TIPP-Lausanne first episode psychosis program: patients' baseline characteristics and impact of the program on adherence to psychosocial treatment

Details

Serval ID
serval:BIB_CB2BCFEA21A9
Type
Inproceedings: an article in a conference proceedings.
Publication sub-type
Abstract (Abstract): shot summary in a article that contain essentials elements presented during a scientific conference, lecture or from a poster.
Collection
Publications
Institution
Title
TIPP-Lausanne first episode psychosis program: patients' baseline characteristics and impact of the program on adherence to psychosocial treatment
Title of the conference
Schizophrenia Research
Author(s)
Conus Philippe, Montagrin Yves, Bircher R., Sarrasin Pascale, Polari Andrea, Bonsack Charles
ISBN
0920-9964
Publication state
Published
Issued date
2008
Peer-reviewed
Oui
Volume
98
Series
Schizophrenia Research
Pages
81-82
Language
english
Notes
SAPHIRID:70788
Abstract
Background: A study conducted in 2000 revealed that 50% of patients did not attend outpatient appointment after a first admission for psychosis. In the frame of the development of the Lausanne TIPP program in 2004, patients were assessed at baseline presentation and during 3 years follow-up. The aims of the study were: (1) to explore patients profile in order to adapt treatment program and (2) to assess impact of the program on treatment disengagement.
Methods: Assessment of demographic and clinical characteristics through a specially designed questionnaire used at entry to the service by case managers and comparison of disengagement rate before and after program implementation.
Results: A sample of 89 patients was assessed between April 2004 and June 2006. Evaluation of pre-morbid characteristics revealed high rates of substance use disorder (SUD) (45%), history of psychiatric disorder (68.5%), traumatic events (71.6%), suicide attempts (16.9%) and family history of psychiatric illness (71.6%). At baseline, there was high rate of lack of insight (85%). Median duration of untreated psychosis (DUP) was 6 months. While 50% of patients failed to attend first outpatient appointment before program implementation, all patients enrolled in the program were seen after discharge from hospital and rate of disengagement after 12 months was 15%.
Conclusions: Patients' profile is similar to that of other first episode psychosis cohorts. Implementation of the program has had an important impact on transition with outpatient care. Disengagement rates are relatively low compared to other studies.
Create date
15/12/2008 11:20
Last modification date
20/08/2019 15:46
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