tailieunhanh - Báo cáo y học: " Assertive community treatment for elderly people with severe mental illness"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Assertive community treatment for elderly people with severe mental illness | Stobbe et al. BMC Psychiatry 2010 10 84 http 1471-244X 10 84 BMC Psychiatry STUDY PROTOCOL Open Access Assertive community treatment for elderly people with severe mental illness Jolanda Stobbe1 2 Niels CL Mulder1 2 3 Bert-Jan Roosenschoon2 Marja Depla4 Hans Kroon5 Abstract Background Adults aged 65 and older with severe mental illnesses are a growing segment of the Dutch population. Some of them have a range of serious problems and are also difficult to engage. While assertive community treatment is a common model for treating difficult to engage severe mental illnesses patients no special form of it is available for the elderly. A special assertive community treatment team for the elderly is developed in Rotterdam the Netherlands and tested for its effectiveness. Methods We will use a randomized controlled trial design to compare the effects of assertive community treatment for the elderly with those of care as usual. Primary outcome measures will be the number of dropouts the number of patients engaged in care and patient s psychiatric symptoms somatic symptoms and social functioning. Secondary outcome measures are the number of unmet needs the subjective quality of life and patients satisfaction. Other secondary outcomes include the number of crisis contacts rates of voluntary and involuntary admission and length of stay. Inclusion criteria are aged 65 plus the presence of a mental disorder a lack of motivation for treatment and at least four suspected problems with functioning addiction somatic problems daily living activities housing etc. . If patients meet the inclusion criteria they will be randomly allocated to either assertive community treatment for the elderly or care as usual. Trained assessors will use mainly observational instruments at the following time points at baseline after 9 and 18 months. Discussion This study will help establish whether assertive community treatment for the elderly produces better results than care as .