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Martin Gittelman, Psychiat, NYU Med, 100 w 94, ny, ny, NY 10025, 212-6630131, martin.gittelman@med.nyu.edu
In most rural areas of the developing world there are insufficient mental health professionals to provide treatment for persons with schizophrenia. Following the principles in the WHO Declaration of Alma Ata and outlined by Milton Roehmer, we have conducted a controlled crossover study with 855 persons with schizophrenia in family care in a rural area in China. Using supervised primary health care providers(previosly called "barefoot doctors") to provide either conventional or newer atypical antipsychotic medication and family education, we report comparative effectiveness after 4 and a 1/2 years in relapse prevention, compliance,side effects and suicide rates. Possible implications for American public mental Health care are discussed.
Learning Objectives:
Presenting author's disclosure statement:
I have a significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.
Relationship: My pension plan invests in market indexes which include most pharmaceutical companies