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A Journal on Psychiatry, Psychology and Psychopharmacology

Official Journal of the Italian Society of Social Psychiatry
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Minerva Psichiatrica 2009 December;50(4):291-9

language: Italian

Outcomes of an integrated treatment in severe psychiatric patients

Saettoni M. 1,2, Marcacci G. 1, Pannocchia L. 3, Costa G. 1, Martino R. 1, Del Debbio A. 1, Gemignani A. 1

1 Comunità Terapeutico-Riabilitativa Residenziale “La Rocca” Pietrasanta; “Pellicano Versilia” Onlus, AUSL 12 Viareggio, Lucca, Italia
2 Unità Funzionale di Salute Mentale Adulti, Zona Valle del Serchio, AUSL 2 Lucca, Italia
3 Dipartimento di Psicologia, Università degli Studi di Firenze, Firenze, Italia


Aim. Psychiatric treatment and rehabilitation should be integrated to restore persons with major mental disorders to their best possible level of functioning and quality of life. The purpose of this study was to describe the first data upon an integrated treatment in a sample of a therapeutic community resident subjects.
Methods. The Brief Psychiatric Rating Scale (BPRS) and the Morningside Rehabilitation Status Scale (MRSS) were used to evaluate the outcomes of an integrated treatment (cognitive behavioral psychotherapy, pharmacological treatment and rehabilitation program) in a sample of 33 patients consecutively admitted in the community.
Results. Fourteen patients completed the program and were settled in their families again or admitted in other communities with less degree of sanitary assistance. Data were analyzed in a subsample of 23 patients (14 already discharged and 9 inpatients); these subjects showed significantly lower BPRS and MRSS scores after a six-month treatment compared to baseline. Later on the follow-up, BPRS and MRSS scores continued to significantly decrease but less widely compared to the first six-month period.
Conclusion. These preliminar results show that integrated treatments may produce both symptomatological and functional improvements also in severe therapeutic community resident patients, with the widest variations occurring during the first semester.

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