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Revista de la Asociación Española de Neuropsiquiatría

On-line version ISSN 2340-2733Print version ISSN 0211-5735

Abstract

MUNOZ GARCIA, Juan Jesús et al. Psychiatric rehabilitation in extended care psychiatric hospital. Rev. Asoc. Esp. Neuropsiq. [online]. 2011, vol.31, n.4, pp.615-629. ISSN 2340-2733.  http://dx.doi.org/10.4321/S0211-57352011000400002.

Objective: The shift from a model of care to a rehabilitation model in Extended Care Psychiatric Units, which aim to generate profiles of users with severe and enduring mental illness in which takes into account both the degree of clinical involvement and/or psychosocial functioning and the level of institutionalization (measured from the hospital stay), all in order to propose a possible model for the reorganization of users based on these criteria. Method: On the one hand, it has taken into account the variable years of admission into the institution in order to have a measure of nstitutionalization y a measure that reflects potential difficulties of returning to the community. Moreover, we have used a variable to take into account clinical factors related to psychosocial functioning and that is the Global Assessment Functioning Scale -GAF- (Axis V of DSM-IV-TR). Based on the variables discussed there has realized a cluster analysis using the statistical package SPSS 19.0 Results: Cluster analysis performed shows the existence of four different size groups for all users. These four groups define prototypes profiles of patients admitted to an Extended Care Psychiatric Unit: 1) Institucionalized Dependents, 2) Institucionalized Independents, 3) Non Institucionalized Dependents, and 4) Non Institucionalized Independents. Conclusions: The interest and usefulness to classify users in different levels according to their psychosocial functioning is reflected in improved opportunities for individual treatment, adapting to the needs of care, assistance and therapy of the users.

Keywords : Extended Care Psychiatric Units; psychiatric rehabilitation; psychosocial functioning; institutionalization; clusters.

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