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Outcomes for 236 patients from a 2‐year early intervention in psychosis service
Author(s) -
Turner M. A.,
Boden J. M.,
SmithHamel C.,
Mulder R. T.
Publication year - 2009
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.1600-0447.2009.01386.x
Subject(s) - global assessment of functioning , disengagement theory , psychosocial , discontinuation , psychopathology , psychosis , psychology , psychiatry , logistic regression , cohort , intervention (counseling) , schizophrenia (object oriented programming) , medicine , clinical psychology , gerontology
Objective: To examine: i) changes in key outcome measures over time in treatment in a representative first‐episode psychosis treatment cohort and ii) baseline predictors of service disengagement. Method: Baseline characteristics of 236 patients were examined for associations with outcomes over time using generalized estimating equation models. The data on disengagement were analysed using logistic regression. Results: After controlling for admission scores, patients showed consistently improved outcomes while in treatment on functional recovery (unemployment, P < 0.01; HoNOS, P < 0.001; the Quality of Life Scale, P < 0.001; GAF, P < 0.05) but not symptomatology (as assessed by the PANSS and substance abuse). The 64 (33%) who disengaged were more likely to be unemployed ( P < 0.01) and have higher HoNOS ( P < 0.01) and GAF ( P < 0.05) scores at baseline. Conclusion: This evaluation has shown significant improvements in psychosocial functioning but not psychopathology during treatment at an Early Intervention for Psychosis Service. Despite attempts to retain patients, there is a high rate of treatment discontinuation.