Continuity of care for people with psychotic illness: Its relationship to clinical and social functioning

Catty, Jocelyn, White, Sarah, Clement, Sarah and Cowan, Naomi (2013) Continuity of care for people with psychotic illness: Its relationship to clinical and social functioning. International Journal of Social Psychiatry, 59 (1). pp. 5-17. ISSN 1741-2854

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Background: The relationship between continuity of care and user characteristics or outcomes has rarely been explored. The ECHO study operationalized and tested a multi-axial definition of continuity of care, producing a seven-factor model used here. Aims: To assess the relationship between user characteristics and established components of continuity of care, and the impact of continuity on clinical and social functioning. Methods: The sample comprised 180 community mental health team users with psychotic disorders who were interviewed at three annual time-points, to assess their experiences of continuity of care and clinical and social functioning. Scores on seven continuity factors were tested for association with user-level variables. Results: Improvement in quality of life was associated with better Experience & Relationship continuity scores (better user-rated continuity and therapeutic relationship) and with lower Meeting Needs continuity factor scores. Higher Meeting Needs scores were associated with a decrease in symptoms. Conclusion: Continuity is a dynamic process, influenced significantly by care structures and organizational change

Item Type: Article
Additional Information: Published online before print September 20, 2011, Additional authors: Connie Geyer, Kate Harvey, Ian Rees Jones, Susan McLaren, Zoe Poole, Diana Rose, Til Wykes, Tom Burn
Subjects: Disabilities & Disorders (mental & physical) > Psychoses
Health and Medical Sciences > Patient Care
Department/People: Children, Young Adult and Family Services

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