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Hospital readmissions in the group of users on the Flexible Assertive Community Treatment – experiences from RECOVER E Montenegro samples

Published online by Cambridge University Press:  01 September 2022

J. Dedovic ,
T. Djurisic ,
A. Tomcuk ,
A. Macic ,
N. Matkovic ,
D. Miladinovic  and
S. Vlahovic
J. Dedovic*
Affiliation:
Special Psychiatric Hospital Kotor, Department For Forensic Psychiatry, Kotor, Montenegro
T. Djurisic
Affiliation:
Public Health Institute of Montenegro, Health Promotion Center, Podgorica, Montenegro
A. Tomcuk
Affiliation:
Special Psychiatric Hospital Kotor, Department For Mental Health Promotion, Kotor, Montenegro
A. Macic
Affiliation:
Special Psychiatric Hospital Kotor, Chief Executive Office, Kotor, Montenegro
N. Matkovic
Affiliation:
Special Psychiatric Hospital Kotor, Addiction Department, Kotor, Montenegro
D. Miladinovic
Affiliation:
Special Psychiatric Hospital Kotor, Acute Male Ward, Kotor, Montenegro
S. Vlahovic
Affiliation:
Special Psychiatric Hospital Kotor, Addiction Department, Kotor, Montenegro
*
*Corresponding author.

Abstract

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Introduction

As a part of Horizon 2020 program, RECOVER-E project activities were initiated in Montenegro in 2018. The initial step involved a thorough situation analysis of the setting and circumstances of treatment of users with severe mental health illnesses, followed by the establishment of the community mental health team (CMHT) within the Special Psychiatric Hospital Kotor. The CMHT became responsible for the treatment of a group of clients with severe mental health illnesses, based on the principles of „Flexible Assertive Community Treatment (FACT – A Dutch model).

Objectives

The main objective of this research was to establish whether there were substantial differences regarding the hospital readmissions in the group of patients treated by the CMHT, compared to usual mental health care in Montenegro.

Methods

Within the RECOVER-E project, a sample of 202 patients, users of mental health services, were recruited in Montenegro. Patients were randomized into two similar-sized groups - intervention group, whose treatment was managed by the multidisciplinary CMHT, and control group where treatment as usual was continued. To estimate and follow-up the frequency of hospital readmissions, medical documentation was used.

Results

Patients in the intervention group had less hospital days during the 18 months follow-up period. However, the differences between two groups regarding number of readmissions, and total length of hospital days were not statistically significant measured by independent T test.

Conclusions

This study showed that CMHT care could reduce the total length of hospital days during the treatment of psychotic disorders even dough during the COVID 19 pandemic and lock down measures

Disclosure

No significant relationships.

Keywords

Hospital readmissionsCommunity Mental Health TeamsFlexible Assertive Community TreatmentRECOVER EHorizon 2020
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S314
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 (http://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), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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