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Published Online: 15 October 2014

Durability of the Efficacy of Integrated Care in Schizophrenia: A Five-Year Randomized Controlled Study

Abstract

Objective

The aim of the study was to evaluate the durability of efficacy of the Integrated Care (IC) program in a Swedish context. The IC program is a person-centered flexible assertive community treatment approach delivered through a novel mechanism: a resource group clinical microsystem for each patient.

Methods

All patients with schizophrenia in a Gothenburg urban-sector catchment area were randomly assigned to either the IC or the Rational Rehabilitation (RR) programs. Sixty-six patients were interviewed and assessed by independent interviewers before treatment, after treatment (24 months), and at follow-up (five years). Analysis was by intention to treat.

Results

At the five-year follow-up, significant improvements were noted in social functioning and consumer satisfaction in the IC group (N=35) compared with the RR group (N=31). No patients were lost to services in either program.

Conclusions

The major finding was the durability of efficacy of the IC program.

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Information & Authors

Information

Published In

Go to Psychiatric Services
Go to Psychiatric Services

Cover: Deep Cove Lobster Man, by N. C. Wyeth, ca. 1938. Oil on gessoed board (renaissance panel). Accession number 1939.16. Courtesy of the Pennsylvania Academy of Fine Arts, Philadelphia, Joseph E. Temple Fund.

Psychiatric Services
Pages: 1054 - 1057
PubMed: 24932858

History

Published in print: August 2014
Published online: 15 October 2014

Authors

Details

Ulf Ingemar Malm, M.D., Ph.D.
Dr. Malm is with the Department of Psychiatry, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden (e-mail: [email protected]). Dr. Ivarsson is with the Department of Psychiatry, South Älvsborg Hospital, Borås, Sweden. Dr. Allebeck is with the Department of Social Medicine, Karolinska Institute, Stockholm.
Bo Åke Rutger Ivarsson, M.D., Ph.D.
Dr. Malm is with the Department of Psychiatry, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden (e-mail: [email protected]). Dr. Ivarsson is with the Department of Psychiatry, South Älvsborg Hospital, Borås, Sweden. Dr. Allebeck is with the Department of Social Medicine, Karolinska Institute, Stockholm.
Peter Allebeck, M.D., Ph.D.
Dr. Malm is with the Department of Psychiatry, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden (e-mail: [email protected]). Dr. Ivarsson is with the Department of Psychiatry, South Älvsborg Hospital, Borås, Sweden. Dr. Allebeck is with the Department of Social Medicine, Karolinska Institute, Stockholm.

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