Specialized home treatment versus hospital-based outpatient treatment for first-episode psychosis

A randomized clinical trial

Carolyn S Dewa, Robert B. Zipursky, Nancy Chau, Ivana Furimsky, April Collins, Ofer Agid, Paula Goering

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Objective: This pilot study compared the effectiveness of specialized care that was home based versus hospital based for individuals experiencing their first psychotic episode. Method: A randomized controlled trial design was used. A total of 29 subjects were interviewed at baseline, 3 and 9 months. Repeated measures analysis of variance was employed to test for statistically significant changes over time within and between groups with regard to community psychosocial functioning and symptom severity. Results: Our findings indicate that subjects in both the home-based and hospital-based programmes significantly improved with regard to symptoms and community functioning over time. However, the rates of change over time were not significantly different between the two programmes. There was a statistically significant difference between programmes with regard to the proportion of subjects with less than two visits (i.e. either did not attend their first assessment or attended follow-up visits after their assessment). Conclusions: This was a modest pilot study and the sample was too small to allow definitive conclusions to be drawn. However, the results raise questions about differences in initial treatment engagement. They suggest the need for additional research focusing on interventions that promote initial treatment seeking.

Original languageEnglish (US)
Pages (from-to)304-311
Number of pages8
JournalEarly Intervention in Psychiatry
Volume3
Issue number4
DOIs
StatePublished - Nov 2009
Externally publishedYes

Fingerprint

Psychotic Disorders
Outpatients
Randomized Controlled Trials
Home Care Services
Analysis of Variance
Therapeutics
Research

Keywords

  • Community mental health
  • First episode of psychosis
  • Programme evaluation

ASJC Scopus subject areas

  • Phychiatric Mental Health
  • Psychiatry and Mental health
  • Biological Psychiatry

Cite this

Specialized home treatment versus hospital-based outpatient treatment for first-episode psychosis : A randomized clinical trial. / Dewa, Carolyn S; Zipursky, Robert B.; Chau, Nancy; Furimsky, Ivana; Collins, April; Agid, Ofer; Goering, Paula.

In: Early Intervention in Psychiatry, Vol. 3, No. 4, 11.2009, p. 304-311.

Research output: Contribution to journalArticle

Dewa, Carolyn S ; Zipursky, Robert B. ; Chau, Nancy ; Furimsky, Ivana ; Collins, April ; Agid, Ofer ; Goering, Paula. / Specialized home treatment versus hospital-based outpatient treatment for first-episode psychosis : A randomized clinical trial. In: Early Intervention in Psychiatry. 2009 ; Vol. 3, No. 4. pp. 304-311.
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