Symptom and functional outcomes for a 5year early intervention program for psychoses

Norman, Ross; Manchanda, Rahul; Malla, Ashok; Windell, Deborah; Harricharan, Raj; Northcott, Sandra

doi:10.1016/j.schres.2011.04.006

Cited by 99 publications

(90 citation statements)

References 31 publications

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“…However, we have no data on 56 patients (20.9%) who refused to participate in the study, which could have influenced the results. However, the refusal rate was similar to that in other recent FEP studies, varying from 14.3% to 19% (Archie et al, 2010;Levy et al, 2012;Norman et al, 2011). Although the LTF group was similar in size to that in other studies and had a similar proportion of individuals with SUD, when compared to the still followed group, the loss of these patients at follow-up prevented us from describing the outcome of another 20% of the FEP population.…”

Section: Discussionsupporting

confidence: 81%

Symptomatic and functional outcomes of substance use disorder persistence 2 years after admission to a first-episode psychosis program

Abdel‐Baki

Ouellet‐Plamondon

Salvat

et al. 2017

Psychiatry Research

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Section: Discussionsupporting

confidence: 81%

Symptomatic and functional outcomes of substance use disorder persistence 2 years after admission to a first-episode psychosis program

Abdel‐Baki

Ouellet‐Plamondon

Salvat

et al. 2017

Psychiatry Research

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“…16 This is despite the fact that evidence for their longer-term effectiveness has not yet been clearly established in the UK literature, 17 although encouraging longer-term results are emerging elsewhere in the world. 18,19 Similarly, on the basis of only one UK trial showing their ability to reduce the need for hospital admission, 20 crisis resolution services have not undergone the pillorying that ACT services have endured.…”

mentioning

confidence: 99%

Specialisation and marginalisation: how the assertive community treatment debate affects individuals with complex mental health needs

2013

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was established in England, The Lancet published an article entitled 'Clinical specialism', 1 which explored the tensions between medical generalists and specialists. It suggested that specialisation evolved as an appropriate consequence of 'the growth of knowledge and the mastery of technique', but warned of its potential to limit the cross-fertilisation of ideas and collaborative working, and to generate areas of expertise that were more focused on the self-serving needs of the clinician than on the needs of patients. It advocated more specialised services where needed, with a better balance between generalised and specialised services, while fostering collegial, congenial and collaborative relations between them all. The article probably reflected widely held anxieties about the consequences of the radical reorganisation of health services in the UK at the time and the shift from a private to a publicly funded system. In the current international context of economic turbulence, where health priorities compete for investment within different public/private funding systems, the generalist v. specialist debate remains highly topical.

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“…Normal et al, 2011 15 Observational study showing enduring reduced positive symptoms and improved functioning in patients enrolled into longerterm 5-year EIP programme in Canada.…”

Section: Evidence Effectmentioning

confidence: 99%

“…Improvement accrued even after two years, at which point the intensity of the interventions was stepped down. 15 Some studies, by contrast, have demonstrated that the advantages of early intervention are lost after it ends, with benefits being irreproducible in five and ten-year follow-up studies. Good, holistic clinical care therefore ought to continue, but notions of 'recovery' and 'stepped down care' may prove unrealistic.…”

Section: Evidence Effectmentioning

confidence: 99%

Early intervention in psychosis: another triumph of hope over experience?

Mortimer¹,

Brown²

2015

Prog. Neurol. Psychiatry

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Evidence that longer duration of untreated psychosis (DUP) was associated with poor premorbid functioning in the year before onset, insidious onset and more negative symptoms at onset, led to the assumption that reducing DUP could improve long‐term outcome – hence the development of early intervention in psychosis (EIP) services. The authors investigate the evidence for and against EIP services and discuss how societal/family issues can also strongly influence mental health.

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Symptom and functional outcomes for a 5year early intervention program for psychoses

Cited by 99 publications

References 31 publications

Symptomatic and functional outcomes of substance use disorder persistence 2 years after admission to a first-episode psychosis program

Symptomatic and functional outcomes of substance use disorder persistence 2 years after admission to a first-episode psychosis program

Specialisation and marginalisation: how the assertive community treatment debate affects individuals with complex mental health needs

Early intervention in psychosis: another triumph of hope over experience?

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