Showing 3 results for Community Re-Entry Program
Farkhondeh Jamshidi , Shahin Tohidi , Arezoo Shayan ,
Volume 3, Issue 4 (9-2017)
Abstract
Introduction: Deficits in social and living skills of chronic mental patients and the unsatisfactoriness of current drug, provide a strong rationale for developing new interventions. Community Re-Entry Program is one of the programs related to social and independent living skills that provides patients with chronic mental disorders with some information and skills. The aim of the present study was to compared symptoms severity and communication and interaction skills of outpatients with severe mental disorders after the Community Re-entry and conventional Psychotherapy programs.
Methods: This study was a quasi-experimental design with pre-test, post-test. To this end, 40 patients with severe mental disorders (schizophrenia and mood disorder) referring to daily rehabilitation centers of Hamadan and using simple randomization divided into an Community Re-entry Program (N = 20) and a Conventional Psychotherapy Programs (N = 20) group. The community rehabilitation program group received in 16 60-90-minute educational sessions held twice a week for two months. The conventional Psychotherapy group were used from psychotherapy and occupational therapy. Both groups were evaluated using Assessment of Communication and Interaction Skills (ACIS) questionnaire and positive and negative symptom scales (PANSS) before and after the intervention. To analyze of Mean difference in the two groups, were used from U Mann-Witny test.
Results: The results showed that the two groups were the same in terms of age, marital status and employment levels. Patients who received Community Re-entry Program showed a significant change in information exchange (P = 0.001), relations (P = 0.0001) and total score of ACIS questionnaire (P = 0.0001) and in the positive symptoms (P = 0.01) of PANSS questionnaire compared to the conventional psychotherapy group.
Conclusions: The results showed that Community Re-Entry Program in compared with conventional psychotherapy daily centers played an important role in improving communication and interaction skills among patients with severe mental disorders in the study population. Yet, future studies are required to assess the long-term clinical effects of this program.
Parham Mohebi, Masoud Fallahi-Khoshknab, Abolfazl Rahgoue, Kian Norouzi Tabriz, Mohammad Reza Khodaie Ardakan,
Volume 3, Issue 4 (9-2017)
Abstract
Introduction: Drug adherence is poor among patients with bipolar I disorder (BID) and lack of adherence to medication is one of the frequent causes of relapse and readmission in these patients. This study aimed to examine the effect of a community re-entry rehabilitation program on drug adherence in patients with BID.
Methods: This randomized clinical trial study was conducted on all patients with BID admitted to Iran Psychiatric Haspital in the first 6 months of 2016. Forty patients were selected by purposive sampling and randomly divided into two groups of intervention and control. The intervention group received the theoretical and practical training of the community re-entry program (CRP) over 16 sessions (three times a week). Pateints in the control group only received current treatment at the center (drug therapy, occupational therapy, and psychotherapy). The patients completed medication adherence rating scale (MARS) before and threre months after the intervention. Data were analyzed using chi-square test, independent t-test and ANOVA with the SPSS 19 software.
Results: The results showed no significant difference between the intervention and control groups regarding the distribution of demographic charactristics. The mean score of patients’medication adherence before the intervention was 4.05 ± 1.05 in the intervention group and 4.35 ± 1.59 in the control group, while after the intervention it was 8.31 ± 0.92 in the intervention group and 4.65 ± 1.56 in the control group, which showed a significant difference in the intervention group (P ≤ 0.001).
Conclusions: Results showed that implementing CRP can enhance drug adherence in patients with BID.
Davod Arab Ghahestany, Ahmad Borjali, Faramarz Sohrabi, Omid Rezaee, Ali Delavar, Atefeh Abbasi, Ladan Fattah Moghaddam, Mohammad Khorrami,
Volume 8, Issue 1 (12-2021)
Abstract
Introduction and Aim: Conventional psychiatric therapies have shortcomings in the treatment of schizophrenia spectrum disorders and have little effect on skills and community-based areas. Therefore, the present study aimed to investigate the role of community return program (CRP) as a community-based complementary therapy method in increasing readiness for discharge and post-discharge adjustment in patients with schizophrenia.
Methods: The statistical population in this randomized clinical trial (RCT) was all patients with schizophrenia spectrum disorders who were admitted to Razi Psychiatric Hospital in 2017. Eighty patients were selected by simple random sampling and randomly assigned to experimental and control groups. The intervention method was CRP along with conventional psychiatric treatment in the experimental group, while patients in the control group received only conventional psychiatric treatment. The measurement tools included a demographic data form, CRP test, CRP daily Schedule, and World Health Organization Disability Assessment Schedule. The frequency of patients 'aggression after discharge from the hospital was also determined and recorded at one, three, and six months after discharge from the hospital through telephone interviews with patients' families.
Results: Implementation of CRP along with conventional psychiatric treatment was more effective than control group on the components of discharge readiness (discharge readiness, and awareness of disease, relapse symptoms and medication information) (p=0.01) and coping capacity (increase ability and performance improvement, ability to daily scheduling, aggression rate (p=0.01).
Conclusion: In order to compensate for the weakness of conventional psychiatric treatment in increasing preparedness for discharge and post-discharge coping of patients with schizophrenia, non-pharmacological complementary therapies such as CRP can be used.
