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Introduction Case management (CM) is accepted as the most recommended approach for the treatment of people with severe mental illnesses (SMI) in Community Mental Health Centers (CMHC) in whole Bosnia and Herzegovina (BH) in the last 3 years. Objective All team members of CMHC Prijedor are certificated case managers. Part of our daily activities is work with and for the users included in CM (mostly with schizophrenia or similar disorders) using multidisciplinary approach to find best possible solutions of both treatment and rehabilitation for users that we are in charge. In this moment CMHC cares for 12 mostly younger users involved in the CM. Aims To show advantages as well as obstacles of the CM. Methods Case study of young user with schizoaffective disorder included in the CM in the last 2 years. Results Improvements in user's daily activities and using of the remaining capacities with confrontation of partial or entire poor responses of most other community services. Conclusions CM has many advantages for the user involved in it, mostly medical and psychological (adequate treatment followed by users wishes, avoidance of hospitalization, improving existing or building new skills, use of remaining capacities, planed activities, minimize of the psychopharmacological treatment, social skills and more new contacts with people, etc.). But, still are existing the obstacles in the community mostly considering employment and social care as an part of the stigmatization of the people with SMI. [ABSTRACT FROM AUTHOR]

Introduction People with schizophrenia are in greater risk for various physical deseases than general population. It is one of causes of earlier death in this population group. Objectives In past 5 years has been noticed that physical health (PhyH) of users with schizophrenia and similar disorders was not monitored regularly by family doctors (FD) in Health Center (HC) Prijedor even is known greater risk for some diseases such as diabetes (DM), hypertension (HT), coronary disease (CD) or width gain (WG). Aim Community Mental Health Center (CMHC) need continuously work on better care for the users with schizophrenia in all services in HC especially by FD. Method There were conducted two courses for 12 FD teams in HC Prijedor (March and June 2013). FD had training from prevalence of ten most common physical diseases and interventions aimed at their prevention. Also, we provided to every team a brochure about those topics. Patients with schizophrenia (n=30), age 20-55 years were monitored regularly in period of 6 months (June-December 2013) for 11 PHyH parameters: weight, BMI, waist circumference, blood pressure, ECG, blood glucose, cholesterol (total, LDL and HDL), triglycerides and prolactine, Results FD were found on our patients hypertension (n=8), dyslipidemia (n=13), DM (n=3) and non-symptomatic hyperprolactinemia (n=4). Most of them (n=17) were obese. Conclusions Collaborative work between CMHC and FD were successful in the detecting of physical diseases in patients with schizophrenia. Also, new quality connections between FD and their patients were established. It is a stimulus for further enhancement of our cooperation. [ABSTRACT FROM AUTHOR]