Predictors of service disengagement in first-admitted adolescents with psychosis

Details

Serval ID
serval:BIB_D666FE7BFD77
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Predictors of service disengagement in first-admitted adolescents with psychosis
Journal
Journal of the American Academy of Child and Adolescent Psychiatry
Author(s)
Graf Schimmelmann Benno, Conus Philippe, Schacht Mélanie, McGorry Patrick D., Lambert Martin
ISSN
0890-8567
Publication state
Published
Issued date
2006
Peer-reviewed
Oui
Volume
45
Number
8
Pages
990-999
Language
english
Notes
SAPHIRID:61638
Abstract
Objective: To assess the risk and predictors of service disengagement in adolescents with first-episode psychosis (FEP) receiving their first treatment in a long-standing early intervention and prevention center. Method: The Early Psychosis Prevention and Intervention Centre (EPPIC) in Australia admitted 157 adolescents, ages 15 to 18, with FEP from January 1998 to December 2000. Treatment at EPPIC spans an average of 18 months. Data were collected from patients' charts using a standardized questionnaire; 134 charts were available. Time to service disengagement was the outcome of interest. Baseline and treatment predictors of service disengagement were examined via Cox proportional hazards model. Results: Kaplan-Meier 18-month risk of service disengagement was 0.28. A lower severity of illness at baseline (hazard ratio [HR] = 0.2; 95% confidence interval [CI] 0.1 - 0.4), living without family during treatment (HR = 4.8; 95% CI 2.1 - 11.2), and persistent substance use during treatment (HR = 2.6; 95% CI 1.1 - 5.9) contributed significantly to predicting service disengagement. Neither initial substance use nor insight at baseline was related to service disengagement. Conclusions: Clinicians should focus on treating substance use and establishing a social network if family support is missing for adolescents with FER In addition, clinicians should apply strategies to keep in touch with those adolescents who may not see the necessity of continuous treatment because of a moderate severity of illness
Pubmed
Web of science
Create date
10/03/2008 10:00
Last modification date
20/08/2019 15:56
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