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Bu sayfa, 26. Dünya Psikiyatri Kongresi'nde sunulan çalışmanın yapay zekâ desteğiyle hazırlanmış Türkçe özetidir. Çalışmanın sahibi sunan yazarlardır; atıf için orijinal kaynağa başvurun.

SO021

Resource use before, during and after a psychosocial health promotion programme for severe mental illness: a naturalistic study

RESOURCE UTILISATION IN SEVERE MENTAL ILLNESS BEFORE, DURING AND AFTER A PSYCHOSOCIAL HEALTH PROMOTION PROGRAMME: A NATURALISTIC STUDY

The MINT psychosocial health promotion programme was associated with a shift in healthcare resource use towards routine and preventive primary care and a reduction in direct costs during follow-up.

The study aimed to examine changes in healthcare resource use and direct costs following the MINT psychosocial health promotion programme in people with severe mental illness (SMI), primarily schizophrenia; this population experiences a high burden of physical illness, intensive service use, high costs and unequal access to physical healthcare. Seventy-seven participants were followed over a 6-month intervention and a 6-month follow-up period. Resource use was assessed using the Resource Utilisation of Mental Illness (RUMI) instrument, and direct costs were calculated across all sectors, covering physical and mental healthcare, social services and contacts with the justice system. Total direct costs increased during the intervention (from EUR 359,050 to EUR 481,354; p = 0.059), then decreased significantly during follow-up to below baseline levels (from EUR 481,354 to EUR 333,853; p < 0.050). Direct healthcare costs, encompassing physical and mental healthcare, decreased significantly during the intervention (from EUR 193,088 to EUR 184,639; p = 0.018). Within primary care, costs associated with nurse visits increased significantly throughout the study (p < 0.040 and p < 0.023), while physician visit costs decreased during the intervention (p < 0.001) and rose again during follow-up (p < 0.038), indicating a shift in patterns of primary care use; social service costs remained largely unchanged. In conclusion, the MINT programme was associated with a redistribution of resource use towards routine and preventive primary care; further research is needed to determine whether these changes translate into better health outcomes or more appropriate service use.

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