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Objective: Contemporary approach to psychiatric diseases is to refer to population based care instead of hospital based care. In addition to medication, day hospital practices are reported to have positive results in schizophrenic patients. In this study, our purpose is to reveal the results of psychosocial rehabilitation program that we applied at Bakirkoy Day Hospital in schizophrenic patients under medication and compare them with the schizophrenic patients under medication who were not applied this program.
Method: 55 patients, who has continued Bakirkoy Day Hospital for minimum six months and completed their psychoeducation group therapy, which is a 14-week structured group therapy, one key person from their family having completed psychoeducation group, had not failed to attend personal consultancy interviews more than 3 times, worked three months or longer in a workshop or one of the fields of business defined in headquarters and had been receiving medication as well and 45 control schizophrenic patients, who only receive medication were taken in the study. Positive and negative symptoms, life quality, social functionality, insights and ability losses of the participants were evaluated.
Results: No statistically significant difference was found between the two groups in terms of sex, age, marital status, having children, cohabitants variables (p>0.05). The duration of education of rehabilitation+medication group was statistically significantly higher when compared to the group which only received medication (p<0.05). Statistical significant difference was found between the groups between disease start age, number of hospitalizations (p<0.05). Statistically lower results were obtained in rehabilitation+medication group when Positive and Negative Syndrome Scale total score, Ability Loss Rating Chart were compared between the groups (p<0.05). The scores of the rehabilitation+medication group were significantly higher when compared in terms of Insights, Social Functionality Scale, Life Quality Scale for Schizophrenic Patients (p<0.05).
Conclusion: This study is important because it shows the results of the approach to schizophrenic patients in our country in compliance with its progress in the world. Our study reveals that multidimensional psychosocial rehabilitation inşuences many fields and the need for other approaches in addition to medication.