OPCRIT+: an electronic system for psychiatric diagnosis and data collection in clinical and research settings

Rucker, James; Newman, Stuart; Gray, Joanna; Gunasinghe, Cerisse; Broadbent, Matthew; Brittain, Philip J.; Baggaley, Martin; Denis, Mike; Turp, John; Stewart, Robert; Lovestone, Simon; Schumann, Günter; Farmer, Anne; McGuffin, Peter

doi:10.1192/bjp.bp.110.082925

Cited by 49 publications

(63 citation statements)

References 11 publications

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“…In addition, 55 by non-clinically trained researchers was reassessed because of concerns about the specialist knowledge required for its accurate completion. The use of the Operational Criteria Checklist for Psychotic and Affective Illness (OPCRIT) 56 was agreed to solve this issue, as its completion is not as dependent on expert clinical assessment skills.…”

Section: Research and Development Approvalmentioning

confidence: 99%

Critical time Intervention for Severely mentally ill Prisoners (CrISP): a randomised controlled trial

Shaw

Conover

Herman

et al. 2017

Health Serv Deliv Res

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BackgroundThe transition from prison to community is difficult for prisoners with mental illness. Critical time intervention (CTI) is designed to provide intensive support to meet health, social care and resettlement needs through close working between client and key worker pre, and up to 6 weeks post, release.ObjectivesTo establish whether or not CTI is effective in (1) improving engagement of discharged male prisoners who have mental illness with community mental health teams (CMHTs) and (2) providing practical support with housing, finance and re-establishing social networks.Trial designA multicentre, parallel-group randomised controlled trial, with follow-up at 6 weeks and at 6 and 12 months. A subset of prisoners and case managers participated in a complementary qualitative study.SettingEight English prisons.ParticipantsOne hundred and fifty adult male prisoners, convicted or remanded, cared for by mental health in-reach teams and diagnosed with severe mental illness, with a discharge date within 6 months of the point of recruitment.InterventionParticipants were randomised to either the intervention or the control (treatment as usual). The intervention group was assigned a case manager who assessed mental and physical health before and following release, made appropriate links to health, housing and financial services and supported the re-establishment of family/peer contact.OutcomeThe primary outcome measure was engagement with a CMHT 6 weeks post discharge. Secondary outcomes included contact with mental health services at 6 and 12 months. A health economic evaluation was undertaken using service contact at the follow-up time points. We were unable to assess the intervention’s effect on reoffending and longer-term health-care use because of study delays.ResultsOne hundred and fifty prisoners were recruited: 72 were randomised to the intervention and 78 were randomised to the control. Engagement with teams at 6 weeks was 53% for the intervention group compared with 27% for the control group [95% confidence interval (CI) 0.13% to 0.78%;p = 0.012]. At 6 months’ follow-up, intervention participants showed continued increase in engagement with teams compared with control participants (95% CI 0.12% to 0.89%;p = 0.029); there were no significant differences at 12 months. Increased engagement resulted in higher levels of service use and costs for the intervention than for the control. Qualitative data showed the intervention group reporting better continuity of care and improved access to services.ConclusionThe intervention significantly improved contact with services at 6 weeks, although at a higher cost than the control. This is important as, in the days and weeks following release, recently released individuals are at a particularly high risk of suicide and drug overdose. Further research is required to establish how teams can better maintain contact with clients when the intervention ends.Future workFurther studies are indicated for groups with different needs, for example women, young prisoners and those in police custody, and at other transition points, for example following arrest and short-term custody, and at points of transition between different mental health services.Trial registrationCurrent Controlled Trials ISRCTN98067793.FundingThis project was funded by the National Institute for Health Research (NIHR) Health Services and Delivery Research programme and will be published in full inHealth Services and Delivery Research; Vol. 5, No. 8. See the NIHR Journals Library website for further project information.

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Section: Research and Development Approvalmentioning

confidence: 99%

Critical time Intervention for Severely mentally ill Prisoners (CrISP): a randomised controlled trial

Shaw

Conover

Herman

et al. 2017

Health Serv Deliv Res

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“…Los criterios de inclusión fueron: 1) Confirmación del diagnostico de TD / TIDP mediante revisión del diagnóstico emitido en el informe de alta del paciente a través de la Historia Clínica Informatizada (HCI) y/o Historia Clínica en Papel (HCP); 2) Primer ingreso psiquiátrico en el HGUGM mediante revisión de la HCI o HCP; y 3) Edad del paciente mayor de 18 años. Mientras que los criterios de exclusión fueron: 1) Historia de un ingreso previo en cualquier hospital con diagnóstico de TD/ TIDP o EP; 2) Dependencia o abuso de drogas directamente relacionado con la aparición del TD; 3) Retraso mental; 4) Historia actual o pasada de enfermedad cerebral orgánica relevante; 5) No cumplir la confirmación diagnostica de TD según OPCRIT (Operational Criteria Checklist for Psychotic Illness and Affective Illness) para DSM-IV (15).…”

Section: Muestraunclassified

“…El diagnóstico de TD se confirmo mediante el OPCRIT 4.0, que es un instrumento conveniente, validado y ampliamente utilizado, del que se ha establecido su fiabilidad (15). Además, se empleó un inventario sistematizado (IS) que fue diseñado por los autores para explorar aquellas variables clínicas que no fueron recogidas a través del OPCRIT: 1) variables sociodemográficas: edad del primer ingreso psiquiátrico con diagnóstico de TD, raza, relación de pareja, tipo de convivencia, desempeño de una actividad formativa o laboral, nivel educacional alcanzado; 2) potenciales factores de riesgo: consumo activo de sustancias un mes antes del inicio del trastorno, abuso/dependencia a alcohol (DSM-IV), abuso/dependencia a cannabis (DSM-IV), déficit auditivo premórbido, inmigración al inicio del trastorno, barrera idiomática al inicio del trastorno, estresores al inicio del trastorno, marcado aislamiento social al inicio del trastorno, síntomas depresivos previos al inicio del trastorno, síntomas depresivos presentes al inicio del trastorno, trastornos psiquiátricos concomitantes, patología médica concomitante; 3) ideas y creencias delirantes: delirio de referencia, de persecución, somático, de Schneider, erotomaniaco y de celos.…”

Section: Variables E Instrumentosunclassified

“…Una de las fortalezas de nuestro estudio es que en la recogida sistematizada de datos se ha empleado una entrevista estructurada (OPCRIT) cuya validez ha sido demostrada mediante estudios sólidos (15). Otra fortaleza a señalar es que se toma una muestra de pacientes durante su primer ingreso psiquiátrico con diagnóstico de TD, lo cual resulta un diseño idóneo para el análisis de factores de riesgo y clínicos sin la influencia de la cronicidad del trastorno.…”

Section: Limitaciones Y Fortalezasunclassified

“…El presente trabajo es un estudio retrospectivo de un registro de casos, en el que hemos comparado las diferencias de género existentes en factores sociodemográfi-cos, clínicos y características del curso del trastorno en una muestra de 50 pacientes durante su primer ingreso psiquiátrico con diagnóstico de TD empleando un inventario sistematizado diseñado por los autores (Anexo) y OPCRIT 4.0 (15).…”

Section: Conclusionesunclassified

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Diferencias de género en el trastorno delirante

Avezuela

Díaz²,

Manrique³

et al. 2015

Rev. Asoc. Esp. Neuropsiq.

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RESUMEN: El objetivo de nuestro estudio fue explorar las diferencias de género en trastorno delirante (TD) comparando aspectos sociodemográficos, factores de riesgo, correlatos clínicos y características del curso del trastorno. La muestra se compuso de 50 pacientes con primer ingreso psiquiátrico y con diagnóstico de TD (según SCID-I para criterios DSM-IV). Los casos fueron evaluados retrospectivamente mediante la revisión de historia clínicas mediante el cuestionario OPCRIT 4.0 y un inventario diseñado por los autores que comprendió distintos aspectos clínicos no recogidos en el anterior instrumento. La proporción mujer-hombre fue de 1.27:1. La edad del primer ingreso psiquiátrico fue más alta en mujeres. Respecto a los potenciales factores de riesgo, los hombres presentaron mayor prevalencia de Trastornos por uso de sustancias premórbido mientras las mujeres más retraimiento social y síntomas depresivos previos al inicio del trastorno. En relación a la sintomatología delirante, los hombres presentaron mayor frecuencia de delirios generalizados, de grandiosidad, de celos y persecución; mientras que las mujeres presentaron mayor frecuencia de delirio erotomaniaco así como percepciones y humor delirantes. Los hombres presentaron mayor frecuencia de aumento de la estima del Self y las mujeres insomnio inicial y de media noche. No se observaron diferencias de género en otros factores sociodemográficos, potenciales factores de riesgo, correlatos clínicos y características del curso de la enfermedad. PALABRAS CLAVE: Género, diferencias, trastorno delirante, psicosis, psicopatología, factores de riesgo.ABSTRACT: The objective of our study was to explore gender differences in Delusional Disorder (DD) comparing sociodemographic, clinical and risk factors and course´s characteristics. The sample was compound of 50 inpatients during their first psychiatric entrance and diagnosis of DD (according to SCID-I for DSM-IV criteria). Cases were evaluated retrospectively by means of medical records revision, OPCRIT 4.0 and an inventory created by authors, about not gathered aspects. The proportion woman-man was of 1.27:1. The age of the first psychiatric entrance was higher in women. Men presented greater prevalence of Disorders for use of drugs before; while the women suffered more social retirement and previous depressive symptoms. Men presented greater frequency of generalized, megalomaniac, and jealousy and persecution delusions; whereas women displayed greater frequency of erotomaniac delusions, as well as delusional affectivity and perceptions. Men presented greater frequency of increase of the esteem of the Self; and women displayed initial insomnia and of average night more frequently. Differences in other sociodemographic, clinical and risk factors, and course´s characteristics were not observed. KEY WORDS: Gender, differences, delusional disorder, psychosis, psychopathology, risk factors. Agradecimientos

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Effect of Vitamin D Supplementation on Outcomes in People With Early Psychosis

et al. 2021

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IMPORTANCEPeople with psychotic disorders have an increased risk of vitamin D deficiency, which is evident during first-episode psychosis (FEP) and associated with unfavorable mental and physical health outcomes. OBJECTIVE To examine whether vitamin D supplementation contributes to improved clinical outcomes in FEP. DESIGN, SETTING, AND PARTICIPANTSThis multisite, double-blind, placebo-controlled, parallelgroup randomized clinical trial from the UK examined adults 18 to 65 years of age within 3 years of a first presentation with a functional psychotic disorder who had no contraindication to vitamin D supplementation. A total of 2136 patients were assessed for eligibility, 835 were approached, 686 declined participation or were excluded, 149 were randomized, and 104 were followed up at 6

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OPCRIT+: an electronic system for psychiatric diagnosis and data collection in clinical and research settings

Cited by 49 publications

References 11 publications

Critical time Intervention for Severely mentally ill Prisoners (CrISP): a randomised controlled trial

Critical time Intervention for Severely mentally ill Prisoners (CrISP): a randomised controlled trial

Diferencias de género en el trastorno delirante

Effect of Vitamin D Supplementation on Outcomes in People With Early Psychosis

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