First-episode psychosis patients recruited into treatment via early detection teams versus ordinary pathways: course and health service use during 5 years

TY - JOUR

T1 - First-episode psychosis patients recruited into treatment via early detection teams versus ordinary pathways

T2 - course and health service use during 5 years

AU - Johannessen, Jan Olav

AU - Joa, Inge

AU - Auestad, Bjørn

AU - Haahr, Ulrik

AU - Larsen, Tor K

AU - Melle, Ingrid

AU - Opjordsmoen, Stein

AU - Simonsen, Per

AU - Rund, Bjørn R

AU - Simonsen, Erik

AU - Vaglum, Per

AU - Friis, Svein

AU - McGlashan, Thomas

N1 - © 2010 Blackwell Publishing Asia Pty Ltd.

PY - 2011/2

Y1 - 2011/2

N2 - Aim: To compare the 5-year course and outcome of first-episode psychosis (FEP) patients recruited via active outreach detection teams (DTs) versus ordinary referral channels (not-DT). Methods: Longitudinal comparison of two parallel consecutive samples on the Positive and Negative Syndrome Scale Score and the Global Assessment of Functioning Scale. Altogether, 203 FEP patients were identified, of whom 42 refused to participate. Included were 161 patients: 56 DT and 105 not-DT. Results: After 2years, the DT group developed more cases of schizophrenia with poorer prognostic features. However, the two groups did not differ significantly on outcome measures. More DT patients were treated as outpatients only and had fewer admissions and shorter total time as inpatients during the observation period. Conclusions: We have previously shown that detection teams recruited more chronic patients with poorer prognostic features, but fewer symptoms and better functioning at baseline. After 2years, the DT patients functioned as well as the not-DT patients. At 5years, both groups have stabilized to the same plateau of low symptom severity.

AB - Aim: To compare the 5-year course and outcome of first-episode psychosis (FEP) patients recruited via active outreach detection teams (DTs) versus ordinary referral channels (not-DT). Methods: Longitudinal comparison of two parallel consecutive samples on the Positive and Negative Syndrome Scale Score and the Global Assessment of Functioning Scale. Altogether, 203 FEP patients were identified, of whom 42 refused to participate. Included were 161 patients: 56 DT and 105 not-DT. Results: After 2years, the DT group developed more cases of schizophrenia with poorer prognostic features. However, the two groups did not differ significantly on outcome measures. More DT patients were treated as outpatients only and had fewer admissions and shorter total time as inpatients during the observation period. Conclusions: We have previously shown that detection teams recruited more chronic patients with poorer prognostic features, but fewer symptoms and better functioning at baseline. After 2years, the DT patients functioned as well as the not-DT patients. At 5years, both groups have stabilized to the same plateau of low symptom severity.

KW - Adolescent

KW - Adult

KW - Aged

KW - Early Diagnosis

KW - Female

KW - Follow-Up Studies

KW - Humans

KW - Male

KW - Middle Aged

KW - Patient Acceptance of Health Care

KW - Patient Selection

KW - Prognosis

KW - Psychotic Disorders

U2 - 10.1111/j.1751-7893.2010.00201.x

DO - 10.1111/j.1751-7893.2010.00201.x

M3 - Journal article

C2 - 21272278

SN - 1751-7885

VL - 5

SP - 70

EP - 75

JO - Early Intervention in Psychiatry

JF - Early Intervention in Psychiatry

IS - 1

ER -