Continuity of care for people with non-psychotic disorders

Int J Soc Psychiatry. 2013 Feb;59(1):18-27. doi: 10.1177/0020764011421442. Epub 2011 Sep 20.

Abstract

Background: Service users with non-psychotic disorders are rarely studied. How continuity of care functions for this group is unknown.

Aims: To compare users of community mental health teams with non-psychotic disorders to those with psychotic disorders in terms of demographic and illness characteristics, continuity of care and clinical and social functioning.

Methods: Service users with non-psychotic disorders (N = 98) were followed up for one year and compared to 180 service users with psychotic disorders. Continuity of care factors were tested for association with user, illness and service variables.

Results: Service users with non-psychotic disorders experienced more care transitions, but there were no differences in team practices in relation to these two different groups.

Conclusion: The underlying concepts of continuity of care derived from users with psychotic disorders appear to be meaningful for users with non-psychotic disorders. Their greater likelihood of experiencing disruptive and distressing care transitions needs to be addressed.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Chronic Disease
  • Cohort Studies
  • Community Mental Health Centers*
  • Continuity of Patient Care*
  • Female
  • Follow-Up Studies
  • Health Services Needs and Demand
  • Hospitalization
  • Humans
  • Male
  • Mental Disorders / diagnosis
  • Mental Disorders / psychology
  • Mental Disorders / therapy*
  • Middle Aged
  • Patient Care Team
  • Patient Discharge
  • Psychotic Disorders / diagnosis
  • Psychotic Disorders / psychology
  • Psychotic Disorders / therapy
  • Quality of Life / psychology
  • Social Adjustment
  • Treatment Outcome
  • United Kingdom