Essay --

Objective Providing community-based mental heartyness services is crucial and is an agreed computer programme between Iran Mental health Office and Eastern Mediterranean Region. The aim of this study was to determine the rough-and-readyness of home-visit clinical case-management services on the hospitalization station and other clinical outcomes in patients with gross(a) mental illness. Methods One hundred eighty two patients were randomly allocated in to three aggroups home visit (n = 60), call off critical review (n = 61) and as-usual c are group (n = 61).Trained nurses as clinical case- private instructors were provided home-visit services and the telephone follow-up tasks. Hospitalization rate as a measure of recurrence, as well as burden, knowledge, and ecumenical health condition of care givers, with positive/negative symptoms, satisfaction, quality of life and social skills of the consumers were assessed as main and secondary outcomes respectively.Results Mo st clinical vari ables were improved in some(prenominal) interventional groups compared with control group. During the one year follow-up, the rate of re-hospitalization were 1.5 and 2.5 times more than home-visit group for telephone follow-up and as-usual group respectively. Conclusion champion clinical case-managers are able to provide continuous care services for patients with severe mental illness. The telephone follow-up services also could have benefactive role outcome for the consumers, their caregivers and health system network. Key words Case-management, Caregivers, Hospitalization, Mental illnessRegistered in IRCT.ir, with ID IRCT201110261959N5IntroductionSince 1950, with the deinstitutionalization trend in the developed industrial nations, large sizing psychiatric hospitals were shut mint and were subs... ...at in our social and cultural conditions, clinical case-management service is able to reduce the re-hospitalization and improve the clinical outcomes of t he individuals who are suffering from severe mental illness. Also, the telephone follow-up services could have beneficiary outcome for the consumers, their caregivers and health system network. The results of current study has shown that an individual trained case manager is capable to provide effective service which is more compatible with the socio-economic condition of our society as a low middle income country. Although a few patients who unavoidably community based cares are receiving such services by a team organized by Welfare organization ( such as general physicians, psychologist, and social worker), but it could be cost-benefit in our country in which the acute psychiatric beds are less than required. Essay -- Objective Providing community-based mental health services is crucial and is an agreed plan between Iran Mental Health Office and Eastern Mediterranean Region. The aim of this study was to determine the effectiveness of home-visit clinical case -management services on the hospitalization rate and other clinical outcomes in patients with severe mental illness. Methods One hundred eighty two patients were randomly allocated in to three groups home visit (n = 60), telephone follow-up (n = 61) and as-usual care group (n = 61).Trained nurses as clinical case-managers were provided home-visit services and the telephone follow-up tasks. Hospitalization rate as a measure of recurrence, as well as burden, knowledge, and general health condition of care givers, with positive/negative symptoms, satisfaction, quality of life and social skills of the consumers were assessed as main and secondary outcomes respectively.Results Most clinical variables were improved in both interventional groups compared with control group. During the one year follow-up, the rate of re-hospitalization were 1.5 and 2.5 times more than home-visit group for telephone follow-up and as-usual group respectively. Conclusion Single clinical case-managers are able to provide continuous care services for patients with severe mental illness. The telephone follow-up services also could have beneficiary outcome for the consumers, their caregivers and health system network. Key words Case-management, Caregivers, Hospitalization, Mental illnessRegistered in IRCT.ir, with ID IRCT201110261959N5IntroductionSince 1950, with the deinstitutionalization trend in the developed industrial nations, large size psychiatric hospitals were shut down and were subs... ...at in our social and cultural conditions, clinical case-management service is able to reduce the re-hospitalization and improve the clinical outcomes of the individuals who are suffering from severe mental illness. Also, the telephone follow-up services could have beneficiary outcome for the consumers, their caregivers and health system network. The results of current study has shown that an individual trained case manager is capable to provide effective service which is more co mpatible with the socio-economic condition of our society as a low middle income country. Although a few patients who needs community based cares are receiving such services by a team organized by Welfare organization ( such as general physicians, psychologist, and social worker), but it could be cost-benefit in our country in which the acute psychiatric beds are less than required.