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Early psychosis treatment in an integrated model within an adult mental health service

Published online by Cambridge University Press:  15 April 2020

M. Petrakis ,
S. Penno ,
J. Oxley ,
H. Bloom  and
D. Castle
M. Petrakis*
Affiliation:
St Vincent's Mental Health Service, Hawthorn Community Mental Health Service, 642, Burwood Road, Hawthorn East3123, Melbourne, Australia Monash University, Department of Social Work, Faculty of Medicine, Nursing and Health Sciences, Melbourne, Australia
S. Penno
Affiliation:
St Vincent's Mental Health Service, Hawthorn Community Mental Health Service, 642, Burwood Road, Hawthorn East3123, Melbourne, Australia
J. Oxley
Affiliation:
St Vincent's Mental Health Service, Hawthorn Community Mental Health Service, 642, Burwood Road, Hawthorn East3123, Melbourne, Australia
H. Bloom
Affiliation:
St Vincent's Mental Health Service, Clarendon Community Mental Health Service, 52 Albert Street, East Melbourne3002, Melbourne, Australia
D. Castle
Affiliation:
St Vincent's Mental Health Service, Mental Health Service Administration, 2nd floor, 46 Nicholson Street, Fitzroy3065, Melbourne, Australia University of Melbourne, Department of Psychiatry, Faculty of Medicine, Dentistry and Health Sciences, Australia
*
*Corresponding author. Tel.: +03 9882 9299; fax: +03 9882 9637. E-mail address:[email protected]
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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 interventionFirst episodePsychosisOutcome
Type
Original articles
Information
European Psychiatry , Volume 27 , Issue 7 , October 2012 , pp. 483 - 488
Copyright
Copyright © European Psychiatric Association 2012

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