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Participants’ Evaluation and Outcomes following Integration of Self-Management Support into Outpatient Schizophrenia Case Management

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  • Heather E. McNeely

    (Schizophrenia and Community Integration Service, St. Joseph’s Healthcare Hamilton, Hamilton, ON L8N 4A6, Canada
    Department of Psychiatry & Behavioural Neurosciences, McMaster University, Hamilton, ON L8N 3K7, Canada)

  • Lori Letts

    (School of Rehabilitation Science, McMaster University, Hamilton, ON L8S 1C7, Canada)

  • Mary-Lou Martin

    (Forensic Service, St. Joseph’s Healthcare Hamilton, Hamilton, ON L8N 4A6, Canada
    School of Nursing, McMaster University, Hamilton, ON L8S 4L8, Canada)

  • Susan Strong

    (Schizophrenia and Community Integration Service, St. Joseph’s Healthcare Hamilton, Hamilton, ON L8N 4A6, Canada
    School of Rehabilitation Science, McMaster University, Hamilton, ON L8S 1C7, Canada)

Abstract

(1) Background: Self-management is advocated as a feasible, effective intervention to support individuals to actively manage the impact of illness and live healthier lives. We sought to evaluate a piloted self-management model, SET for Health, tailored for individuals living with schizophrenia embedded within ambulatory case management. (2) Methods: A mixed-methods design engaged 40 adults living with schizophrenia in the SET for Health protocol. Functional and symptomatic outcomes were measured by self-report and clinician ratings at baseline and completion of self-management plans, on average one year later. Semi-structured qualitative client interviews invited evaluations of personal experiences with the intervention. (3) Results: Significant improvements were found concerning client illness severity, social and occupational functioning, illness management and functional recovery with reductions in emergency visits and days in hospital. Clients endorsed the value of the intervention. Baseline clinical characteristics did not predict who benefited. Participation contributed to motivational gains and quality of life. (4) Conclusions: Results confirmed self-management support embedded within traditional case management improved clients’ clinical and functional status, and contributed to quality of life. Clients engaged in their recovery and actively used self-management strategies. Self-management can be successfully adopted by clients with schizophrenia regardless of age, gender, education, illness severity or duration.

Suggested Citation

  • Heather E. McNeely & Lori Letts & Mary-Lou Martin & Susan Strong, 2023. "Participants’ Evaluation and Outcomes following Integration of Self-Management Support into Outpatient Schizophrenia Case Management," IJERPH, MDPI, vol. 20(4), pages 1-16, February.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:4:p:3035-:d:1062820
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    References listed on IDEAS

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