Essay --

Objective: Providing community-based mental health services is crucial and is an agreed plan between Iran Mental Health Office and Eastern Mediterranean Region. The aim of this study was to determine the effectiveness of home-visit clinical case-management services on the hospitalization rate and other clinical outcomes in patients with severe mental illness. Methods: One hundred eighty two patients were randomly allocated in to three groups ; home visit (n = 60), telephone follow-up (n = 61) and as-usual care group (n = 61).Trained nurses as clinical case-managers were provided home-visit services and the telephone follow-up tasks. Hospitalization rate as a measure of recurrence, as well as burden, knowledge, and general health condition of care givers, with positive/negative symptoms, satisfaction, quality of life and social skills of the consumers were assessed as main and secondary outcomes respectively. Results: Most clinical variables were improved in both interventional groups compared with control group. During the one year follow-up, the rate of re-hospitalization were 1.5 and 2.5 times more than home-visit group for telephone follow-up and as-usual group respectively. Conclusion: Single clinical case-managers are able to provide continuous care services for patients with severe mental illness. The telephone follow-up services also could have beneficiary outcome for the consumers, their caregivers and health system network. Key words: Case-management, Caregivers, Hospitalization, Mental illness Registered in IRCT.ir, with ID : IRCT201110261959N5 Introduction Since 1950, with the â€Å"deinstitutionalization† trend in the developed industrial nations, large size psychiatric hospitals were shut down and were subs... ...at in our social and cultural conditions, clinical case-management service is able to reduce the re-hospitalization and improve the clinical outcomes of the individuals who are suffering from severe mental illness. Also, the telephone follow-up services could have beneficiary outcome for the consumers, their caregivers and health system network. The results of current study has shown that an individual trained case manager is capable to provide effective service which is more compatible with the socio-economic condition of our society as a low middle income country. Although a few patients who needs community based cares are receiving such services by a team organized by Welfare organization ( such as general physicians, psychologist, and social worker), but it could be cost-benefit in our country in which the acute psychiatric beds are less than required. Essay -- Objective: Providing community-based mental health services is crucial and is an agreed plan between Iran Mental Health Office and Eastern Mediterranean Region. The aim of this study was to determine the effectiveness of home-visit clinical case-management services on the hospitalization rate and other clinical outcomes in patients with severe mental illness. Methods: One hundred eighty two patients were randomly allocated in to three groups ; home visit (n = 60), telephone follow-up (n = 61) and as-usual care group (n = 61).Trained nurses as clinical case-managers were provided home-visit services and the telephone follow-up tasks. Hospitalization rate as a measure of recurrence, as well as burden, knowledge, and general health condition of care givers, with positive/negative symptoms, satisfaction, quality of life and social skills of the consumers were assessed as main and secondary outcomes respectively. Results: Most clinical variables were improved in both interventional groups compared with control group. During the one year follow-up, the rate of re-hospitalization were 1.5 and 2.5 times more than home-visit group for telephone follow-up and as-usual group respectively. Conclusion: Single clinical case-managers are able to provide continuous care services for patients with severe mental illness. The telephone follow-up services also could have beneficiary outcome for the consumers, their caregivers and health system network. Key words: Case-management, Caregivers, Hospitalization, Mental illness Registered in IRCT.ir, with ID : IRCT201110261959N5 Introduction Since 1950, with the â€Å"deinstitutionalization† trend in the developed industrial nations, large size psychiatric hospitals were shut down and were subs... ...at in our social and cultural conditions, clinical case-management service is able to reduce the re-hospitalization and improve the clinical outcomes of the individuals who are suffering from severe mental illness. Also, the telephone follow-up services could have beneficiary outcome for the consumers, their caregivers and health system network. The results of current study has shown that an individual trained case manager is capable to provide effective service which is more compatible with the socio-economic condition of our society as a low middle income country. Although a few patients who needs community based cares are receiving such services by a team organized by Welfare organization ( such as general physicians, psychologist, and social worker), but it could be cost-benefit in our country in which the acute psychiatric beds are less than required.