Balsera Gómez J, Rodríguez Medina C, Caba Calvet R, Vega Prada R, Ruiz Ureña H, Berruezo Ortiz L, Clusa Gironella D, Rodríguez Montes M J, Haro Abad J M
Sant Joan de Déu - Serveis de Salut Mental. Sant Boi de Llobregat. Barcelona. Spain.
Actas Esp Psiquiatr. 2002 Nov-Dec;30(6):350-7.
The pilot study of the Individualized Service Program for people with Severe Mental Disorders (ISP-SMD) consists of the implementation of case management services in Catalonia.
The ISP-SMD has been implemented in two health care sectors and will be expanded to the rest of Catalonia in the next years. The program serves people with persistent mental disorders who have serious social or family problems and/or who have inadequate mental health service use (high use of inpatient services, no use of community services). The ISP-SMD is a community intervention program that focuses its activities on direct care and coordination between services. Thirty patients have been included in the evaluation.
The results of the pilot study have shown that, compared to the year before entering the program, the patients show better clinical status, they decrease their unmet need level, they have more appropriate use of health services and have lower treatment costs. Satisfaction of the patients, family members and professionals with the program is very high.
It is possible to adapt and implement case management services in Catalonia. When implemented, they improve patient quality of life.
严重精神障碍患者个性化服务项目（ISP-SMD）的试点研究包括在加泰罗尼亚实施个案管理服务。
ISP-SMD已在两个医疗保健部门实施，并将在未来几年扩展到加泰罗尼亚的其他地区。该项目服务于患有持续性精神障碍、存在严重社会或家庭问题和/或心理健康服务使用不当（住院服务使用率高、不使用社区服务）的人群。ISP-SMD是一个社区干预项目，其活动重点在于直接护理和服务之间的协调。30名患者已纳入评估。
试点研究结果表明，与进入该项目前一年相比，患者的临床状况更好，未满足需求水平降低，卫生服务使用更合理，治疗成本更低。患者、家庭成员和专业人员对该项目的满意度非常高。
在加泰罗尼亚能够调整并实施个案管理服务。实施后，可改善患者生活质量。
