Intensive Case Management for Addiction to promote engagement with care of people with severe mental and substance use disorders: an observational study

Morandi, Stéphane; Silva, Benedetta; Golay, Philippe; Bonsack, Charles

doi:10.1186/s13011-017-0111-8

Substance Abuse Treatment, Prevention, and Policy

Table 3 Clinical and social within-group changes at 12 months follow-up or at the end of the programme if completed earlier (T1) compared to baseline (T0)

From: Intensive Case Management for Addiction to promote engagement with care of people with severe mental and substance use disorders: an observational study

Outcome measures	T0 (N = 30)	T1 (N = 30)	p-value
Housing conditions
% Homeless (n)	24.1% (7)	6.9% (2)	.125^a
Legal status % (n)
Legal guardianship underway	63.3% (19)	73.3% (22)	.375^a
Involuntary hospitalization underway	30.0% (9)	23.3% (7)	.687^a
Penal measure underway	13.3% (4)	16.7% (4)	1.000^a
Criminal records during the previous 12 months (N = 17) % (n)
Crime or infraction	47.1% (8)	35.3% (6)	.688^a
Victimisation	35.3% (6)	5.9% (1)	.063^a
Treatment adherence (mean ± SD) (Visual-analogic scales)
Medication adherence	52.92 ± 32.36	78.75 ± 29.68	.001^b
Appointments adherence	52.10 ± 34.22	74.50 ± 26.37	.004^b
Network support scale % (n)
Adequate and helpful	10.0% (3)	66.7% (20)	<.001^a
Inadequate (exhausted,inactive, incompetent, absent)	90.0% (27)	33.3% (10)	<.001^a
CTRS (mean ± SD)
Dangerousness Subscale	2.79 ± 1.34	1.55 ± 1.29	<.001^b
Support System subscale	2.75 ± 1.23	1.43 ± 1.34	.001^b
Ability to cooperate subscale	2.69 ± 1.07	1.90 ± 1.01	<.001^b
HoNOS items (mean ± SD)
Overactive, aggressive, disruptive or agitated behaviour	1.28 ± 1.53	0.83 ± 1.25	.130^b
Non-accidental self-injury	0.79 ± 1.17	0.31 ± 0.85	.041^b
Problem drinking or drug-taking	3.55 ± 0.87	2.52 ± 1.12	<.001^b
Cognitive problems	2.24 ± 1.45	1.66 ± 1.39	.009^b
Physical illness or disability problems	1.00 ± 1.27	0.79 ± 1.31	.364^b
Problems associated with hallucinations and delusions	1.15 ± 1.40	0.81 ± 1.23	.071^b
Problems with depressed mood	2.86 ± 1.24	1.46 ± 1.29	<.001^b
Other mental and behavioural problems	2.36 ± 1.68	1.72 ± 1.30	.115^b
Problems with relationships	2.97 ± 0.86	2.14 ± 0.99	<.001^b
Problems with activities of daily living	2.93 ± 1.25	2.38 ± 0.97	.011^b
Problems with living conditions	2.45 ± 1.68	1.45 ± 1.50	.003^b
Problems with occupation and activities	3.41 ± 0.68	2.48 ± 1.09	<.001^b
Appointments attendance (additional item)	2.32 ± 1.16	1.43 ± 1.16	.001^b
Psychotropic medications compliance (additional item)	2.21 ± 1.71	1.13 ± 1.07	.003^b
Clinical Global Impression – Severity scale (CGI-S) (mean ± SD)	5.45 ± 1.15	4.59 ± 1.05	.002^b
Global Assessment of Functioning Scale (mean ± SD)	28.10 ± 9.93	37.28 ± 8.92	<.001^b

Note. ^a McNemar-Bowker’s Test; ^b General Linear Model repeated-measure

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