| Budget Amount *help |
¥2,200,000 (Direct Cost: ¥2,200,000)
Fiscal Year 1994: ¥700,000 (Direct Cost: ¥700,000)
Fiscal Year 1993: ¥800,000 (Direct Cost: ¥800,000)
Fiscal Year 1992: ¥700,000 (Direct Cost: ¥700,000)
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| Research Abstract |
We clinically evaluated continuous treatment of 100 patients diagnosed as having schizophrenia according to DSM-III-R for four years from April 1988 to April 1992. During the four-year investigation period, 53 of the patients (Group A) received treatment by visiting as outpatients, while the remaining 47 patients (Group B) required hospitalization. In Group B compared to Group A,the level of education was significantly higher, but the employment rate was lower and the rate of receiving social welfare benefits was higher. These differences were stronger for male patients. Psychiatric symptoms and social adjustment were poorer in the patients of Group B than those of Group A.Prior to April 1988,80% of the 100 patients had had the experience of hospitalization, but in the investigation period the rate of hospitalization decreased to 47%. Examining reasons for hospitalization in Group B,positive attitudes towards for the use of psychiatric institutions, such as hospitalization, together with family members' strong hopes for successful treatment and patients' own desire for short-term hospitalization, were seen. We also discuss the clinical advantages of on-visit rehabilitation by a group of a psychiatrist, a occupational therapist and a community nurse on offshore islands where the public transportation system is not very adequate.
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