Essay --

mark Providing community-based noetic wellness serve is crucial and is an agreed protrude amidst Iran Mental Health Office and Eastern Mediterranean Region. The subscribe of this hear was to determine the effectiveness of shell- levy clinical quality-management operates on the hospitalisation number and other clinical end points in patients with pure(a) mental illness. Methods nonp atomic number 18il 100 eighty two patients were randomly allocated in to three conclaves home visit (n = 60), hollo follow-up (n = 61) and as-usual palm group (n = 61).Trained nurses as clinical case-managers were provided home-visit work and the telephone follow-up tasks. Hospitalization rate as a measuring stick of recurrence, as well as burden, knowledge, and general health tick of care givers, with positive/negative symptoms, satisfaction, quality of life and social skills of the consumers were assessed as primary(prenominal) and secondary ends respectively.Results Mos t clinical vari commensurates were improved in twain interventional groups compared with see group. During the one year follow-up, the rate of re-hospitalization were 1.5 and 2.5 times more(prenominal) than home-visit group for telephone follow-up and as-usual group respectively. Conclusion Single clinical case-managers are able to provide continuous care services for patients with severe mental illness. The telephone follow-up services also could have donee outcome for the consumers, their caregivers and health system network. Key words Case-management, Caregivers, Hospitalization, Mental illnessRegistered in IRCT.ir, with ID IRCT201110261959N5 accounting entrySince 1950, with the deinstitutionalization trend in the developed industrial nations, large coat psychiatric hospitals were shut down and were subs... ...at in our social and cultural conditions, clinical case-management service is able to reduce the re-hospitalization and improve the clinical outcomes of the indi viduals who are poor from severe mental illness. Also, the telephone follow-up services could have beneficiary outcome for the consumers, their caregivers and health system network. The results of current study has shown that an individual adroit case manager is capable to provide effective service which is more congruous with the socio-economic condition of our society as a low nerve income country. Although a few patients who needs community based cares are receiving much(prenominal) services by a team organized by social welfare placement ( such as general physicians, psychologist, and social worker), but it could be cost-benefit in our country in which the acute psychiatric beds are slight than required. look for -- Objective Providing community-based mental health services is crucial and is an agreed plan between Iran Mental Health Office and Eastern Mediterranean Region. The aim of this study was to determine the effectiveness of home-visit clini cal case-management services on the hospitalization rate and other clinical outcomes in patients with severe mental illness. Methods One hundred eighty two patients were randomly allocated in to three groups home visit (n = 60), telephone follow-up (n = 61) and as-usual care group (n = 61).Trained nurses as clinical case-managers were provided home-visit services and the telephone follow-up tasks. Hospitalization rate as a measure of recurrence, as well as burden, knowledge, and general health condition of care givers, with positive/negative symptoms, satisfaction, quality of life and social skills of the consumers were assessed as main and secondary outcomes respectively.Results Most clinical variables were improved in both interventional groups compared with control group. During the one year follow-up, the rate of re-hospitalization were 1.5 and 2.5 times more than home-visit group for telephone follow-up and as-usual group respectively. Conclusion Single clinical case-m anagers are able to provide continuous care services for patients with severe mental illness. The telephone follow-up services also could have beneficiary outcome for the consumers, their caregivers and health system network. Key words Case-management, Caregivers, Hospitalization, Mental illnessRegistered in IRCT.ir, with ID IRCT201110261959N5IntroductionSince 1950, with the deinstitutionalization trend in the developed industrial nations, large size psychiatric hospitals were shut down and were subs... ...at in our social and cultural conditions, clinical case-management service is able to reduce the re-hospitalization and improve the clinical outcomes of the individuals who are suffering from severe mental illness. Also, the telephone follow-up services could have beneficiary outcome for the consumers, their caregivers and health system network. The results of current study has shown that an individual trained case manager is capable to provide effective service which is more compatible with the socio-economic condition of our society as a low middle income country. Although a few patients who needs community based cares are receiving such services by a team organized by Welfare organization ( such as general physicians, psychologist, and social worker), but it could be cost-benefit in our country in which the acute psychiatric beds are less than required.