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首页> 外文期刊>Schizophrenia research and treatment >Treatment Engagement of Psychotic Patients with a Mobile Mental Health Unit in Rural Areas in Greece: A Five-Year Study
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Treatment Engagement of Psychotic Patients with a Mobile Mental Health Unit in Rural Areas in Greece: A Five-Year Study

机译：希腊农村地区流动心理健康部门对精神病患者的治疗参与：一项为期五年的研究

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Objectives. Treatment of psychotic disorders is impended by high rates of disengagement from mental health services and poor adherence to antipsychotic medication. This study examined the engagement rates of psychotic patients with a community mental health service during a 5-year period.Methods. The Mobile Mental Health Unit of Ioannina and Thesprotia (MMHU I-T) delivers services in remote, rural, mountainous areas using the resources of the primary care system. Clinical and demographic information for patients with a diagnosis of schizophrenia and related psychoses was obtained from the medical records of our unit.Results. A total of 74 psychotic patients initially engaged in treatment with our unit. In half of cases treatment was home-based. With the exclusion of patients who died or discharged, engagement rates were 67.2%. Statistical analysis was performed for 64 patients, and no differences were found between engaged and disengaged patients regarding clinical and demographic parameters. All engaged patients regularly refilled their antipsychotic prescriptions.Conclusion. Engagement rates in our study were comparable to previous research, involving urban settings and shorter follow-up duration. Community mental health teams may ensure treatment continuation for psychotic patients in deprived, remote areas. This is important for low-income countries, affected by economic crisis, such as Greece.
机译：目标。精神疾病的治疗因高水平脱离精神卫生服务和对抗精神病药物依从性差而受到阻碍。这项研究调查了在5年期间精神病患者接受社区精神卫生服务的参与率。约阿尼纳州和塞斯普罗蒂亚州流动精神卫生部门（MMHU I-T）使用初级保健系统的资源在偏远，农村和山区提供服务。确诊为精神分裂症和相关精神病的患者的临床和人口统计学信息是从本单位的病历中获得的。最初共有74名精神病患者在我们单位接受治疗。在一半的情况下，治疗是在家中进行的。排除死亡或出院的患者，参与率为67.2％。对64例患者进行了统计分析，在参与和未参与的患者之间，在临床和人口统计学参数方面没有发现差异。所有参与的患者均定期补充抗精神病药物处方。我们研究的参与率与以前的研究相当，涉及城市环境和较短的随访时间。社区精神卫生小组可能会确保在偏远地区的精神病患者继续接受治疗。这对于受经济危机影响的低收入国家（例如希腊）很重要。

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