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Retrospective study of a first-episode psychosis service embedded within a home-based treatment team

Published online by Cambridge University Press:  27 May 2019

Nuala Murray  and
Karen O’Connor
Nuala Murray
Affiliation:
University College Cork, College Rd., Cork, Ireland
Karen O’Connor*
Affiliation:
Consultant Psychiatrist, Home Based Treatment Team & Early Intervention for Psychosis Service, South Lee Mental Health Services, Cork, Ireland
*
*Address for correspondence: Karen O’Connor, Consultant Psychiatrist, Home Based Treatment Team & Early Intervention for Psychosis Service, South Lee Mental Health Services, Cork, Ireland (Email: [email protected])
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Abstract

Objectives

To evaluate if having an early intervention service (EIS), which is embedded within a home-based treatment team (HBTT), is associated with (1) shorter duration of untreated psychosis (DUP), (2) lower rates of hospital admissions at first presentation, (3) a lesser number of hospital admissions within 6 months of presentation and (4) a reduced mean bed usage for the first 6 months.

Methods

The files of those who presented with a first-episode psychosis (FEP) to the South Lee Mental Health Service from January 2016 to February 2017 were identified and a retrospective case review was carried out. The demographics, clinical characteristics and hospital admissions were compared for those admitted to either the EIS or community mental health teams.

Results

Forty patients were assessed. DUP was found to be longer for those who presented to the EIS (U = 121, p = 0.03). There were fewer admissions at first presentation (χ2 (1) = 6.51 p = 0.01), fewer admissions within the first 6 months of presentation (χ2 (1) = 5.56 p = 0.02) and less bed usage overall (U = 131, p = 0.047) for those who presented to the EIS.

Conclusion

The study provides a baseline clinical and demographic profile of patients with FEP in an Irish mental health service and demonstrates current pathways to care. EIS embedded within an HBTT was associated with fewer hospital admissions and less bed usage. It is unclear whether these findings may have occurred due to the EIS or due to the benefits provided by an HBTT.

Keywords

Early interventionfirst-episode psychosispatient outcome assessmentservice development
Type
Short Report
Information
Irish Journal of Psychological Medicine , Volume 36 , Issue 4: Psychosis: from early intervention to treatment resistance , December 2019 , pp. 265 - 269
Copyright
© College of Psychiatrists of Ireland 2019 

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