Three year outcomes of an early intervention for psychosis service as compared with treatment as usual for first psychotic episodes in a standard community mental health team. Preliminary results.

2.50
Hdl Handle:
http://hdl.handle.net/10547/293712
Title:
Three year outcomes of an early intervention for psychosis service as compared with treatment as usual for first psychotic episodes in a standard community mental health team. Preliminary results.
Authors:
Agius, Mark; Murphy, Suzanne; Ramkisson, Roshelle; Shah, Samir; Zaman, Rashid
Abstract:
Forty patients who had been treated for three years in an ad-hoc, assertive treatment team for patients who had suffered a first psychotic episode were compared to forty patients who had been followed up after a first psychotic episode in a community mental health team. All patients had suffered a first or early psychotic episode. The main differences between the two teams was that the ad-hoc team was assertive in its approach, offered more structured psycho-education, relapse prevention and psycho-social interventions, and had a policy of using atypical anti-psychotics at the lowest effective dose. There were many differences in outcome measures at the end of three years between the two groups. The EI patients are more likely to be taking medication at the end of three years. They are more compliant with medication. They are more likely to be prescribed atypical medication. The EI patients are more likely to have returned to work or education. The EI patients are more likely to remain living with their families. They are less likely to suffer depression to the extent of requiring anti-depressants. They appear to commit less suicide attempts. The patients in the EI service also appear to be less likely to suffer relapse and re-hospitalisation, and are less likely to have involuntary admission to hospital. They have systematic relapse prevention plans based on early warning signs. They and their families receive more psycho-education. These indications suggest that the EI patients are at the end of three years better able to manage their illness/vulnerability on their own than the CMHT patients. More patients in the EI group stopped using illicit drugs than in the CMHT group. All the above changes were statistically significant except for the number of patients who stopped using illicit drugs. In this case it is believed that the sample size was too small to demonstrate significance. These results suggest that an ad-hoc early intervention team is more effective than standard community mental health team in treating psychotic illness.
Affiliation:
Bedfordshire Centre For Mental Health Research; Bedford Hospital
Citation:
Agius, M., Shah, S., Ramkisson, R., Murphy, S. and Zaman, R. (2007) 'Three year outcomes of an early intervention for psychosis service as compared with treatment as usual for first psychotic episodes in a standard community mental health team. Preliminary results' Psychiatria Danubina, 19 (1-2), 10-19; PMID: 17603411 ISSN: 0353-5053.
Publisher:
Medicinska naklada Zagreb
Journal:
Psychiatria Danubina
Issue Date:
2007
URI:
http://hdl.handle.net/10547/293712
PubMed ID:
17603411
Type:
Conference papers, meetings and proceedings
Language:
en
ISSN:
0353-5053
Appears in Collections:
Research Centre for Applied Psychology

Full metadata record

DC FieldValue Language
dc.contributor.authorAgius, Marken_GB
dc.contributor.authorMurphy, Suzanneen_GB
dc.contributor.authorRamkisson, Roshelleen_GB
dc.contributor.authorShah, Samiren_GB
dc.contributor.authorZaman, Rashiden_GB
dc.date.accessioned2013-06-10T12:33:24Zen
dc.date.available2013-06-10T12:33:24Zen
dc.date.issued2007en
dc.identifier.citationAgius, M., Shah, S., Ramkisson, R., Murphy, S. and Zaman, R. (2007) 'Three year outcomes of an early intervention for psychosis service as compared with treatment as usual for first psychotic episodes in a standard community mental health team. Preliminary results' Psychiatria Danubina, 19 (1-2), 10-19; PMID: 17603411 ISSN: 0353-5053.en_GB
dc.identifier.issn0353-5053en
dc.identifier.pmid17603411en
dc.identifier.urihttp://hdl.handle.net/10547/293712en
dc.description.abstractForty patients who had been treated for three years in an ad-hoc, assertive treatment team for patients who had suffered a first psychotic episode were compared to forty patients who had been followed up after a first psychotic episode in a community mental health team. All patients had suffered a first or early psychotic episode. The main differences between the two teams was that the ad-hoc team was assertive in its approach, offered more structured psycho-education, relapse prevention and psycho-social interventions, and had a policy of using atypical anti-psychotics at the lowest effective dose. There were many differences in outcome measures at the end of three years between the two groups. The EI patients are more likely to be taking medication at the end of three years. They are more compliant with medication. They are more likely to be prescribed atypical medication. The EI patients are more likely to have returned to work or education. The EI patients are more likely to remain living with their families. They are less likely to suffer depression to the extent of requiring anti-depressants. They appear to commit less suicide attempts. The patients in the EI service also appear to be less likely to suffer relapse and re-hospitalisation, and are less likely to have involuntary admission to hospital. They have systematic relapse prevention plans based on early warning signs. They and their families receive more psycho-education. These indications suggest that the EI patients are at the end of three years better able to manage their illness/vulnerability on their own than the CMHT patients. More patients in the EI group stopped using illicit drugs than in the CMHT group. All the above changes were statistically significant except for the number of patients who stopped using illicit drugs. In this case it is believed that the sample size was too small to demonstrate significance. These results suggest that an ad-hoc early intervention team is more effective than standard community mental health team in treating psychotic illness.en_GB
dc.language.isoenen
dc.publisherMedicinska naklada Zagreben_GB
dc.titleThree year outcomes of an early intervention for psychosis service as compared with treatment as usual for first psychotic episodes in a standard community mental health team. Preliminary results.en
dc.typeConference papers, meetings and proceedingsen
dc.contributor.departmentBedfordshire Centre For Mental Health Researchen_GB
dc.contributor.departmentBedford Hospitalen_GB
dc.identifier.journalPsychiatria Danubinaen_GB
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