Services for people at high risk improve outcomes in patients with first episode psychosis.

Abstract:

OBJECTIVE:About one-third of patients referred to services for people at high risk for psychosis may have already developed a first episode of psychosis (FEP). We compared clinical outcomes in FEP patients who presented to either high risk or conventional mental health services. METHOD:Retrospective study comparing duration of hospital admission, referral-to-diagnosis time, need for compulsory hospital admission and frequency of admission in patients with FEP who initially presented to a high-risk service (n = 164) to patients with FEP who initially presented to conventional mental health services (n = 2779). Regression models were performed, controlling for several confounders. RESULTS:FEP patients who had presented to a high-risk service spent 17 fewer days in hospital [95% CI: -33.7 to (-0.3)], had a shorter referral-to-diagnosis time [B coefficient -74.5 days, 95% CI: -101.9 to -(47.1)], a lower frequency of admission [IRR: 0.49 (95% CI: 0.39-0.61)] and a lower likelihood of compulsory admission [OR: 0.52 (95% CI: 0.34-0.81)] in the 24 months following referral, as compared to FEP patients who were first diagnosed at conventional services. CONCLUSION:Services for people at high risk for psychosis are associated with better clinical outcomes in patients who are already psychotic.

journal_name

Acta Psychiatr Scand

authors

Fusar-Poli P,Díaz-Caneja CM,Patel R,Valmaggia L,Byrne M,Garety P,Shetty H,Broadbent M,Stewart R,McGuire P

doi

10.1111/acps.12480

subject

Has Abstract

pub_date

2016-01-01 00:00:00

pages

76-85

issue

1

eissn

0001-690X

issn

1600-0447

journal_volume

133

pub_type

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