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Unit for women with schizophrenia in a community mental health service: Description of current and projected programs and quality evaluation measures

Published online by Cambridge University Press:  19 July 2023

A. González- Rodríguez ,
M. V. Seeman ,
M. Natividad ,
P. Barrio ,
E. Román ,
A. Balagué ,
J. P. Paolini  and
J. A. Monreal
A. González- Rodríguez*
Affiliation:
Mental Health, Mutua Terrassa University Hospital. University of Barcelona (UB). CIBERSAM, Terrassa, Spain
M. V. Seeman
Affiliation:
Psychiatry, University of Toronto, Toronto, Canada
M. Natividad
Affiliation:
Mental Health, Mutua Terrassa University Hospital. Fundació Docència i Recerca Mutua Terrassa. University of Barcelona (UB). CIBERSAM, Terrassa
P. Barrio
Affiliation:
Addictions Unit. Psychiatry and Clinical Psychology., Hospital Clinic of Barcelona. University of Barcelona. IDIBAPS, Barcelona
E. Román
Affiliation:
Mental Health, Mutua Terrassa University Hospital. Fundació Docència i Recerca Mutua Terrassa. University of Barcelona. CIBERSAM, Terrassa
A. Balagué
Affiliation:
Mental Health, Mutua Terrassa University Hospital. Fundació Docència i Recerca Mutua Terrassa. University of Barcelona. CIBERSAM, Sant Cugat
J. P. Paolini
Affiliation:
Mental Health, Parc Tauli University Hospital. Autonomous University of Barcelona (UAB). I3PT, Sabadell
J. A. Monreal
Affiliation:
Mental Health, Mutua Terrassa University Hospital. Fundació Docència i Recerca Mutua Terrassa. University of Barcelona. CIBERSAM. Inst. Neurociències UAB, Terrassa, Spain
*
*Corresponding author.

Abstract

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Introduction

Women with schizophrenia require health interventions and safe spaces sufficiently different from those of men.

Objectives

To describe units in two mental health outpatient services specialized in the treatment of women with schizophrenia and related disorders.

Methods

Two units in Spain projected to treat women with schizophrenia and related disorders - Community Mental Health Programs (CMHU Rambla, CMHU Sant Cugat) will be described. Recruitment, assessment, intervention, and evaluation and satisfaction measures will be characterized, and the need to build-in safety precautions (policy/structural).

Results

Demographics:(Preliminary 2021 data on the two services).

Patients attending (CMHU): 3,393. Forty-five per cent diagnosed with severe mental illness. Schizophrenia and related disorders: 873 patients. 58% women.

Staffing projected: 2 psychiatrists, 2 nurses, 1 clinical psychologist, 2 social workers.

Physical structure: Safe spaces for women/children.

Programs (offered currently and in planning stages): 1)Therapeutic Drug Monitoring/Adherence, 2)Individual/group patient/family sessions, 3)Perinatal Mental Health (preconception, pregnancy, lactation, postpartum, parent training/support), 4)Collaborative programs (primary care, medical specialties especially obstetrics/gynecology and endocrinology, trauma specialists, addiction experts), 5)prevention/intervention of suicide risk, 6)social services (single mothers, family issues, domestic abuse, sexual exploitation) 7)home-based services, 8)peer support, 9)physical activity, 10)psychoeducation for patients and families.

Planned quality evaluation measures: diagnostic assessment (reliability, long-term validity);regular treatment effectiveness evaluation (individualization of treatment plans, assessment of adverse effects of drugs, screening for metabolic syndrome/ physical health, family intervention, psychoeducation (individual/group) assessment of suicidal ideation and global functioning.

Conclusions

Specific services for women with schizophrenia and related disorders represent an important resource to improve patient well-being and offer clinical care leading to individual recovery.

Disclosure of Interest

None Declared

Type
Abstract
Information
European Psychiatry , Volume 66 , Special Issue S1: Abstracts of the 31st European Congress of Psychiatry , March 2023 , pp. S1123 - S1124
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2023. Published by Cambridge University Press on behalf of the European Psychiatric Association
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