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[Relapse as quality indicator in psychiatric treatment]
1Rogaland psykiatriske sjukehus, Stavanger. jo.johannessen@rps.netpower.no
Summary
Schizophrenia treatment quality in Norway shows a 56% remission rate using PANSS, falling short of optimal treatment potential. Systematic relapse monitoring is recommended for first-time schizophrenia patients.
Area of Science:
- Psychiatry
- Mental Health Quality Measurement
- Clinical Outcomes Research
Context:
- Traditional quality metrics in psychiatric care (e.g., length of stay, readmission rates) are insufficient.
- There's a need for outcome-based measures focusing on illness trajectory.
- Few psychiatric facilities systematically track patient illness courses.
Purpose:
- To evaluate the effectiveness of schizophrenia treatment using both traditional and scientific measures.
- To compare remission rates in first-time admitted schizophrenia patients over time.
- To advocate for improved quality monitoring in psychiatric institutions.
Summary:
- First-time schizophrenia admissions in 1985-1990 had a 40% one-year readmission rate.
- In 1993-1994, remission rates for first-time schizophrenia patients measured by the Positive and Negative Syndrome Scale (PANSS) were 56%.
- These results indicate treatment outcomes are below optimal potential (estimated 80% remission).
Impact:
- Readmission rates and PANSS scores show similar trends, suggesting limited differentiation in outcome measurement.
- The study highlights a gap between current treatment results and achievable outcomes for schizophrenia.
- Recommends systematic recording of relapse in first-time schizophrenia patients to enhance treatment quality monitoring in Norwegian psychiatric institutes.
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