对嵌入式精神病早期干预计划的服务评估。

IF 1.8 Q3 PSYCHIATRY
Paula Connolly, Cornelia Carey, John Staunton, Bridget Harney, Liah Chambers, Ana-Maria Clarke, Patrick McLaughlin, Kathy Kerins, Katrina Kearney, Peter Whitty
{"title":"对嵌入式精神病早期干预计划的服务评估。","authors":"Paula Connolly, Cornelia Carey, John Staunton, Bridget Harney, Liah Chambers, Ana-Maria Clarke, Patrick McLaughlin, Kathy Kerins, Katrina Kearney, Peter Whitty","doi":"10.1017/ipm.2023.54","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>An average of 1300 adults develop First Episode Psychosis (FEP) in Ireland each year. Early Intervention in Psychosis (EIP) is now widely accepted as best practice in the treatment of conditions such as schizophrenia. A local EIP programme was established in the Dublin South Central Mental Health Service in 2012.</p><p><strong>Methods: </strong>This is a cross-sectional study of service users presenting to the Dublin South Central Mental Health Service with FEP from 2016 to 2022 following the introduction of the EIP programme. We compared this to a previously published retrospective study of treatment as usual from 2002 to 2012.</p><p><strong>Results: </strong>Most service users in this study were male, single, unemployed and living with their partner or spouse across both time periods. Cognitive Behavioural Therapy for psychosis was provided to 12% (<i>n</i> = 8) of service users pre-EIP as compared to 52% (<i>n</i> = 30) post-programme introduction (<i>p</i> < 0.001), and 3% (<i>n</i> = 2) of service users engaged with behavioural family therapy pre-EIP as opposed to 15% (<i>n</i> = 9) after (<i>p</i> < 0.01). Rates of composite baseline physical healthcare monitoring improved significantly (<i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>Exclusive allocation of multidisciplinary team staff to EIP leads to improved compliance with recommended guidelines, particularly CBT-p, formal family therapy and physical health monitoring.</p>","PeriodicalId":46220,"journal":{"name":"IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE","volume":" ","pages":"1-5"},"PeriodicalIF":1.8000,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Service evaluation of an embedded Early Intervention in Psychosis programme.\",\"authors\":\"Paula Connolly, Cornelia Carey, John Staunton, Bridget Harney, Liah Chambers, Ana-Maria Clarke, Patrick McLaughlin, Kathy Kerins, Katrina Kearney, Peter Whitty\",\"doi\":\"10.1017/ipm.2023.54\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>An average of 1300 adults develop First Episode Psychosis (FEP) in Ireland each year. Early Intervention in Psychosis (EIP) is now widely accepted as best practice in the treatment of conditions such as schizophrenia. A local EIP programme was established in the Dublin South Central Mental Health Service in 2012.</p><p><strong>Methods: </strong>This is a cross-sectional study of service users presenting to the Dublin South Central Mental Health Service with FEP from 2016 to 2022 following the introduction of the EIP programme. We compared this to a previously published retrospective study of treatment as usual from 2002 to 2012.</p><p><strong>Results: </strong>Most service users in this study were male, single, unemployed and living with their partner or spouse across both time periods. Cognitive Behavioural Therapy for psychosis was provided to 12% (<i>n</i> = 8) of service users pre-EIP as compared to 52% (<i>n</i> = 30) post-programme introduction (<i>p</i> < 0.001), and 3% (<i>n</i> = 2) of service users engaged with behavioural family therapy pre-EIP as opposed to 15% (<i>n</i> = 9) after (<i>p</i> < 0.01). Rates of composite baseline physical healthcare monitoring improved significantly (<i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>Exclusive allocation of multidisciplinary team staff to EIP leads to improved compliance with recommended guidelines, particularly CBT-p, formal family therapy and physical health monitoring.</p>\",\"PeriodicalId\":46220,\"journal\":{\"name\":\"IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE\",\"volume\":\" \",\"pages\":\"1-5\"},\"PeriodicalIF\":1.8000,\"publicationDate\":\"2024-02-02\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1017/ipm.2023.54\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"PSYCHIATRY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"IRISH JOURNAL OF PSYCHOLOGICAL MEDICINE","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1017/ipm.2023.54","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PSYCHIATRY","Score":null,"Total":0}
引用次数: 0

摘要

背景:在爱尔兰,每年平均有 1300 名成年人罹患首发精神病 (FEP)。精神病早期干预(EIP)目前已被广泛接受为治疗精神分裂症等疾病的最佳方法。2012 年,都柏林中南部精神卫生服务机构制定了当地的 EIP 计划:这是一项横断面研究,研究对象是都柏林中南部精神卫生服务机构在引入 EIP 计划后,于 2016 年至 2022 年期间接诊的患有 FEP 的服务用户。我们将其与之前发表的一项关于 2002 年至 2012 年期间照常治疗的回顾性研究进行了比较:本研究中的大多数服务使用者在两个时间段内均为男性、单身、失业、与伴侣或配偶同住。EIP实施前,12%(n=8)的服务对象接受了针对精神病的认知行为疗法,而计划实施后,52%(n=30)的服务对象接受了该疗法(p < 0.001);EIP实施前,3%(n=2)的服务对象接受了行为家庭疗法,而计划实施后,15%(n=9)的服务对象接受了该疗法(p < 0.01)。综合基线身体保健监测率明显提高(p < 0.001):多学科小组工作人员专门负责 EIP,可提高对建议指南的遵守率,尤其是对 CBT-p、正规家庭治疗和身体健康状况监测的遵守率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Service evaluation of an embedded Early Intervention in Psychosis programme.

Background: An average of 1300 adults develop First Episode Psychosis (FEP) in Ireland each year. Early Intervention in Psychosis (EIP) is now widely accepted as best practice in the treatment of conditions such as schizophrenia. A local EIP programme was established in the Dublin South Central Mental Health Service in 2012.

Methods: This is a cross-sectional study of service users presenting to the Dublin South Central Mental Health Service with FEP from 2016 to 2022 following the introduction of the EIP programme. We compared this to a previously published retrospective study of treatment as usual from 2002 to 2012.

Results: Most service users in this study were male, single, unemployed and living with their partner or spouse across both time periods. Cognitive Behavioural Therapy for psychosis was provided to 12% (n = 8) of service users pre-EIP as compared to 52% (n = 30) post-programme introduction (p < 0.001), and 3% (n = 2) of service users engaged with behavioural family therapy pre-EIP as opposed to 15% (n = 9) after (p < 0.01). Rates of composite baseline physical healthcare monitoring improved significantly (p < 0.001).

Conclusion: Exclusive allocation of multidisciplinary team staff to EIP leads to improved compliance with recommended guidelines, particularly CBT-p, formal family therapy and physical health monitoring.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
CiteScore
9.10
自引率
3.90%
发文量
51
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信