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The Development of a Complex FEP Program at Semmelweis University

Published online by Cambridge University Press:  01 September 2022

V. Simon*
Affiliation:
Semmelweis University, Department Of Psychiatry And Psychotherapy, Budapest, Hungary
L. Herman
Affiliation:
Semmelweis University, Department Of Psychiatry And Psychotherapy, Budapest, Hungary
E. Vass
Affiliation:
Semmelweis University, Department Of Psychiatry And Psychotherapy, Budapest, Hungary
G. Csukly
Affiliation:
Semmelweis University, Department Of Psychiatry And Psychotherapy, Budapest, Hungary
R.I. Zsigmond
Affiliation:
Semmelweis University, Department Of Psychiatry And Psychotherapy, Budapest, Hungary
J. Réthelyi
Affiliation:
Semmelweis University, Department Of Psychiatry And Psychotherapy, Budapest, Hungary
*
*Corresponding author.

Abstract

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Introduction First episode psychosis (FEP) programs target the first 3-5 years after the first manifestation of a psychotic episode. Although follow-up results after 10-15 years are mixed, reported results of the first 5-10 years are promising in improving relapse prevention, functional outcomes and reducing mental health care costs, compared to treatment as usual. Objectives Our objective was to develop the first complex FEP program in Hungary. Methods Male and female inpatients, (age:17-40years), hospitalized due to a first psychotic episode and consenting to participate, were included, since 2019 October. Drug induced psychosis and organic background in the etiology of the psychotic episode were excluded. Duration of the program is 2-3 years, based on the individual needs of the patients. The program provides detailed clinical and neuropsychological examinations, MRI, pharmacotherapy, various psychosocial interventions, and support group for relatives. Results Twenty-eight patients [15 male,13 female, mean age=22,4 (18-40)years] were included. The program has been repeatedly limited by COVID-19 pandemic. Psychiatric control, pharmacotherapy, psychoeducation and supportive therapy, however could be continously provided via telepsychiatry, even during the lockdown. During the first 2 years, 90% of the patients remained in treatment, showed good compliance with pharmacotherapy; 10% of the patients were rehospitalized due to relapse. In the presentation, besides clinical experiences, preliminary clinical outcome data will also be presented. Conclusions The first complex FEP program in Hungary, although limited repeatedly by the pandemic, show promising clinical results with low relapse rates and high level of adherence to therapy in the first 2 years after a first psychotic episode.

Disclosure

No significant relationships.

Type
Clinical/Therapeutic
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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