Rate and predictors of disengagement in an early psychosis program with time limited intensification of treatment.

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Version: author
License: CC BY 4.0
Serval ID
serval:BIB_D35998C6CCD9
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Rate and predictors of disengagement in an early psychosis program with time limited intensification of treatment.
Journal
Journal of psychiatric research
Author(s)
Golay P., Ramain J., Reiff C., Solida A., Baumann P.S., Conus P.
ISSN
1879-1379 (Electronic)
ISSN-L
0022-3956
Publication state
Published
Issued date
01/09/2020
Peer-reviewed
Oui
Volume
131
Pages
33-38
Language
english
Notes
Publication types: Journal Article
Publication Status: aheadofprint
Abstract
Service disengagement is a frequent problem in early intervention in psychosis. The goal of this study was to evaluate the rate and variables associated with service disengagement in a three year specialized program that allows treatment intensification on a case to case basis.
328 early psychosis patients were assessed at baseline on a large set of socio-demographic and clinical variables and were followed-up over 36 months. Patients who left the program for reasons related to engagement with care were compared to patients who completed the program.
Rates of disengagement were low (6.3%). Patients with lower socio-economic status, who committed offences during the program or with a diagnosis of Schizophreniform/brief psychotic disorder were more likely to disengage from the program.
The engagement strategies implemented in the context of our early intervention programs have allowed to keep disengagements to a relatively low level. In this context, only 3 variables emerged to guide adaptation of the intervention in order to improve this already good engagement rate.
Keywords
Biological Psychiatry, Psychiatry and Mental health, Disengagement, Drop out, Early psychosis, First episode, Schizophrenia
Pubmed
Open Access
Yes
Create date
24/08/2020 7:20
Last modification date
16/10/2020 5:34
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