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European Psychiatry
Sous presse. Epreuves corrigées par l'auteur. Disponible en ligne depuis le vendredi 10 juin 2011
Doi : 10.1016/j.eurpsy.2011.03.004
Received : 9 December 2010 ;  accepted : 17 Mars 2011
Early psychosis treatment in an integrated model within an adult mental health service
 

M. Petrakis a, ⁎, b , S. Penno a, J. Oxley a, H. Bloom c, D. Castle d, e
a St Vincent’s Mental Health Service, Hawthorn Community Mental Health Service, 642, Burwood Road, Hawthorn East 3123, Melbourne, Australia 
b Monash University, Department of Social Work, Faculty of Medicine, Nursing and Health Sciences, Melbourne, Australia 
c St Vincent’s Mental Health Service, Clarendon Community Mental Health Service, 52 Albert Street, East Melbourne 3002, Melbourne, Australia 
d St Vincent’s Mental Health Service, Mental Health Service Administration, 2nd floor, 46 Nicholson Street, Fitzroy 3065, Melbourne, Australia 
e University of Melbourne, Department of Psychiatry, Faculty of Medicine, Dentistry and Health Sciences, Australia 

Corresponding author. Tel.: +03 9882 9299; fax: +03 9882 9637.
Abstract
Objective

To compare the treatment of patients with early psychosis, 2 years after the introduction of an integrated model of enhanced management within a public adult mental health service, with an historic cohort from the same service.

Method

Variables examined in the 2001 cohort were compared with 2008 patients. Computer database review and a file audit were conducted for all patients with early psychosis across the first 2 years of the program.

Results

Compared to the historic cohort, patients in the current cohort were 24% less likely to have been admitted (P =0.004). There were statistically significant reductions in involuntary status and use of a locked unit. Rates of police involvement in admission and use of seclusion were also reduced, though this trend was not significant. Average length of stay was reduced. Median duration of untreated psychosis was 3 months in both 2001 and 2008 cohorts.

Conclusions

The introduction of an integrated model of management within an area mental health service for patients with early psychosis contributed to significant reductions in admissions, involuntary status and use of a locked ward. The data suggests that enhanced treatment of early psychosis patients can be offered within generic services.


Keywords : Early intervention, First episode, Psychosis, Outcome


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Introduction
Methods  (+)
Results  (+)
Discussion  (+)
Conclusions
Disclosure of interest


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