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The Impact of Repeated Assessments by Patients and Professionals: A 4-Year Follow-Up of a Population With Schizophrenia

Journal article
Authors Maivor Olsson-Tall
Fredrik Hjärthag
Bertil Marklund
Sven Kylén
Eric Carlström
Lars Helldin
Published in Journal of the American Psychiatric Nurses Association
Volume 25
Issue 3
Pages 189-199
ISSN 1078-3903
Publication year 2019
Published at Institute of Medicine, School of Public Health and Community Medicine
University of Gothenburg Centre for person-centred care (GPCC)
Institute of Health and Care Sciences
Pages 189-199
Language en
Keywords case manager, patient, remission, repeated assessment, schizophrenia
Subject categories Psychiatry, Public Health, Global Health, Social Medicine and Epidemiology


© 2018, The Author(s) 2018. The needs of people with schizophrenia are great, and having extensive knowledge of this patient group is crucial for providing the right support. The aim of this study was to investigate, over 4 years, the importance of repeated assessments by patients with schizophrenia and by professionals. Data were collected from evidence-based assessment scales, interviews, and visual self-assessment scales. The data processing used descriptive statistics, correlation and regression analyses. The results showed that the relationships between several of the patients’ self-rating assessments were stronger at the 4-year follow-up than at baseline. In parallel, the concordance rate between patient assessments and case manager assessments increased. The conclusions drawn are that through repeated assessments the patients’ ability to assess their own situation improved over time and that case managers became better at understanding their patients’ situation. This, in turn, provides a safer basis for assessments and further treatment interventions, which may lead to more patients achieving remission, which can lead to less risk for hospitalization and too early death.

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