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Case-management for Patients with Schizophrenia in Iran: A Comparative Study of the Clinical Outcomes of Mental Health Workers and Consumers’ Family Members as Case Managers

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Abstract

The objective of this study was to evaluate the effectiveness of case-management services and the feasibility of considering the Consumers’ Family Members (CFM) as service providers in Iran as a developing country. Three trained case-managers were allocated into each group (Mental Health Worker-MHW and CFM), providing 12 months of home-visit services for 129 individuals with schizophrenia. Burden, knowledge, quality of life and the general health condition of the caregivers, as well as positive/negative symptoms and social skills of the consumers were evaluated. Most clinical variables were improved without significant differences between groups. The hospitalization rate was reduced by 67%.

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Acknowledgments

The authors thank Ostad Taghizadeh A (MD), Director of Health office, Tehran Municipality; for his contribution on conducting this project. We would also like to acknowledge the support of the ISIS. This work was partly funded by a grant from the Mental Health Research Center, Iran university of Medical Sciences, and University of Welfare and Rehabilitation Sciences.

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Authors and Affiliations

  1. Department of Psychiatry, Iran University of Medical Sciences, Mental Health Research Centre, Crossroads of Hemmat and Chamran Highways, 15875-6171, Tehran, Iran

    Seyed Kazem Malakouti & Jafar Bolhari

  2. Tehran Psychiatric Institute, Mansoor st. Niayesh st. Sattarkhan Blvd, 1443813444, Tehran, Iran

    Seyed Kazem Malakouti, Marzieh Nojomi & Jafar Bolhari

  3. Department of Community Medicine, Iran University of Medical Sciences, Mental Health Research Centre, Crossroads of Hemmat and Chamran Highways, 15875-6171, Tehran, Iran

    Marzieh Nojomi

  4. Department of Community Medicine, Shahid Beheshti University, Family Research Institute, Evin, Blvd Daneshjoo, 1983963113, Tehran, Iran

    Lili Panaghi

  5. Shahid Beheshti University, Family Research Institute, Evin, Blvd Daneshjoo, 1983963113, Tehran, Iran

    Narjes Chimeh

  6. Department of Psychology, Shahid Beheshti University of Medical Sciences, Taleghanee Hospital, Evin, Blvd Daneshjoo, 5th floor, Psychiatric Ward, 1983963113, Tehran, Iran

    Yasaman Mottaghipour

  7. Cellular Biology of Research Center, Iran University of Medical Sciences, Hemmat Highway, Tehran, Iran

    Mohammad Taghi Joghatai

  8. Tehran University of Medical Sciences, Psychiatric Research Center, Tehran, Iran

    Ahmad Ali Noorbala

  9. Roozbeh Psychiatric Hospital, South Kargar Ave. Lashgar Crossing, Tehran, Iran

    Ahmad Ali Noorbala

Authors
  1. Seyed Kazem Malakouti
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  2. Marzieh Nojomi
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  3. Lili Panaghi
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  4. Narjes Chimeh
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  5. Yasaman Mottaghipour
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  6. Mohammad Taghi Joghatai
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  7. Ahmad Ali Noorbala
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  8. Jafar Bolhari
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Correspondence to Seyed Kazem Malakouti.

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Malakouti, S.K., Nojomi, M., Panaghi, L. et al. Case-management for Patients with Schizophrenia in Iran: A Comparative Study of the Clinical Outcomes of Mental Health Workers and Consumers’ Family Members as Case Managers. Community Ment Health J 45, 447–452 (2009). https://doi.org/10.1007/s10597-009-9197-4

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  • DOI: https://doi.org/10.1007/s10597-009-9197-4

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