The Impact of Repeated Assessments by Patients and Professionals: A 4-Year Follow-Up of a Population With Schizophrenia. (May 2019)

• Record Type: Journal Article
• Authors: Olsson-Tall, Maivor; Hjärthag, Fredrik; Marklund, Bertil; Kylén, Sven; Carlström, Eric; Helldin, Lars
• Is Part Of: Journal of the American Psychiatric Nurses Association. Volume 25:Number 3(2019)
• Page Start: 189
• Page End: 199
• Publication Date: 2019-05
• Subjects: case manager -- patient -- remission -- repeated assessment -- schizophrenia; Psychiatric nursing -- Periodicals; 616.890231
• DOI: 10.1177/1078390318777785
• Languages: English
• ISSNs: 1078-3903

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.