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Continuity of care for people with psychotic illness: Its relationship to clinical and social functioning

Author

Listed:
  • Jocelyn Catty
  • Sarah White
  • Sarah Clement
  • Naomi Cowan
  • Connie Geyer
  • Kate Harvey
  • Ian Rees Jones
  • Susan McLaren
  • Zoe Poole
  • Diana Rose
  • Til Wykes
  • Tom Burns

Abstract

Background: The relationship between continuity of care and user characteristics or outcomes has rarely been explored. The ECHO study operationalized and tested a multi-axial definition of continuity of care, producing a seven-factor model used here. Aims: To assess the relationship between user characteristics and established components of continuity of care, and the impact of continuity on clinical and social functioning. Methods: The sample comprised 180 community mental health team users with psychotic disorders who were interviewed at three annual time-points, to assess their experiences of continuity of care and clinical and social functioning. Scores on seven continuity factors were tested for association with user-level variables. Results: Improvement in quality of life was associated with better Experience & Relationship continuity scores (better user-rated continuity and therapeutic relationship) and with lower Meeting Needs continuity factor scores. Higher Meeting Needs scores were associated with a decrease in symptoms. Conclusion: Continuity is a dynamic process, influenced significantly by care structures and organizational change.

Suggested Citation

  • Jocelyn Catty & Sarah White & Sarah Clement & Naomi Cowan & Connie Geyer & Kate Harvey & Ian Rees Jones & Susan McLaren & Zoe Poole & Diana Rose & Til Wykes & Tom Burns, 2013. "Continuity of care for people with psychotic illness: Its relationship to clinical and social functioning," International Journal of Social Psychiatry, , vol. 59(1), pages 5-17, February.
    • Handle: RePEc:sae:socpsy:v:59:y:2013:i:1:p:5-17
    DOI: 10.1177/0020764011421440
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    References listed on IDEAS

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    1. Jones, Ian Rees & Ahmed, Nilufar & Catty, Jocelyn & McLaren, Susan & Rose, Diana & Wykes, Til & Burns, Tom, 2009. "Illness careers and continuity of care in mental health services: A qualitative study of service users and carers," Social Science & Medicine, Elsevier, vol. 69(4), pages 632-639, August.
    2. S. Priebe & P. Huxley & S. Knight & S. Evans, 1999. "Application and Results of the Manchester Short Assessment of Quality of Life (Mansa)," International Journal of Social Psychiatry, , vol. 45(1), pages 7-12, March.
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