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Professional team's choices of intervention towards problems and needs of patients suffering from schizophrenia across six European countries

Published online by Cambridge University Press:  16 April 2020

Vivianne Kovess ,
José Miguel Caldas de Almeida ,
Mauro Carta ,
Jacques Dubuis ,
Elisabeth Lacalmontie ,
Jacques Pellet ,
Jean-Luc Roelandt ,
Berta Moreno Kustner ,
Dermot Walsh  and
Durk Wiersma
Vivianne Kovess*
Affiliation:
Director of Public Health Research Department MGEN, 3 square Max Hymans, 75748Paris cedex 15, France
José Miguel Caldas de Almeida
Affiliation:
Clinica Universitaria de Psiquiatria e Saude mental, Faculdade de Ciências Medicas de Lisboa, Lisbon, Portugal
Mauro Carta
Affiliation:
Istituto di Clinica Psichiatrica, University of Cagliari, Cagliari, Italy
Jacques Dubuis
Affiliation:
CHS Le Vinatier, Bron, France
Elisabeth Lacalmontie
Affiliation:
DIM, Le Mesnil St.Denis, France
Jacques Pellet
Affiliation:
CHRU St. Etienne, France
Jean-Luc Roelandt
Affiliation:
Clinique Jérôme Bosch, Armentieres, France
Berta Moreno Kustner
Affiliation:
Department of Psychiatry, University of Granada, Granada, Spain
Dermot Walsh
Affiliation:
Health Research Board, Dublin, Ireland
Durk Wiersma
Affiliation:
Department of Social Psychiatry, University Hospital Groningen, Groningen, The Netherlands
*
*Corresponding author. E-mail address:vkovess@mgen.fr. (V. Kovess).
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Abstract

Objectives

This article compares in a systematic way the team's intervention choices of professionals across seven European countries: France, Ireland, Italy, the Netherlands, Portugal and Spain towards problems and needs of patients with schizophrenia and relates this to the diversity of psychiatric systems.

Methods

The clinical and social status of 433 patients was assessed by means of the Schedules for Clinical Assessment in Neuropsychiatry (SCAN) and the Needs for Care Assessment instrument (NFCAS) which was used to determine teams' intervention choices toward the NFCAS problems.

Results

There is no, or little, consensus across Europe on teams' intervention choices towards either the clinical or the social problems and needs of patients suffering from schizophrenic disorders. These comparisons outlined the cultural differences concerning the interventions that were proposed and should be taken into account when interpreting the number of needs and the need status since the need status relies heavily on the interventions proposed. The differences were not connected with the availability of resources; most of the comparisons show differences between centers as well as differences between groups of relatively similar resource countries.

Keywords

SchizophreniaProfessional intervention choicesHealth servicesEurope
Type
Public Issues of Psychiatry
Information
European Psychiatry , Volume 20 , Issue 8 , December 2005 , pp. 521 - 528
Copyright
Copyright © Elsevier SAS 2005

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