Descriptive study of evolution experienced by users of mental health residence, after 10 years of operation.

INTRODUCTION: The transformation of the social-health benefits system must demonstrate efficiency. The objective of the current work is to evaluate the evolution of those living in a residence during the first 10 years of its operation. METHOD: Of the 205 patients used in the assessment, 93 were admitted. The evolutionary study was done with the 62 patients that were cared for between 2002-2012. The variables studied include the ENAR-CPB Scale, days hospitalized, community activities, a satisfaction survey and QOL. RESULTS: After the assessment process only 45% of those proposed for admission were actually admitted. Resident rotation is 3.4% annually. Many leave the program after being referred to a long-term psychiatric hospital; 14.5% leave the residence in order to have a more autonomous life. After living 2 years in the residence there is a general improvement in the majority of residents, which is maintained after 5 years as well. This improvement is maintained even after 10 years, however a general loss of capacities is experienced. CONCLUSIONS: Living in a Residence favors improvement in the quality of life, both subjectively as well as objectively. Institutional treatment consists of working with the patients in a way that treats them as individuals, so they can go about their lives and perform their tasks with creativity. In order for this to be possible, an individualized and flexible model is required.

Estudio descriptivo de la evolución experimentada por los usuarios de una residencia de salud mental, tras 10 años de funcionamiento / Descriptive study of evolution experienced by users of mental health residence, after 10 years of operation

Introducción. La transformación del sistema de prestaciones socio-sanitarias tiene que demostrar eficiencia. El objetivo de este trabajo es evaluar la evolución de los residentes atendidos en una residencia durante sus primeros 10 años de funcionamiento. Método. De 205 personas que optaron por plaza de residencia, 93 fueron admitidos. El estudio evolutivo se realiza con 62 pacientes atendidos entre 2002-2012. Las variables estudiadas incluyen la Escala ENAR-CPB, días de hospitalización, actividades comunitarias, encuesta de satisfacción y QOL. Resultados. Tras el proceso de valoración sólo ingresan un 45% de los usuarios propuestos. La rotación de residentes es del 3,4% anual, siendo la derivación a un recurso de hospitalización psiquiátrica de larga estancia la mayor causa de baja del programa. El 14,5%, en cambio, deja la residencia por un proyecto de vida más autónomo. A los 2 años de ingreso la mejoría es mayoritaria, a los 5 se mantiene y a los 10 se produce una pérdida general de capacidades, pero manteniéndose una mejoría respecto al momento del ingreso. Conclusiones. Vivir en una residencia favorece la mejoría en la calidad de vida de los residentes; tanto subjetiva como objetivamente. El tratamiento institucional consiste en ir trabajando con los usuarios y negociar desde su singularidad el modo de que no se sometan y puedan ejecutar creativamente su tarea. Para ello es necesario un modelo de intervención individualizado y flexible (AU)

Introduction. The transformation of the social-health benefits system must demonstrate efficiency. The objective of the current work is to evaluate the evolution of those living in a residence during the first 10 years of its operation. Method. Of the 205 patients used in the assessment, 93 were admitted. The evolutionary study was done with the 62 patients that were cared for between 2002-2012. The variables studied include the ENAR-CPB Scale, days hospitalized, community activities, a satisfaction survey and QOL. Results. After the assessment process only 45% of those proposed for admission were actually admitted. Resident rotation is 3.4% annually. Many leave the program after being referred to a long-term psychiatric hospital; 14.5% leave the residence in order to have a more autonomous life. After living 2 years in the residence there is a general improvement in the majority of residents, which is maintained after 5 years as well. This improvement is maintained even after 10 years, however a general loss of capacities is experienced. Conclusions.Living in a Residence favors improvement in the quality of life, both subjectively as well as objectively. Institutional treatment consists of working with the patients in a way that treats them as individuals, so they can go about their lives and perform their tasks with creativity. In order for this to be possible, an individualized and flexible model is required (AU)

Estudio comparativo coste-eficiencia en un dispositivo residencial para enfermos con trastorno mental severo / A comparative cost/efficiency study in a residential unit for patients with severe mental disorder

Funcionamiento de las Residencias para personas con trastorno mental severo, basado en su eficiencia y coste económico (AU)

The functioning of the residential program from Severe mental illness, based on the study of its efficiency and economic cost (AU)