Intensive and Specialized Early Intervention Programme for Incipient Psychosis (PAE-TPI) vs. Standard Treatment (ST) Implemented in the Public Mental Health Network of Catalonia: 1-year follow-up.
Poster C20, Saturday, October 22, 11:30 am - 1:00 pm, Le Baron
Ana Barajas1, CEPIP group1,2,3,4,5,6,7,8,9,10,11,12, Pedagogical and Follow-up Commission of the specific care programme for people with an incipient psychotic disorder (PAE-TPI)1,2,3,4,5,6,7,8,9,12, Lluís Lalucat-Jo1; 1Department of Research, Centre d'Higiene Mental Les Corts, Barcelona, Spain, 2Fundació Sant Pere Claver, Barcelona, Spain, 3Parc Sanitari Sant Joan de Déu, Barcelona, Spain, 4Hospital Clínic de Barcelona, Barcelona, Spain, 5Institut Pere Mata, Reus, Tarragona, Spain, 6Fundació Pere Mata, Terres de l'Ebre, Tarragona, Spain, 7Institut d'Assistència Sanitària de Girona, 8Hospital de Santa Maria de Lleida, 9Hospital del Mar, Parc de Salut Mar Barcelona, Barcelona, Spain, 10Fundació Hospital de Dia Nou Barris, Barcelona, Spain, 11Associació Salut Mental Horta-Guinardó, Barcelona, Spain, 12Pla Director de Salut Mental i Addiccions, Departament de Salut, Generalitat de Catalunya
PURPOSE:To compare a new, intensive and specialized early intervention programme (PAE-TPI) for incipient psychosis vs. standard treatment (ST), in terms of a set of performance measures grouped into 4 domains: appropriateness, continuity, effectiveness, and safety. METHOD:Naturalistic study of consecutive cases attended in PAE-TPI programme (n=255) vs. ST (n=95). Inclusion criteria: people in early stages of psychosis or considered to be in at-risk mental state (ARMS) according to CAARMS criteria; age 14-35 years; having less than five years of threshold psychotic symptom evolution; signed informed consent. A descriptive analysis was carried out, using the mean and median statistics for continuous variables and the frequencies and percentages to discrete variables(SPSS v.19). Paired t tests or Chi-square tests were used in order to compare performance measures of PAE-TPI vs. ST. RESULTS:There were statistically significant differences between PAE-TPI programme and ST in the proportion of patients receiving psychological treatment in the 1st year (72.9% vs. 33.7%; p<0.001), in ‘change score at 1st year’ in social GAF (13.6 vs. 8.8; p=0.028) and clinical GAF (14.3 vs. 8.3; p=0.004), and proportion of patients with active monitoring of medication side-effects (74.1% vs. 5-6%; p<0.001). There were no statistically significant differences in proportion of patients dropping out of services prior to completing 1 year (26.7% vs. 32.6%, p=0.756), this being lower in the PAE-TPI group. CONCLUSION:These results reveal improvements in care for patients in the PAE-TPI programme vs ST in relation to performance measures. Long-term follow-up should be conducted to see if these results are maintained or improved.
Topic Area: Service System Development and Reform