21 research outputs found
A Method to Compare the Delivery of Psychiatric Care for People with Treatment-Resistant Schizophrenia
Esquizofrènia resistent al tractament; Tecnologies de la informació i la comunicació (TIC); Serveis de salut mentalEsquizofrenia resistente al tratamiento; TecnologÃas de la información y la comunicación (TIC); Servicios de salud mentalTreatment-resistant schizophrenia; Information and communication technologies (ICT); Mental health servicesIntroduction: Community services are gaining ground when it comes to attention to patients with psychiatric diseases. Regarding patients with treatment-resistant schizophrenia (TRS), the use of information and communication technology (ICT) could help to shift the focus from hospital-centered attention to community services. This study compares the differences in mental health services provided for patients with TRS in Budapest (Hungary), Tel-Aviv (Israel) and Catalonia (Spain) by means of a method for the quick appraisal of gaps among the three places, for a potential implementation of the same ICT tool in these regions.
Methods: An adapted version of the Description and Standardised Evaluation of Services and Directories in Europe for Long Term Care (DESDE-LTC) instrument was made by researchers in Semmelweis University (Budapest, Hungary), Gertner Institute (Tel-Aviv, Israel) and Hospital de la Santa Creu I Sant Pau and Parc Sanitari Sant Joan de Déu (Catalonia, Spain).
Results: Two types of outpatient care services were available in the three regions. Only one type of day-care facility was common in the whole study area. Two residential care services, one for acute and the other for non-acute patients were available in every region. Finally, two self-care and volunteer-care facilities were available in the three places.
Conclusion: Although the availability of services was different in each region, most of the services provided were sufficiently similar to allow the implementation of the same ICT solution in the three places.This work has been supported by the Horizon 2020 Framework Programme of the European Union (grant number 643552). This research was also funded by ONA CORPORATION
A Method to Compare the Delivery of Psychiatric Care for People with Treatment-Resistant Schizophrenia
Abstract
Introduction: Community services are gaining ground when it comes to attention to patients with psychiatric diseases. Regarding patients with treatment-resistant schizophrenia (TRS), the use of information and communication technology (ICT) could help to shift the focus from hospital-centered attention to community services. This study compares the differences in mental health services provided for patients with TRS in Budapest (Hungary), Tel-Aviv (Israel) and Catalonia (Spain) by means of a method for the quick appraisal of gaps among the three places, for a potential implementation of the same ICT tool in these regions. Methods: An adapted version of the Description and Standardised Evaluation of Services and Directories in Europe for Long Term Care (DESDE-LTC) instrument was made by researchers in Semmelweis University (Budapest, Hungary), Gertner Institute (Tel-Aviv, Israel) and Hospital de la Santa Creu I Sant Pau and Parc Sanitari Sant Joan de Déu (Catalonia, Spain). Results: Two types of outpatient care services were available in the three regions. Only one type of day-care facility was common in the whole study area. Two residential care services, one for acute and the other for non-acute patients were available in every region. Finally, two self-care and volunteer-care facilities were available in the three places. Conclusion: Although the availability of services was different in each region, most of the services provided were sufficiently similar to allow the implementation of the same ICT solution in the three places.The m-RESIST Group is composed of:
Francisco Alcalde
Enrico d’Amico
Caritat Almazán
Anna Alonso-SolÃs
Jesús Berdún
István Bitter
Walter Baccinelli
Chiara Bonizzi
MarÃa Bulgheroni
Johanna Caro Mendivelso
Asaf Caspi
Tanguy Coenen
Anat Cohen
Xavier Constant
Iluminada Corripio
Marisol Escobar
Kinga Farkas
Kata Fazekas
Yoram Feldman
Emmanuel Gimenez
Shenja van der Graaf
Eva Grasa
Levente Herman
Margarita Hospedales
Elena Huerta-Ramos
Matti Isohanni
Erika Jääskeläinen
Charlotte Jewel
Teija Juola
Timo Jämsä
Rachelle Kaye
Panagiotis Kokkinakis
Hannu J. Koponen
Silvia Marcó
Gregoris Mentzas
Jouko Miettunen
Jani Moilanen
Susana Ochoa
Ilias Papas
Fotis Paraskevopoulos
Elisabeth Reixach
Alexandra Roldán
Katya Rubinstein
Elena Rubio-Abadal
Garifalia Sebú
Annika Seppälä
Jussi Seppälä
Valentina Simonetti
Matthias Stevens
Vittorio Tauro
Anna Triantafillou
Zsolt Szabolcs Unoka
Judith Usall
Vincenzo Vella
David Vermeir
Ilaria de Vit
Advanced Parental Age at Birth Is Associated With Poorer Social Functioning in Adolescent Males: Shedding Light on a Core Symptom of Schizophrenia and Autism
Background: Evidence indicates an association between older parents at birth and increased risk for schizophrenia and autism. Patients with schizophrenia and autism and their first-degree relatives have impaired social functioning; hence, impaired social functioning is probably an intermediate phenotype of the illness. This study tested the hypothesis that advanced father's age at birth would be associated with poorer social functioning in the general population. To test this hypothesis, we examined the association between parental age at birth and the social functioning of their adolescent male offspring in a population-based study. Methods: Subjects were 403 486, 16- to 17-year-old Israeli-born male adolescents assessed by the Israeli Draft Board. The effect of parental age on social functioning was assessed in analyses controlling for cognitive functioning, the other parent's age, parental socioeconomic status, birth order, and year of draft board assessment. Results: Compared with offspring of parents aged 25–29 years, the prevalence of poor social functioning was increased both in offspring of fathers younger than 20 years (odds ratio [OR] = 1.27, 95% confidence interval [CI] = 1.08–1.49) and in offspring of fathers 45 years old (OR = 1.52, 95% CI = 1.43–1.61). Male adolescent children of mothers aged 40 years and above were 1.15 (95% CI = 1.07–1.24) times more likely to have poor social functioning. Conclusions: These modest associations between parental age and poor social functioning in the general population parallel the associations between parental age and risk for schizophrenia and autism and suggest that the risk pathways between advanced parental age and schizophrenia and autism might, at least partially, include mildly deleterious effects on social functioning
Premorbid intra-individual variability in intellectual performance and risk for schizophrenia: A population-based study
Some, but not most, schizophrenia patients have below-average intelligence years before they manifest psychosis. However, it is not clear if those whose intelligence falls within-normal-range nevertheless have cognitive abnormalities. We examined the association between intra-individual variability in intellectual performance and risk for schizophrenia in individuals with normal IQ.
555,326 adolescents, mandatory assessed by the Israeli Draft Board were followed up over 8 to 17Â years for psychiatric hospitalization by means of the Israeli National Psychiatric Hospitalization Case Registry. Data were available on 4 intelligence sub-tests, and on behavioral and psychosocial variables. Variability was computed from the variance of the four intelligence tests' standardized scores.
There was a significant monotonic association between increased intra-individual variability in intellectual performance and risk of schizophrenia in individuals with
within-normal-range IQ. Individuals with the highest variability were 3.8 times more likely to have schizophrenia [95%CI: 2.32–6.08;
p
<
0.0001] compared with individuals with the lowest variability. This association held after controlling for the effects of potential confounders.
Despite within-normal-range premorbid IQ, apparently healthy adolescents who will later on manifest schizophrenia, nevertheless have cognitive abnormalities such as increased variability across intellectual tasks, possibly related to frontal lobe abnormalities