Outpatient treatment of acute psychotic episode with neuroleptic infusions: a retrospective study.

Détails

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Etat: Public
Version: de l'auteur
ID Serval
serval:BIB_046F8EF1FBE0
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Outpatient treatment of acute psychotic episode with neuroleptic infusions: a retrospective study.
Périodique
European Psychiatry : the Journal of the Association of European Psychiatrists
Auteur(s)
Bonsack C., Philippoz R.
ISSN
0924-9338 (Print)
ISSN-L
0924-9338
Statut éditorial
Publié
Date de publication
1996
Peer-reviewed
Oui
Volume
11
Numéro
2
Pages
100-103
Langue
anglais
Notes
Publication types: Journal ArticlePublication Status: ppublish
Résumé
In this retrospective pragmatic study, we define the necessary conditions that allow outpatient low dose intravenous neuroleptization, when hospitalization should otherwise be required. Intravenous neuroleptization is infrequently used in the outpatient treatment of acute psychotic decompensation. Rapid tranquilization with high dosage neuroleptics is controversial, and has a high risk of side effects. The indications for and potential advantages of this method in the perspective of a long-term ambulatory treatment are discussed by comparing a group of outpatients treated with infusions to a group of hospitalized patients. The method offers a satisfactory alternative to hospitalization for subjects who are not in imminent danger (current GAF rating between 20 and 40) and whose normal functioning is good (past year GAF rating = 70). Previous repeated hospitalizations favor the choice of hospitalization over infusion. Its potential advantages are the rapid evolution of the condition, with controlled regression but without psychosocial withdrawal, and an improvement in the patient's attitude towards treatment.
Pubmed
Web of science
Création de la notice
23/12/2011 16:02
Dernière modification de la notice
23/09/2019 7:08
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