Intensive Early Intervention Programme for Incipient Psychosis (PAE-TPI) vs. Standard Treatment (ST) Implemented in the Public Mental Health Network of Catalonia: accessibility measures.
Poster C18, 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 early intervention programme (PAE-TPI) for incipient psychosis developed in the community services of the public mental health network of Catalonia vs. standard treatment (ST), in terms of accessibility measures: wait time, incidence, and duration of untreated psychosis (DUP). METHOD: Design: Naturalistic study of consecutive cases with first-episode psychosis (FEP) attended in community mental health services with intensive and specialized interventions vs. non-intensive and non-specialized treatment. Inclusion criteria: people in early stages of psychosis according to CAARMS criteria; age 14-35 years; having less than five years of threshold psychotic symptom evolution; signed informed consent. Statistical analysis: To analyze indicators of accessibility a descriptive analysis was carried out, using the mean and median statistics for continuous variables and the frequencies and percentages to discrete variable. Paired t tests were used in order to compare performance measures of PAE-TPI vs. ST (SPSS v.19). RESULTS: A total of 191 patients were recruited in both groups (133 PEP in PAE-TPI group vs. 58 PEP in ST group) over a period of 15 months. There were statistically significant differences between PAE-TPI programme and ST in mean wait time (11.2 vs. 40.8 days; p=0.007). The PAE-TPI group showed lower DUP than the ST group (median: 40 vs. 90 days). CONCLUSION: These results show greater detection of patients with FEP from services in which the PAE-TPI programme is implemented than other services with n-ST. The PAE-TPI programme facilitates faster access to care services than does ST.
Topic Area: Service System Development and Reform