PMID: 11919360Mar 29, 2002Paper

Status of patients with first-episode psychosis after one year of phase-specific community-oriented treatment

Psychiatric Services : a Journal of the American Psychiatric Association
Ashok MallaDerek Scholten

Abstract

A phase-specific intervention provided soon after the onset of a first episode of psychosis is likely to engender a more hopeful outlook. This article describes a community-oriented treatment program of phase-specific medical and psychosocial treatments integrated within an intensive case management model for patients with first-episode psychosis in a geographically defined population. One-year status is reported for a consecutive sample of patients with nonaffective mostly schizophrenic first-episode psychosis who were receiving treatment in this program. Patients were assessed at baseline and at one year with a modified version of the Interview for Retrospective Assessment of Onset of Schizophrenia, the Structured Clinical Assessment for DSM-IV, the Scale for Assessment of Positive Symptoms, and the Scale for Assessment of Negative Symptoms to ascertain baseline patient characteristics, remission rates, hospital readmission rates, and change in the severity of symptoms. Data at 13 months for 53 patients indicated a complete remission rate of 70 percent, a hospital readmission rate of 20 percent, a highly significant improvement in all dimensions of psychopathology, higher rates of remission among patients who entered treatmen...Continue Reading

Citations

Mar 6, 2007·Schizophrenia Bulletin·Suzanne ArchieRobert B Zipursky
Nov 7, 2008·Schizophrenia Bulletin·S ArchieR B Zipursky
Nov 23, 2012·Schizophrenia Bulletin·Robert B ZipurskyRobin M Murray
Feb 1, 2007·Neuropsychiatric Disease and Treatment·Eva CeskováKucerová Hana
Nov 1, 2008·Early Intervention in Psychiatry·Salvatore De MasiGiovanni De Girolamo
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Apr 26, 2003·The Nursing Clinics of North America·Deborah Antai-Otong
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