One-year outcome in first episode psychosis patients in the Swedish Parachute project

Autor:	R. Holmqvist, Johan Cullberg, S. Levander, I.-M. Wieselgren, Maria Mattsson
Rok vydání:	2002
Předmět:	First episode medicine.medical_specialty Pediatrics Global Assessment of Functioning medicine.disease Psychiatry and Mental health Schizophrenia Severity of illness Brief Psychiatric Rating Scale medicine Medical prescription Psychiatry Psychology Prospective cohort study Psychosocial
Zdroj:	Acta Psychiatrica Scandinavica. 106:276-285
ISSN:	0001-690X
DOI:	10.1034/j.1600-0447.2002.02376.x
Popis:	Objective: Implementing a system designed to treat first episode psychotic (FEP) patients. Method: Every FEP patient (n=253) from a catchment area of 1.5 million inhabitants were asked to participate in this 5-year project. One historical (n=71) and one prospective (n=64) FEP group were used for comparisons. Results: A total of 175 patients (69%) were followed up through the first year of treatment. Global Assessment of Functioning (GAF) values were significantly higher than in the historical comparison group but similar to the prospective group. Psychiatric in-patient care was lower as was prescription of neuroleptic medication. Satisfaction with care was generally high in the Parachute group. Access to a small overnight crisis home was associated with higher GAF. Conclusion: It is possible to successfully treat FEP patients with fewer in-patient days and less neuroleptic medication than is usually recommended, when combined with intensive psychosocial treatment and support.
Databáze:	OpenAIRE
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