Situational analysis of prevailing practices in the management of first-episode psychosis in Chennai, India.

Autor: Dhandapani VR; Schizophrenia Research Foundation, Chennai, Tamil Nadu, India., Ramachandran P; Schizophrenia Research Foundation, Chennai, Tamil Nadu, India., Mohan G; Schizophrenia Research Foundation, Chennai, Tamil Nadu, India., Chandrasekaran S; Schizophrenia Research Foundation, Chennai, Tamil Nadu, India., Paul V; Schizophrenia Research Foundation, Chennai, Tamil Nadu, India., Pattabiraman R; Schizophrenia Research Foundation, Chennai, Tamil Nadu, India., Mohan M; Division of Mental Health and Wellbeing, Warwick Medical School, University of Warwick, Coventry, UK., Iyer S; Prevention and Early Intervention Program for Psychosis, Douglas Mental Health University Institute, McGill University, Montreal, Canada., Rangaswamy T; Schizophrenia Research Foundation, Chennai, Tamil Nadu, India., Singh SP; Division of Mental Health and Wellbeing, Warwick Medical School, University of Warwick, Coventry, UK.
Jazyk: angličtina
Zdroj: Early intervention in psychiatry [Early Interv Psychiatry] 2021 Jun; Vol. 15 (3), pp. 739-741. Date of Electronic Publication: 2020 May 21.
DOI: 10.1111/eip.12979
Abstrakt: Aim: This paper aims to examine how existing mental health within the city of Chennai, India manages first-episode psychosis, to determine lacunae and barriers in providing effective early intervention and to make appropriate recommendations to improve the care of first-episode psychosis patients.
Methods: Interviews were held with 15 health professionals to capture information on current practices and facilities available for the management of first-episode psychosis.
Results: No specialized clinic or services were available for individuals with first-episode psychosis in Chennai, except one. Pharmacotherapy was the main treatment modality with psychological support to patients and families. Most common drugs used were Risperidone, Olanzapine, and Haloperidol in their recommended doses. General practitioners and paediatricians, due to inadequate training in mental health, referred patients with psychosis to mental health professionals.
Conclusions: Equipping the existing mental health services to manage FEP and training all health professionals on psychosis will improve FEP management in Chennai.
(© 2020 John Wiley & Sons Australia, Ltd.)
Databáze: MEDLINE
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