The Evaluation and Effectiveness of Evidence-Based Community Care for Patients with Schizophrenia in Taiwan

Thursday, 15 July 2010

Wen-I Liu, PhD
School of Nursing, National Taipei College of Nursing, Taiepi, Taiwan
Jin-Biau Li, MHA
Department of Nursing, Bali Psychiatric center, Taipei County, Taiwan
Pei-Ling Huang, MSN
Department of Nursing, Bali psychiatric center, Taipei County, Taiwan

Learning Objective 1: understand the methods used to evaluate evidence-based community case management practice for patients with Schizophrenia.

Learning Objective 2: assess the effectiveness of evidence-based case management services developed for patients with Schizophrenia.

The purpose of this paper is to describe the evaluation and effectiveness of evidence-based case management practice for patients with schizophrenia in the community in northern Taiwan. Quasi-experimental and pre- and post-tests with two groups were used. Clients in the experimental group were given the services of evidence-based case management practice offered by psychiatric home care nurses during the trial, while clients in the control group received the usual community services. Data collection was conducted before the intervention and six months later (in June 2009 and November 2009). One-way ANCOVA was used to examine the differences in individual and organizational outcomes between the two groups. There were 48 and 37 cases in the experimental and control groups respectively. Standardized case management services were established according to evidence-based principles of case management and were revised by the expert panel. There were significant differences in the global assessment function (F=11.32, p<0.01), psychiatric symptoms (F=9.41, p<0.01), community resource utilization (F=6.45, p<0.01), drug compliance (F=3.03, p=0.01) and satisfaction with services (F=3.20, p=0.02) for these two groups.
Evidence-based case management practice was shown as more effective than the usual community healthcare services. These findings suggest that case management could provide guidelines for community psychiatric health care policy. The case management program developed could improve the quality of care for psychiatric patients in the community.