摘要：Rehabilitation connects the personal relevant goals of the person to services that
reduce disability and promote recovery. Achieving this goal requires the integration
of medical and psychosocial models of interventions through a multidisciplinary
team. In Romania the development of community alternatives to hospitalization
and recovery-oriented services has been one of the main aims since 2005, as
indicated by the Action Plan and Strategies of Ministry of Health. Despite that, little
improvements were made, and health care is still mostly hospital based. In these
problematic contexts, and drawing on previous experience of ACT interventions,
an experimental case management program was implemented at Campulung
Moldovenesc Community Mental Health Center in order to bridge the existent gap
between hospital and community and support people with mental health problems
not just improve their access to treatment services but also to improve their overall
functioning and health. We have evaluated the impact of a Mental Health Program
implemented Campulung Moldovenesc in comparison with standard treatment,
on reducing symptoms and improving the overall level of functioning in a group
of 91 participants diagnosed with depression and schizophrenia. Specifi cally
compared with standard treatment, case management was associated with greater
improvement in symptoms, fewer of hospital days, increased number of contacts
between clients and professional staff , decrease of dropout rates from mental health services, greater improvement in the global and social functioning level,
decreasing burden of care and increasing client and his family satisfaction with
services and last, but not least, with lower total cost of care.
关键词：case management; mental health; community intervention; impact;
mobile intervention
