Abstract
Objective: In the world, 5 out of 10 diseases that cause disability and early death are psychiatric diseases. Schizophrenia is one of the most important diseases that cause loss in quality of life, social skills and general abilities. In recent years, psychosocial treatment approaches have become more popular and have been understood as more useful in addition to biological treatment in patients with schizophrenia. In this study, we aimed to evaluate the effects of the rehabilitation services on the schizophrenic patients over the effects of quality of life, disabilities, general and social functioning in Turkey�s first constructed Community Mental Health Center (CMHC) in Bolu. Methods: A total of 30 schizophrenia patients who came regularly to the center between 15 August 2009 and 15 August 2010 were included in the study. The scales �Quality of Life for Patients with Schizophrenia�, �Global Assessment of Functioning�, �The Social Functioning Scale�, �World Health Organization-Disability Assessment Schedule� have been applied to the patients at their first admittance to the center and after one year regular attendance to the center. Results: Highly significant increases have been determined in the patients in all the areas of Quality Of Life, after 1 year regular participation to the rehabilitation activities of the CMHC. Disability measures were 44.8�7.7 in the beginning and have decreased to 27.6�6.3. The measures in the Global Assessment Of Functioning were 29.2 � 10.7 at the beginning and 58.7�11.5 after one year follow up. In all the subscales of Social Functioning Scale, significant increases have been determined after one year regular follow up when compared with the initial measures. Discussion: It was found that Bolu Community Mental Health Center which is founded for the first time in Turkey is helpful in increasing life quality of patients with the diagnosis of schizophrenia, decreasing loss of ability and increasing functionality. It was thought that becoming widespread of community mental health centers throughout Turkey and increasing their functionality would be beneficial.

Key words: community mental health center, schizophrenia, quality of life, disability, functioning

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Bolu toplum ruh sa�l��� merkezi hizmetlerinin �izofreni hastalar�ndaki ya�am kalitesi, yetiyitimi, genel ve sosyal i�levsellik �zerine etkisi: Bir y�ll�k izlem sonu�lar�

Ozet
Ama�: D�nyada yeti yitimi ve erken �l�me en s�k yol a�an 10 hastal�ktan be�i psikiyatrik bozukluklard�r. �izofreni, ya�am kalitesi, sosyal i�levsellik ve yeti kayb�na yol a�an �nemli psikiyatrik bozukluklardan biridir. Son y�llarda �izofreni hastalar�n�n tedavisinde ila� tedavisiyle birlikte ruhsal toplumsal tedavi yakla��mlar�n�n da olduk�a yararl� oldu�u ortaya ��km��t�r. Bu �al��mada T�rkiye�de ilk defa Bolu�da kurulan Toplum Ruh Sa�l��� Merkezi�nde �izofreni hastalar�na y�nelik verilen hizmetlerin ya�am kalitesi, yeti yitimi, genel ve sosyal i�levsellik �zerine etkisi ara�t�r�lm��t�r.
Y�ntem: �al��maya 15 A�ustos 2009-15 A�ustos 2010 tarihleri aras�nda Bolu �zzet Baysal Ruh Sa�l��� ve Hastal�klar� Hastanesi�ne ba�l� olarak a��lm�� olan Toplum Ruh Sa�l��� Merkezi�ne d�zenli olarak gelen 30 hasta al�nd�. Kat�l�mc�lara Toplum Ruh Sa�l��� Merkezi�ne ilk kay�t olduklar� zaman ve bir y�ll�k d�zenli izleme sonras�nda �izofreni Hastalar� ��in Ya�am Niteli�i �l�e�i, ��levselli�in Genel De�erlendirmesi �l�e�i, Sosyal ��levsellik �l�e�i ve Yeti yitimi De�erlendirme �izelgesi uyguland�.
Sonu�lar: Bolu Toplum Ruh Sa�l��� Merkezi�ne bir y�l d�zenli gelen �izofreni hastalar�n�n izleme sonras� ya�am kalitesinin t�m alan puanlar�nda istatistiksel olarak anlaml� art�� saptand�. Yeti yitim puan�n�n 44.8�7.7'den 27.6�6.3'e d��t��� g�r�ld�. Kat�l�mc�lar�n ba�lang��ta genel i�levsellik puan� 29.2�10.7 iken; 1 y�l sonra 58.7�11.5 puana y�kseldi. Sosyal i�levsellik �l�e�inin t�m alt puanlar�nda ba�lang�ca g�re istatistiksel olarak anlaml� bir art�� saptand�. Tart��ma: T�rkiye�de ilk kez a��lm�� olan Bolu Toplum Ruh Sa�l��� Merkezi Hizmetleri�nin �izofreni hastalar�n�n ya�am kalitesini art�rmada, yeti kayb�n� azaltmada ve i�levselliklerini art�rmada olduk�a yararl� oldu�u bulundu. Toplum ruh sa�l��� merkezlerinin t�m T�rkiye�ye yayg�nla�t�r�lmas� ve i�levselliklerinin art�r�lmas�n�n faydal� olaca�� d���n�ld�.

Anahtar Kelimeler: Toplum ruh sa�l��� merkezi, �izofreni, ya�am kalitesi, yeti yitimi, i�levsellik