The ordinary Intervention Stand-Up for early treatment in psychotic onset: preliminary data
Poster A82, Thursday, October 20, 11:30 am - 1:00 pm, Le Baron
Massimiliano Imbesi1, Ornella Bettinardi1, Gabriella Aramini1, Giuliano Limonta1; 1Department of Mental Health AUSL Piacenza (Italy)
Rationale Early intervention services have had to face pressures related to budget, despite strong evidence in Health Economics showing that prompt specialist care cost-effectively promotes patient recovery. Aims Presenting the preliminary results of the welfare diagnostic therapeutic path of the Mental Health Department of AUSL Piacenza in January 2014, aimed at ensuring timeliness, fairness and appropriateness for the detection and early treatment of onset of psychosis.Methods This path is inclusive of clinical interventions, evidence-based psychotherapy (CBT) and psycho-education (PES) delivered through multi-functional activities of a multi-professional team formed by psychiatrist, child Neuro-psychiatrist, psychologist; nurse; social worker, educator. Results 20 cases are currently included in PDTAs. They are evaluated at the beginning and 12 months later (outcome evaluation) with the following tools: BPRS, GAF and HONOS, whereas self-assessment is carried out using the psychometric instrument CBA-OE . At present we report the outcome data at 12 months. Basal Average scores at 12 months: Honos 17.2 ± 6.6 4.8 ± 2.9 7.61 (p=0.0001); BPRS 38.9 ± 8.6 28.7 ± 4.4 4.23 (p=0.005); GAF 52.8 ± 12.2 74.2 ± 8.9 -4.4 (p= 0.003); Cognitive Behavioral assessment: Outcome Measure (CBA-OE): Well-being 24.8 ± 8.6; 34.3 ± 7.3 (p=0.027); Depression 26.1 ± 13.3 10.5 ± 9.8 5.28 0.003; CORE-symptom 22.3 ± 11.4 8.33 ± 6.43 (p= 0.001). Conclusions: The data, although preliminary, show a significant improvement in terms of both clinical evaluation, carried out by the psychotherapist, and self-assessment, confirming the importance of ensuring a multi-axial assessment of clinical outcomes.
Topic Area: First Episode Psychosis