scholarly journals The challenge of cost-effectiveness research on first-episode psychosis

2019 ◽  
Vol 215 (01) ◽  
pp. 386-387 ◽  
Author(s):  
Robert Rosenheck
Keyword(s):  
Early Intervention ◽  
Cost Effectiveness ◽  
First Episode Psychosis ◽  
First Episode ◽  
Effectiveness Research ◽  
Episode Psychosis ◽  
Effectiveness Studies ◽  
Early Intervention In Psychosis ◽  
Conclusive Data

SummaryEarly intervention in psychosis has generated hope. Cost-effectiveness studies, to determine whether benefits exceed costs, thus far conclude only that early intervention ‘might be’ worth its costs. It is a testament to the importance of the question: even in the absence of conclusive data, a synthesis should be attempted.Declaration of interestNone.

scholarly journals First-episode psychosis: primary care experience and implications for service development

2009 ◽  
Vol 33 (5) ◽  
pp. 165-168 ◽  
Author(s):  
Mamdouh El-Adl ◽  
John Burke ◽  
Karen Little
Keyword(s):  
Primary Care ◽  
Early Intervention ◽  
General Practitioners ◽  
Psychiatric Service ◽  
First Episode Psychosis ◽  
Health Clinic ◽  
First Episode ◽  
Care Experience ◽  
Episode Psychosis ◽  
Early Intervention In Psychosis

Aim and MethodsTo capture the local primary care experience of first-episode psychosis before developing a local early intervention in psychosis service. A survey of Northamptonshire general practitioners (GPs) using a confidential questionnaire was carried out.ResultsOut of 284 GPs, 123 (43%) responded. General practitioners are unlikely to start treatment before referring to a specialist service: 63 GPs (51% of responders) start treatment in 10% or less of individuals with first-episode psychosis and 19 (15.5%) GPs start treatment in 75% or more before referring them to psychiatric service; 42 GPs (34%) refer those who request/accept a referral and 66 GPs (53%) refer all even if they refuse. Overall, 92 GPs (74%) agreed that an early intervention in psychosis service is needed and 77 (63%) GPs welcome having a mental health clinic in their surgery.Clinical ImplicationsIndividuals are more likely to accept referral to a psychiatric service if offered than to ask for it. People disengaging, stigma, the service being difficult to access/inappropriate and carers' lack of knowledge about mental illness are the likely causes for delayed referral.

First-episode psychosis intervention – description of our early intervention model

2017 ◽  
Vol 41 (S1) ◽  
pp. s823-s823
Author(s):  
B. Melo ◽  
C. Alves Pereira ◽  
R. Cajão ◽  
J. Ribeiro Silva ◽  
S. Pereira ◽  
...  
Keyword(s):  
Early Intervention ◽  
Relapse Rate ◽  
First Episode Psychosis ◽  
First Episode ◽  
Child Psychiatrist ◽  
Duration Of Untreated Psychosis ◽  
Intervention Model ◽  
Episode Psychosis ◽  
Clinical Records ◽  
Early Intervention In Psychosis

IntroductionThe research about the benefits of early diagnosis and treatment of first-episode psychosis had significantly increased in last decades. There have been several early intervention programs in psychotic disease, implemented worldwide, in order to improve the prognosis of these psychotic patients.ObjectivesTo present a brief description of the first-episode psychosis intervention team of Tondela-Viseu Hospital Centre–Portugal and its model. We aim to further characterize our population and describe its evolution since 2008.AimsWe aim to clarify the benefits of an early intervention in psychosis.MethodsWe conducted a retrospective cohort study of patients being followed by our team from November 2008 to September 2016. Demographic and medical data were collected (such as diagnosis, duration of untreated psychosis, treatments and its clinical effectiveness, relapse rate and hospital admissions) in patient's clinical records. The intervention model protocol of this team was also described and analyzed.ResultsThis multidisciplinary team consists of three psychiatrists, one child Psychiatrist, one psychologist and five reference therapists (areas of nursing, social service and occupational therapy). It includes patients diagnosed with first-episode psychosis, aged 16 to 42 years old, followed for five years. The team followed, since its foundation, 123 patients, mostly male. The most prevalent diagnosis are schizophrenia and schizophreniform psychosis. The team is currently following 51 patients.ConclusionsThis team's intervention have progressively assumed a more relevant importance in the prognosis of patients with first-episode psychosis, by reducing the duration of untreated psychosis, the relapse rate and by promoting social reintegration.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Cost-effectiveness of early intervention in first-episode psychosis: economic evaluation of a randomised controlled trial (the OPUS study)

2013 ◽  
Vol 202 (1) ◽  
pp. 35-41 ◽  
Author(s):  
Lene Halling Hastrup ◽  
Christian Kronborg ◽  
Mette Bertelsen ◽  
Pia Jeppesen ◽  
Per Jorgensen ◽  
...  
Keyword(s):  
Early Intervention ◽  
Cost Effectiveness ◽  
Standard Treatment ◽  
Controlled Trial ◽  
Cost Effective ◽  
First Episode Psychosis ◽  
First Episode ◽  
Episode Psychosis ◽  
The Mean ◽  
Randomised Controlled

BackgroundInformation about the cost-effectiveness of early intervention programmes for first-episode psychosis is limited.AimsTo evaluate the cost-effectiveness of an intensive early-intervention programme (called OPUS) (trial registration NCT00157313) consisting of enriched assertive community treatment, psychoeducational family treatment and social skills training for individuals with first-episode psychosis compared with standard treatment.MethodAn incremental cost-effectiveness analysis of a randomised controlled trial, adopting a public sector perspective was undertaken.ResultsThe mean total costs of OPUS over 5 years (€123683, s.e. = 8970) were not significantly different from that of standard treatment (€148751, s.e. = 13073). At 2-year follow-up the mean Global Assessment of Functioning (GAF) score in the OPUS group (55.16, s.d. = 15.15) was significantly higher than in standard treatment group (51.13, s.d. = 15.92). However, the mean GAF did not differ significantly between the groups at 5-year follow-up (55.35 (s.d. = 18.28) and 54.16 (s.d. = 18.41), respectively). Cost-effectiveness planes based on non-parametric bootstrapping showed that OPUS was less costly and more effective in 70% of the replications. For a willingness-to-pay up to €50000 the probability that OPUS was cost-effective was more than 80%.ConclusionsThe incremental cost-effectiveness analysis showed that there was a high probability of OPUS being cost-effective compared with standard treatment.

scholarly journals Cost-Effectiveness of Comprehensive, Integrated Care for First Episode Psychosis in the NIMH RAISE Early Treatment Program

2016 ◽  
Vol 42 (4) ◽  
pp. 896-906 ◽  
Author(s):  
Robert Rosenheck ◽  
Douglas Leslie ◽  
Kyaw Sint ◽  
Haiqun Lin ◽  
Delbert G. Robinson ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Integrated Care ◽  
Treatment Program ◽  
Early Treatment ◽  
First Episode Psychosis ◽  
First Episode ◽  
Episode Psychosis

Views of Young People in Early Intervention Services for First-Episode Psychosis in England

2011 ◽  
Vol 62 (8) ◽  
pp. 882-887 ◽  
Author(s):  
Helen Lester ◽  
Max Marshall ◽  
Peter Jones ◽  
David Fowler ◽  
Tim Amos ◽  
...  
Keyword(s):  
Early Intervention ◽  
Young People ◽  
First Episode Psychosis ◽  
First Episode ◽  
Early Intervention Services ◽  
Episode Psychosis ◽  
Intervention Services
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