Durability of the efficacy of integrated care in schizophrenia: a five-year randomized controlled study

Psychiatr Serv. 2014 Aug 1;65(8):1054-7. doi: 10.1176/appi.ps.201300164.


Objective: The aim of the study was to evaluate the durability of efficacy of the Integrated Care (IC) program in a Swedish context. The IC program is a person-centered flexible assertive community treatment approach delivered through a novel mechanism: a resource group clinical microsystem for each patient.

Methods: All patients with schizophrenia in a Gothenburg urban-sector catchment area were randomly assigned to either the IC or the Rational Rehabilitation (RR) programs. Sixty-six patients were interviewed and assessed by independent interviewers before treatment, after treatment (24 months), and at follow-up (five years). Analysis was by intention to treat.

Results: At the five-year follow-up, significant improvements were noted in social functioning and consumer satisfaction in the IC group (N=35) compared with the RR group (N=31). No patients were lost to services in either program.

Conclusions: The major finding was the durability of efficacy of the IC program.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Community Mental Health Services / methods*
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Outcome Assessment, Health Care*
  • Patient Care Team*
  • Patient-Centered Care / methods*
  • Personal Satisfaction
  • Schizophrenia / rehabilitation
  • Schizophrenia / therapy*
  • Social Skills
  • Sweden