Rate and predictors of disengagement in an early psychosis program with time limited intensification of treatment.
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- doi: 10.1016/j.jpsychires.2020.08.036
- issn: 0022-3956
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info:eu-repo/semantics/altIdentifier/urn/urn:nbn:ch:serval-BIB_D35998C6CCD92
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Psychotic disorders PsychosisCiter ce document
P. Golay et al., « Rate and predictors of disengagement in an early psychosis program with time limited intensification of treatment. », Serveur académique Lausannois, ID : 10.1016/j.jpsychires.2020.08.036
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Résumé
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.