Functional catamnesis (longitudinal functional outcomes) in recipients of inpatient social services who were recognized as legally capable or having restricted legal capacity

Context and relevance. Among legally incapacitated individuals who were subsequently recognized as legally capable or having restricted legal capacity, over 75% lived in inpatient social service facilities when their civil-legal status was upgraded. No prior functional outcome assessment in this cohort has been conducted. Objective. To evaluate functional catamnesis in recipients of inpatient social services after upgrade of civil-legal status. Methods and materials. The cohort comprised 96 individuals (62 males, 34 females) from 6 inpatient social service facilities in the Moscow and Vladimir regions (54 with restricted legal capacity, 42 legally capable). Catamnesis duration: M = 4.6; SD = 3.47. Methods included longitudinal dynamic assessment (N = 40), analysis of objective data, and evaluation of overall improvement using the CGI-S and CGI-I scales. Frequency analysis and K-means cluster analysis were applied to process the results. Results. After the upgrade of their civil-legal status, 76 % of the participants continued to receive social services in an inpatient form, 2 % received services in a non-inpatient form, for 22 % social services were discontinued after discharge. Depending on the severity of the mental disorder and the dynamics of overall improvement in clinical status and social functioning, 6 clusters of participants were identified. The functional catamnesis was favorable in 77 % of the participants and uncertain in 16 %. Conclusions. Functional catamnesis success depends on clinical features, personality characteristics, and whether the individual receives a sufficient volume of social support. Following the upgrade of civil-legal status, some individuals retain the need for inpatient social services.

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