Early Intervention in Psychosis Treatment Components Utilization in Patients Aged Over 35
Jazyk angličtina Země Spojené státy americké Médium print-electronic
Typ dokumentu časopisecké články
PubMed
31564011
DOI
10.1007/s10597-019-00479-5
PII: 10.1007/s10597-019-00479-5
Knihovny.cz E-zdroje
- Klíčová slova
- Age inclusivity, Early intervention, Over-35s, Psychosis, Service use,
- MeSH
- časná lékařská intervence MeSH
- lidé MeSH
- mladiství MeSH
- psychotické poruchy * terapie MeSH
- senioři MeSH
- služby péče o duševní zdraví * MeSH
- státní lékařství MeSH
- Check Tag
- lidé MeSH
- mladiství MeSH
- senioři MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Anglie MeSH
Early Intervention in Psychosis (EIP) services have been youth-focused since their inception. In England, recent National Institute for Health and Care Excellence (NICE) guidelines and new National Health Service (NHS) Standards for EIP recommend the expansion of the age acceptability criterion from 14-35 to 14-65. In the Cambridgeshire and Peterborough EIP service (CAMEO), we ran a service evaluation to assess the initial impact of this policy change. It aimed to elicit EIP treatment components utilization by patients with first-episode psychosis (FEP) aged over 35, in comparison with those under 35. We found that the over-35s required more contacts from EIP healthcare professionals, especially from care coordinators (coefficient = .239; Robust SE = .102; Z = 6.42; p = 0.019) and social workers (coefficient = 18.462; Robust SE = .692; Z = .016; p < 0.001). These findings indicate that FEP patients aged over 35 may present with more complex and sustained clinical/social needs. This may have implications for EIP service development and commissioning.
Department of Kinanthropology Charles University 162 52 Prague Czech Republic
Department of Psychiatry University of Oviedo 33006 Oviedo Spain
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