The Impact of Repeated Assessments by Patients and Professionals: A 4-Year Follow-Up of a Population With Schizophrenia

Author:

Olsson-Tall Maivor1ORCID,Hjärthag Fredrik2,Marklund Bertil3,Kylén Sven4,Carlström Eric5,Helldin Lars6

Affiliation:

1. Maivor Olsson-Tall, PhD student, RN, NU-Health Care Hospital, Trollhättan, Sweden; University of Gothenburg, Gothenburg, Sweden

2. Fredrik Hjärthag, PhD, Karlstad University, Karlstad, Sweden

3. Bertil Marklund, Professor, PhD, MD, University of Gothenburg, Gothenburg, Sweden; Primary Health Care Research Development and Education Centre, Vänersborg, Sweden

4. Sven Kylén, PhD, RP, Primary Health Care Research Development and Education Centre, Vänersborg, Sweden; Fyrbodal Health Academy, County Administration of West Sweden, Sweden; Chalmers University of Technology, Gothenburg, Sweden

5. Eric Carlström, Professor, PhD, RN, University of Gothenburg, Gothenburg, Sweden

6. Lars Helldin, Associate Professor, PhD, MD, NU-Health Care Hospital, Trollhättan, Sweden; Karlstad University, Karlstad, Sweden

Abstract

The needs of people with schizophrenia are great, and having extensive knowledge of this patient group is crucial for providing the right support. The aim of this study was to investigate, over 4 years, the importance of repeated assessments by patients with schizophrenia and by professionals. Data were collected from evidence-based assessment scales, interviews, and visual self-assessment scales. The data processing used descriptive statistics, correlation and regression analyses. The results showed that the relationships between several of the patients’ self-rating assessments were stronger at the 4-year follow-up than at baseline. In parallel, the concordance rate between patient assessments and case manager assessments increased. The conclusions drawn are that through repeated assessments the patients’ ability to assess their own situation improved over time and that case managers became better at understanding their patients’ situation. This, in turn, provides a safer basis for assessments and further treatment interventions, which may lead to more patients achieving remission, which can lead to less risk for hospitalization and too early death.

Funder

Fyrbodal Research and Development Council, Region Västra Götaland, Sweden

Department of Research and Development, the NU-Health Care Hospital, Trollhättan, Sweden

Publisher

SAGE Publications

Subject

Phychiatric Mental Health

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