Continuity of care for people with psychotic illness: its relationship to clinical and social functioning.


Autoria(s): Catty, Jocelyn; White, Sarah; Clement, Sarah; Cowan, Naomi; Geyer, Connie; Harvey, Kate; Rees Jones, Ian; McLaren, Susan; Poole, Zoe; Rose, Diana; Wykes, Til; Burns, Toms
Data(s)

01/02/2013

Resumo

Background: The relationship between continuity of care and user characteristics or outcomes has rarely been explored. The ECHO study operationalized and tested a multi-axial definition of continuity of care, producing a seven-factor model used here. Aims: To assess the relationship between user characteristics and established components of continuity of care, and the impact of continuity on clinical and social functioning. Methods: The sample comprised 180 community mental health team users with psychotic disorders who were interviewed at three annual time-points, to assess their experiences of continuity of care and clinical and social functioning. Scores on seven continuity factors were tested for association with user-level variables. Results: Improvement in quality of life was associated with better Experience & Relationship continuity scores (better user-rated continuity and therapeutic relationship) and with lower Meeting Needs continuity factor scores. Higher Meeting Needs scores were associated with a decrease in symptoms. Conclusion: Continuity is a dynamic process, influenced significantly by care structures and organizational change.

Formato

text

Identificador

http://centaur.reading.ac.uk/31091/1/Catty_et_al_%282012%29.pdf

Catty, J., White, S., Clement, S., Cowan, N., Geyer, C., Harvey, K. <http://centaur.reading.ac.uk/view/creators/90000842.html>, Rees Jones, I., McLaren, S., Poole, Z., Rose, D., Wykes, T. and Burns, T. (2013) Continuity of care for people with psychotic illness: its relationship to clinical and social functioning. International Journal of Social Psychiatry, 59 (1). pp. 5-17. ISSN 1741-2854 doi: 10.1177/0020764011421440 <http://dx.doi.org/10.1177/0020764011421440>

Idioma(s)

en

Publicador

Sage

Relação

http://centaur.reading.ac.uk/31091/

creatorInternal Harvey, Kate

10.1177/0020764011421440

Tipo

Article

PeerReviewed