Hospital-based community psychiatric service for patients with schizophrenia in Kuala Lumpur: A 1-year follow-up study of re-hospitalization

Rahima Dahlan, Marhani Midin, Hatta Sidi, T. Maniam

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Introduction: Hospital-based community psychiatric service (HCPS) is a developing intervention in Malaysia targeted for patients with severe mental illnesses (SMIs). Its effectiveness had not been systematically measured. This study aimed to assess the outcome of HCPS with respect to re-hospitalization and factors associated with low re-hospitalization among patients with schizophrenia in the metropolitan city of Kuala Lumpur. Methods: A naturalistic and retrospective cohort study was conducted using within-subject pre-post design on 155 patients with schizophrenia who received HCPS in Hospital Kuala Lumpur (HKL). The selection was made by simple random sampling. The hospital admission profiles were obtained from clinical records. The socio-demographic and relevant clinical data were also assessed through clinical interviews. Results: One hundred and forty (90%) of 155 respondents had low rate of hospital admission with significant reduction of being hospitalized within 1 year after receiving HCPS (p<0.001). Having good social support was significantly associated with lower rate of rehospitalization (p=0.001). Discussion: The study revealed the effectiveness of HCPS in terms of reducing rates of hospital admission among patients with schizophrenia in Malaysia. The finding may be used as an evidence to develop the service further in other hospitals. However, the finding needs to be replicated through studies with better design involving more psychiatric centres.

Original languageEnglish
Pages (from-to)127-133
Number of pages7
JournalAsia-Pacific Psychiatry
Volume5
Issue numberSUPPL. 1
DOIs
Publication statusPublished - Apr 2013

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Community Psychiatry
Social Welfare
Schizophrenia
Hospitalization
Malaysia
Patient Admission
Social Support
Psychiatry
Cohort Studies
Retrospective Studies
Demography
Interviews

Keywords

  • Assertive Community Treatment
  • Community psychiatric service
  • Re-hospitalization
  • Schizophrenia

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

Hospital-based community psychiatric service for patients with schizophrenia in Kuala Lumpur : A 1-year follow-up study of re-hospitalization. / Dahlan, Rahima; Midin, Marhani; Sidi, Hatta; Maniam, T.

In: Asia-Pacific Psychiatry, Vol. 5, No. SUPPL. 1, 04.2013, p. 127-133.

Research output: Contribution to journalArticle

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