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Pattern of health service utilization and predictors of readmission after a first admission for psychosis: a 2‐year follow‐up study
Author(s) -
Cougnard A.,
Parrot M.,
Grolleau S.,
Kalmi E.,
Desage A.,
Misdrahi D.,
BrunRousseau H.,
Verdoux H.
Publication year - 2006
Publication title -
acta psychiatrica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.849
H-Index - 146
eISSN - 1600-0447
pISSN - 0001-690X
DOI - 10.1111/j.1600-0447.2005.00694.x
Subject(s) - psychosis , psychiatry , cohort , early psychosis , medicine , mental health , discharge planning , acute psychosis , mental health service , cohort study , partial hospitalization , nursing
Objective: To explore the pattern of health service utilization over 2 years following a first admission for psychosis and the baseline characteristics predicting readmission. Method: Patients included in a cohort of first‐admitted subjects with psychosis ( n = 84) were assessed at the end of a 2‐year follow‐up using multiple sources of information. Results: At the end of the follow‐up, one of three subjects had no contact with any mental health professional, and 38% of subjects had no contact with a psychiatrist. Half of the patients were readmitted over the 2‐year follow‐up. The baseline characteristics independently predicting psychiatric readmission were a high number of helping contacts before first admission and persistence of psychotic symptoms at discharge. Conclusion: Decreasing the frequency of readmission in the early course of psychosis is a public health priority. Development of psychotherapeutic programs for subjects with early psychosis who have enduring psychotic symptoms at first discharge should be promoted.