This review shows a beneficial effect of EWS in time to recurrence , percentage of people hospitalised and functioning in people with bipolar disorder .
BACKGROUND Recurrence rates for bipolar disorder are high despite effective treatments with mood stabiliser drugs .
Self-help treatments and psychological treatments that teach patients to recognise and manage early warning symptoms and signs ( EWS ) of impending manic or depressive episodes are popular with patients .
The main aim of such interventions is to intervene early and prevent bipolar episodes , thereby increasing the time to the next recurrence and preventing hospitalisation .
OBJECTIVES To compare the effectiveness of an EWS intervention plus treatment as usual ( TAU ) versus TAU ( involving and not involving a psychological therapy ) on time to manic , depressive and all bipolar episodes ( the primary outcome ) , hospitalisation , functioning , depressive and manic symptoms .
A Study of Client-Focused Case Management and Consumer Advocacy: The Community and Consumer Service Project
Objective : The study investigated the provision of client-focused services to community-based clients with schizophrenia and bipolar disorder . It hypothesised that the delivery of more client-focused services would improve client outcome in terms of functioning , disability and satisfaction with services . Client-focused services were developed using an empowerment model of case management and by the addition of consumer advocates . Method : Clients referred for case management were r and omly allocated to one of three groups :  st and ard case management  ( n = 35 ) ,  client-focused case management  ( n = 39 ) , or  client-focused case management plus consumer advocacy  ( n = 45 ) . Measures of functioning , disability , quality of life , burden of care and service satisfaction were measured at baseline and 12 months . Outcome data were collected concerning number and duration of hospital readmission , crisis intervention and compliance with treatment and services . Results : While there were no differences between the groups on quantitative measures of functioning , disability , quality of life , service satisfaction and burden of care , there were significant between-group differences on qualitative measures of satisfaction with services . Conclusions : Several method ological difficulties hampered interpretation of the findings . Although clients did not differ on outcome measures of functioning and disability , the group receiving client-focused case management reported greater satisfaction with service delivery
This review shows a beneficial effect of EWS in time to recurrence , percentage of people hospitalised and functioning in people with bipolar disorder .
BACKGROUND Recurrence rates for bipolar disorder are high despite effective treatments with mood stabiliser drugs .
Self-help treatments and psychological treatments that teach patients to recognise and manage early warning symptoms and signs ( EWS ) of impending manic or depressive episodes are popular with patients .
The main aim of such interventions is to intervene early and prevent bipolar episodes , thereby increasing the time to the next recurrence and preventing hospitalisation .
OBJECTIVES To compare the effectiveness of an EWS intervention plus treatment as usual ( TAU ) versus TAU ( involving and not involving a psychological therapy ) on time to manic , depressive and all bipolar episodes ( the primary outcome ) , hospitalisation , functioning , depressive and manic symptoms .