Background: Little information has become available after psychiatric reforms regarding outcomes of persons with schizophrenia and related disorders cared for in community-based mental health facilities.
Aims: The aim of this study was to determine the consequences of psychiatric services in the users of mental health services in Malaga.
Method: We describe the cohort and methods involved in the Schizophrenia Case Register (RESMA) in Malaga, Spain. All cases (n = 1,022) were users of public mental health services provided in the catchment area over one year. The majority were male (65%), single (68%), living with their original family (50%), with primary education (41%) and living on disability benefits (52%).
Results: Concerning use of services, the majority had out-patient contacts (89%). Results show a substantial overlap in the use of different services during the study period.
Conclusion: The Malaga Schizophrenia Case Register provides sociodemographic, clinical and service use information for a large sample of patients with schizophrenia or related disorders. Results obtained from the cohort studied will be instrumental for the follow-up and evaluation of the mental health care reform.
Amaddeo, F., Zambello, F., Tansella, M. & Thornicroft, G. (2001) Accessibility and pathways to psychiatric care in a community-based mental health system. Social Psychiatric and Psychiatry Epidemiology, 36, 500-507.
2.
Arajärvi, R., Suvisaari, J., Suokas, J., Schreck, M., Haukka, J., Hintikka, J., Partonen, T. & Lönnquist, J. (2005) Prevalence and diagnosis of schizophrenia based on register, case record and interview data in an isolated Finnish birth cohort born 1940-1969. Social Psychiatry and Psychiatric Epidemiology , 40, 808-816.
3.
Arvidsson, H. & Ericson, B.G. (2005) The development of psychiatric care after the mental health care reform in Sweden. a case register study. Nordic Journal of Psychiatry, 59(3), 186-192.
4.
Becker, T. & Kilian, R. (2006) Psychiatric services for people with severe mental illness across western Europe: what can be generalized from current knowledge about difference in provision, costs and outcomes of mental health care?. Acta Psychiatrica Scandinavica, 113(Suppl. 429), 9-16.
5.
Byrne, N., Regan, C. & Howard, L. (2005) Administrative registers in psychiatric research: a systematic review of validity studies. Acta Psychiatrica Scandinavica, 112, 409-414.
6.
Garrido, M., Salinas, J.A., Almenara, J. & Salvador, L. (2007) Atlas de salud mental de Andalucía 2005. Servicio Andaluz de Salud, Junta de Andalucía. Sevillahttp://www.aan.org.es/Atlas_SM.pdf (accessed 17 December 2007).
7.
Glover, G.R. (2000) A comprehensive clinical database for mental health care in England. Social Psychiatry Psychiatric Epidemiology , 35, 523-529.
8.
Glover, G.R. & Sinclair-Smith, H. (2000) Computerised information systems in English mental health providers in 1998. Social Psychiatry Psychiatric Epidemiology, 35, 518-522.
9.
Instituto de Estadística de Andalucía (2006 ) Málaga. Datos Básicos 2006. Seville: Instituto de Estadística de Andalucía.
10.
Lamb, H.R. & Bachrach, L.L. (2001) Some perspectives on deinstitutionalization . Psychiatric Services, 52(8), 1039-1045.
11.
Leung, A. & Chue, P. (2000) Sex differences in schizophrenia, a review of the literature. Acta Psychiatrica Scandinavica, 101(Suppl. 401), 3-38.
12.
Löffer, W., Hafner, H., Fatkenheuer, B., Maurer, K., Riecher-Rössler, A., Lützhoft, J., Skadhede, S., Munk-Jorgensen, P. & Strömgren, E. (1994) Validation of Danish case register diagnosis for schizophrenia. Acta Psychiatrica Scandinavica, 90, 196-203.
13.
Moreno, B., Arroyo, B., Torres-González, F. & Cervilla, J. (2007) Social predictors of out-patient mental health contact in schizophrenia patients. Social Psychiatry and Psychiatric Epidemiology, 42,452-456.
14.
Moreno-Küstner, B., Rosales-Varo, C. & Torres-Gonzalez, F. (2002) The goals and method of the Andalusian case register for schizophrenia. International Journal of Social Psychiatry, 48(1), 47-54.
15.
Pezzimenti, M., Haro, J.M., Ochoa, S., González, J.L., Almenara, J., Alonso, J., Salvador-Carulla, J.L., Moreno, B., Muñoz, P., Madoz, V., & The Psicost Group (2006) Assessment of service use patterns in out-patients with schizophrenia: a Spanish study. Acta Psychiatrica Scandinavica, 114(Suppl. 432), 12-8.
16.
Phelan, M., Seller, J. & Leese, M. (2001) The routine assessment of severity amongst people with mental illness. Social Psychiatry and Psychiatric Epidemiology , 36, 200-206.
17.
Priebe, S., Badesconyi, A., Fioritú, A., Hansson, L., Kilian, R., Torres-Gonzalez, F., Turner, T. & Wiersma, D. (2005) Reinstitutionalization in mental health care: comparison of data on service provision from sixEuropean countries. British Medical Journal, 330, 123-126.
18.
Riecher-Rössler, A. & Häfner, H. (2000) Gender aspects in schizophrenia: bridging the border between social and biological psychiatry. Acta Psychiatrica Scandinavica, 102, (Suppl. 407), 58-62.
19.
Rössler, W. & Lauber, C. (2006) Patients with severe mental illness: a most difficult-to-treat patient population. Acta Psychiatrica Scandinavica, 113(Suppl. 429), 7-8.
20.
Servicio Andaluz de Salud (2006) Memoria de recursos y actividad asistencial, 2005. Seville: Consejería de Salud, Junta de Andalucía.
21.
Slade, M., Powel, R. & Strathdee, G. (1996) Current approaches to identifying the severely mentally ill. Social Psychiatry and Psychiatric Epidemiology , 32, 177-184.
22.
Smith, G., Malla, A., Williams, R., Kopala, L., Love, L. & Balshaw, R. (2006) The Canadian National Outcomes Measurement Study in Schizophrenia: overview of the patient sample and methodology. Acta Psychiatrica Scandinavica, 113(Suppl. 430), 4-11.
23.
Sorgaard, K.W., Sandlund, M., Heikkilä, J., Hansson, L., Vinding, H.R., Bjarnason, O., Bengtson-Tops, A., Merinder, L., Nilsson, L. & Middelboe, T. (2003) Schizophrenia and contact with health and social services: a Nordic multi-centre study. Nordic Journal of Psychiatry , 57, 253-261.
24.
Sytema, S., Burgess, P. & Tansella, M. (2002) Does community care decrease length of stay and risk of rehospitalization in new patients with schizophrenic disorder? A comparative case register study in Groningen, The Netherlands; Victoria, Australia; and South-Verona, Italy. Schizophrenia Bulletin, 28(2), 273-81.
25.
Tansella, M. (2000) Do we still need psychiatric case registers? Acta Psychiatrica Scandinavica, 101, 253-255.
26.
Tansella, M. & Burti, L. (2003) Integrating evaluative research and community-based mental health care in Verona, Italy. British Journal of Psychiatry , 183, 167-169.
27.
Thorup, A., Petersen, L., Jeppesen, P., Ohlenschoaeger, J., Christentsen, T., Krarup, G., Jorgense, P. & Nordentoft, M. (2007) Gender differences in young adults with first-episode schizophrenia spectrum disorders at baseline in the Danish OPUS study. The Journal of Nervous and Mental Disease , 195, 396-405.
28.
Usall, J., Haro, J., Araya, S., Moreno, B., Muñoz, P.E., Martínez, A. & Salvador, L. (2007) Social functioning in schizophrenia: what is the influence of gender? European Journal of Psychiatry, 21, 199-205.
29.
Vázquez-Barquero, J.L., Garcia, J. & Torres-Gonzalez, F. (2001) Spanish psychiatric reform: what can be learned from two decades of experience? Acta Psiquiatrica Scandinavica, 104, 89-95.
30.
World Health Organization (1993) The ICD-10 Classification of Mental and Behavioural Disorders: Diagnostic Criteria for Research. Geneva: World Health Organization.
31.
Young, A.S., Mintz, J. & Cohen, A.N. (2004) Using information systems to improve care for persons with schizophrenia. Psychiatric Services, 55(3), 253-255.
