Abstract

BOHORQUEZ PENARANDA, Adriana et al. Types of Care for Adult Patients Diagnosed With Acute and Maintenance Phase Schizophrenia. rev.colomb.psiquiatr. [online]. 2014, vol.43, suppl.1, pp.101-109. ISSN 0034-7450.  https://doi.org/10.1016/j.rcp.2015.05.012.

Objectives: To assist the clinician in making decisions about the types of care available for adults with schizophrenia. To determine which are the modalities of treatment associated with better outcomes in adults with schizophrenia. Methods: A clinical practice guideline was elaborated under the parameters of the Methodological Guide of the Ministerio de Salud y Protección Social to identify, synthesize and evaluate the evidence and make recommendations about the treatment and follow-up of adult patients with schizophrenia. The evidence of NICE guide 82 was adopted and updated. The evidence was presented to the Guideline Developing Group and recommendations, employing the GRADE system, were produced. Results: Patients who were in Assertive community treatment had a lower risk of new hospitalizations. For the intensive case management, the results favored this intervention in the outcomes: medium term readmissions, social functioning and satisfaction with services. The crisis resolution teamswas associated with better outcomes on outcomes of readmissions, social functioning and service satisfaction in comparison with standard care. Conclusion: The use of different modalities of care leads to the need of a comprehensive approach to patients to reduce the overall disability associated with the disease. Evidence shows overall benefit for most outcomes studied without encountering hazards for health of patients. This evaluation is recommended to use the professional ways of providing health services that are community-based and have a multidisciplinary group. It is not recommended the modality "day hospital" during the acute phase of schizophrenia in adults.

Keywords : Clinical Practice Guidelines; Schizophrenia; Modalities of treatment; Assertive community treatment; Intensive care management; Antipsychotics.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )