Developing, Implementing and Assessing an Early Intervention Programme for Incipient Psychosis in the Mental Health Network of Catalonia (Spain).
Poster C17, Saturday, October 22, 11:30 am - 1:00 pm, Le Baron
Ana Barajas1, Pedagogical and Follow-up Commission of the specific care programme for people with an incipient psychotic disorder (PAE-TPI)1,2,3,4,5,6,7,8,9,11, Joan de Pablo10, 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, 10Hospital Universitari Germans Trias i Pujol, 11Pla Director de Salut Mental i Addiccions, Departament de Salut, Generalitat de Catalunya
PURPOSE:To describe the development and implementation of the PAE-TPI programme in the community services of the public mental health network of Catalonia and to assess this programme in terms of epidemiological and clinical variables, and a set of performance measures grouped into 5 domains: accessibility, appropriateness, continuity, effectiveness, and safety. METHOD:Naturalistic study of consecutive cases attended in 12 intensive early intervention programmes for incipient psychosis (PAE-TPI). 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 for discrete variables (SPSS v.19). RESULTS:A total of 1533 patients were referred to PAE-TPI programme, of which 17.9% (n=275) did not meet inclusion criteria. Of patients cared for in the programme, 49.1% (n=753) were first-episode psychosis (FEP), 20.7% (n=317) were ARMS, and 12.3% (n=188) were in a critical period. A low transition rate to psychosis (7.9%), a low percentage of completed suicides (0.4%), and a reduced rate of hospital admissions (24.4%) were found. A high percentage of the target population showed optimal results in terms of accessibility (98.3%), appropriateness (69%), continuity (87%), effectiveness (83.1%), and safety (80%) measures. CONCLUSION:In the period 2007-2012, it was possible to develop, implement, and evaluate a new form of care for incipient psychosis (PAE-TPI programme), with optimum results obtained.
Topic Area: Service System Development and Reform