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2010 Fiscal Year Final Research Report

An Evaluation of Modified Intensive Care Management(M-ICM)&IPS(Individual Placement and Support) for Psychiatric Patients Readmitted within 3 months of Discharge

Research Project

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Project/Area Number 20592660
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Community health/Gerontological nurisng
Research InstitutionKumamoto University

Principal Investigator

USAMI Shiori  Kumamoto University, 大学院・生命科学研究部, 教授 (50295755)

Co-Investigator(Renkei-kenkyūsha) NAKAYAMA Yoko  福島県立医科大学, 看護学部, 教授 (60180444)
OKAYA Keiko  近大姫路大学, 看護学部, 教授 (30461180)
Project Period (FY) 2008 – 2010
Keywords精神障害者 / M-ICM / M-CBCM / IPS / 再入院
Research Abstract

The purpose of this study was to develop Modified Intensive Care Management(M-ICM,ICM is the same as Community Based Care Management)&IPS care model and to evaluate this care model for psychiatric patients who readmitted psychiatric patients within three month of discharge. This study was conducted with the cooperation of a psychiatric hospital in Kyushu at which M-ICM(CBCM)&IPS were provided to 70 schizophrenic patients from the time of their readmission to six months after discharge.
The patients had been unstable both in their psychiatric symptoms and in self-care management. All were either readmitted within three months of their previous discharge or their hospitalization continued more than three months.
Evaluations were made upon of readmission, discharge, three months and six months after discharge. Evaluations were based on indexes rating psychiatric symptoms, daily living skills, social functioning, family perceptions of the patient being a burden, Quality of Life (QOL) and wor … More k-rate.
The patients were divided into two groups: 35 patients (Group A) were provided M-ICM&IPS and 35 patients (Group B) were provided only M-ICM. Many of the patients of both groups lived with their families, with parents playing the major role in terms of family support.
Significant difference were recognized between two groups regarding the Brief Psychiatric Rating Scale (BPRS), the Life Skills Profile (LSP), QOL and work-rate. Furthermore Significant improvements were recognized regarding BPRS, GAF, LSP, FAS and work-rate at the times of admission, discharge, three month and six month after the discharge.
Family perceptions of the patient being a burden also improved significantly, especially at times of discharge and three months after discharge in Group A. Group A received support interventions for both patients and their families. Through this it became clear that such interventions were needed, not just for control of symptoms, but for helping patients connect with the community based on an understanding of personality, psychological developmental issues, and desires concerning daily life. Furthermore patients in A-Group had high work-rate compared with that of B-Group. But many patients in A-Group was working at working house for psychiatric patients, not in the company.
This study led us to the realization that optimum utilization of all the social resources available to the community-including resources for those with disabilities and difficulties and not necessarily tailored for patients with psychiatric disorders-promotes a patient's stable settlement in the community after discharge from the hospital.
These results were discussed from a viewpoint acknowledging the significance of M-ICM(CBCM)&IPS, the necessity of finding and utilizing community resources, and the importance of transitional support from "Person-oriented" to "Place-oriented" so as to widen the patient's support base. Less

  • Research Products

    (12 results)

All 2011 2010 2009 2008

All Journal Article (6 results) (of which Peer Reviewed: 5 results) Presentation (4 results) Book (2 results)

  • [Journal Article] 長期入院となりやすい精神障害者への修正版集中包括型ケア・マネジメント(M-CBCM)の評価に関する研究2011

    • Author(s)
      宇佐美しおり, 中山洋子, 野末聖香, 岡谷恵子, 他
    • Journal Title

      看護研究 44巻3号(5-6月号)

      Pages: 318-331

    • Peer Reviewed
  • [Journal Article] 入退院を短期間で繰り返す統合失調症患者への修正版集中包括型ケア・マネジメントとその評価に関する研究2010

    • Author(s)
      宇佐美しおり, 中山洋子, 野末聖香
    • Journal Title

      第30回日本看護科学学会学術集会講演集

      Pages: 282

  • [Journal Article] 病状が不安定な精神障害者の自立支援における退院支援ケア・パッケージを含む集中型包括型ケア・マネジメントモデルの開発2009

    • Author(s)
      宇佐美しおり, 中山洋子, 野末聖香, 岡谷恵子, 他
    • Journal Title

      インターナショナル・ナーシングレビュー 32巻,1号

      Pages: 88-95

    • Peer Reviewed
  • [Journal Article] 再入院を繰り返す精神障害者へのケース・マネジメントと援助付雇用プログラムの開発に関する予備的調査2009

    • Author(s)
      宇佐美しおり
    • Journal Title

      第29回日本看護科学学会学術集会講演集, 札幌コンベンションセンター

      Pages: 206

    • Peer Reviewed
  • [Journal Article] The Validity of Modified Community Based Care Management (M-CBCM) for Psychiatric Patients with Repeat Admission-Focus on Development of Intervention Protocols-2009

    • Author(s)
      宇佐美しおり, 野末聖香, 中山洋子, 岡谷恵子
    • Journal Title

      The First International Nursing Research Conference of World Academy of Nursing Science (Towards Creating a new domain of Nursing Knowledge),神戸国際会議場

      Pages: 221

    • Peer Reviewed
  • [Journal Article] 再入院を繰り返す精神障害者への退院支援ケア・パッケージと集中包括型ケア・マネジメントモデルの開発2008

    • Author(s)
      宇佐美しおり, 中山洋子, 野末聖香
    • Journal Title

      第28回日本看護科学学会学術講演集,福岡国際会議場

      Pages: 269

    • Peer Reviewed
  • [Presentation] 入退院を短期間で繰り返す統合失調症患者への修正版集中包括型ケア・マネジメントとその評価に関する研究2010

    • Author(s)
      宇佐美しおり, 中山洋子, 野末聖香
    • Organizer
      第30回日本看護科学学会学術集会講演集P282
    • Place of Presentation
      札幌(札幌コンベンションセンター)
    • Year and Date
      2010-12-04
  • [Presentation] 再入院を繰り返す精神障害者へのケース・マネジメントと援助付雇用プログラムの開発に関する予備的調査2009

    • Author(s)
      宇佐美しおり
    • Organizer
      第29回日本看護科学学会学術集会講演集,札幌コンベンションセンター,P206
    • Place of Presentation
      千葉(幕張メッセ)
    • Year and Date
      2009-11-28
  • [Presentation] The Validity of Modified Community Based Care Management (M-CBCM) for Psychiatric Patients with Repeat Admission-Focus on Development of Intervention Protocols-2009

    • Author(s)
      Shiori USAMI, Kiyoka Nozue, Yoko Nakayama, Keiko Okaya
    • Organizer
      The First International Nursing Research Conference of World Academy of Nursing Science (Towards Creating a new domain of Nursing Knowledge), P221
    • Place of Presentation
      神戸(神戸国際会議場)
    • Year and Date
      2009-09-20
  • [Presentation] 再入院を繰り返す精神障害者への退院支援ケア・パッケージと集中包括型ケア・マネジメントモデルの開発2008

    • Author(s)
      宇佐美しおり, 中山洋子, 野末聖香
    • Organizer
      第28回日本看護科学学会学術講演集,p269
    • Place of Presentation
      福岡(福岡国際会議場)
    • Year and Date
      2008-12-14
  • [Book] 精神科看護の理論と実践2010

    • Author(s)
      宇佐美しおり編著
    • Total Pages
      243
    • Publisher
      ヌーベル・ヒロカワ
  • [Book] 長期入院患者および予備軍への退院生活支援と看護2008

    • Author(s)
      宇佐美しおり・岡谷恵子編著
    • Total Pages
      143
    • Publisher
      ヌーベル・ヒロカワ

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Published: 2012-01-26   Modified: 2016-04-21  

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