
Psychiatric Services 1993; doi:
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University of Missouri-Kansas City and medical director of the Western Missouri Mental Health Center in Kansas City

university's department of psychiatry and is research psychologist at the center; Western Missouri Mental Health Center, 600 East 22nd Street, Kansas City, Missouri 64128

University of Kentucky in Lexington

Midwest Research Institute in Kansas City, Missouri

1993 by the American Psychiatric Association

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Abstract

Objective: The study aim was to determine if a community-based psychiatric rehabilitation program with intensive case management was more effective than traditional outpatient services in reducing bospitalization of chronic schizophrenic patients. Methods: One hundred twelve schizophrenic patients enrolled in the intensive case management program were matched by age, number of previous hospitalizations, and days spent in the hospital with 112 schizophrenic patients who received medication services and minimal case management. The two groups were compared on the amount of services used and the number of hospitalizations and hospital days over a 24-month study period. Results: Patients in the intensive case management program bad been enrolled for a mean of 10.96 months, with a range from one to 24 months. They used significantly more mental health services during the study period compared with the patients in the controlgroup. However, no significant differences were found between the two groups in number of hospitalizations and hospital days. Both groups showed an increase in the number of hospitalizations over the study period. Conclusions: A community-based psychiatric rehabilitation program with intensive case management was no more effective than medication services and minimal case management in reducing hospitalization among chronic schizophrenic patients.

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