Document Detail


Long-term effects of a community intervention for early identification of first-episode psychosis.
MedLine Citation:
PMID:  18479319     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To assess whether an Early Case Identification Program (ECIP) for first-episode psychosis (FEP), which showed no significant short-term effects, has a delayed impact on duration of untreated psychosis (DUP). METHOD: Using a historical control design, FEP patients were assessed on clinical variables over three consecutive phases, 2 years prior, 2 years during and 3 years after implementation of the ECIP. Additional analyses were conducted on non-affective and schizophrenia spectrum psychoses cases only. RESULTS: There was no overall significant difference in DUP across the three phases. For cases treated within the first year of illness a nonsignificant reduction in DUP to less than 2 months observed during the active phase was sustained post-ECIP. CONCLUSION: In some jurisdictions community-wide early case detection may fail to have an immediate or delayed effect on DUP, especially for cases who normally present for treatment with DUP >1 year.
Authors:
C M Cassidy; N Schmitz; R Norman; R Manchanda; A Malla
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Acta psychiatrica Scandinavica     Volume:  117     ISSN:  1600-0447     ISO Abbreviation:  Acta Psychiatr Scand     Publication Date:  2008 Jun 
Date Detail:
Created Date:  2008-05-15     Completed Date:  2008-07-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370364     Medline TA:  Acta Psychiatr Scand     Country:  Denmark    
Other Details:
Languages:  eng     Pagination:  440-8     Citation Subset:  IM    
Affiliation:
Department of Psychiatry, Douglas Hospital Research Centre, McGill University, Montréal, Quebec, Canada.
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MeSH Terms
Descriptor/Qualifier:
Adult
Case Management
Cognition Disorders / diagnosis,  epidemiology,  therapy
Community Mental Health Services*
Depression / diagnosis,  epidemiology,  psychology
Early Diagnosis
Female
Health Education
Health Plan Implementation
Humans
Incidence
Male
Mass Screening / statistics & numerical data
Psychiatric Status Rating Scales
Psychotic Disorders / diagnosis*,  epidemiology,  therapy
Quality of Life
Referral and Consultation / statistics & numerical data
Schizophrenia / diagnosis*,  epidemiology,  therapy

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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