Is phase‐specific, community‐oriented treatment of early psychosis‐ an economically viable method of improving outcome?

  title={Is phase‐specific, community‐oriented treatment of early psychosis‐ an economically viable method of improving outcome?},
  author={Cathrine Mihalopoulos and P. D. McGorry and Reginald C Carter},
  journal={Acta Psychiatrica Scandinavica},
Mihalopoulos C, McGorry PD, Carter RC. Is phase‐specific, community‐oriented treatment of early psychosis an economically viable method of improving outcome? 

Duration of untreated psychosis and 12‐month outcome in first‐episode psychosis: the impact of treatment approach

The duration of untreated psychosis and 12‐month outcome in first‐episode psychosis and the impact of treatment approach are studied.

The development of the Recovery and Prevention of Psychosis Service in Melbourne, Australia

The establishment of a multicomponent, phase‐specific, early intervention service for young people experiencing psychosis is described.

Cost‐effectiveness of treating first‐episode psychosis: five‐year follow‐up results from an Italian early intervention programme

This study investigated the cost‐effectiveness of treatment in an early intervention programme in comparison to standard care to result in the reduction of illness severity in patients with schizophrenia.

Economic impact of services for first‐episode psychosis: a decision model approach

To assess the impact of early intervention services on service costs for people with first‐episode psychosis, a large number of them with first-episode psychosis are referred to EI services.

Early intervention for first‐episode psychosis: broadening the scope of economic estimates

To explore the economic impacts of early intervention in England on outcomes and costs for people with first‐episode psychosis, a large number of patients with first-episode psychosis are referred to charity.

Randomized controlled trial of a cannabis‐focused intervention for young people with first‐episode psychosis

This study aims to evaluate a cannabis‐focused intervention for patients continuing to use cannabis following initial treatment for first‐episode psychosis (FEP) in patients with first-episode psychosis.

Can targeted early intervention improve functional recovery in psychosis? A historical control evaluation of the effectiveness of different models of early intervention service provision in Norfolk 1998–2007

The study compares the outcome of a comprehensive EI team with a partial model (community mental health team plus specialist support) and traditional care (generic CMHT) over a 10‐year period.

Early detection and treatment delay: implications for outcome in early psychosis

The rapidly growing interest in early psychosis has three preventive foci. The prepsychotic phase is when most psychosocial impairment develops, but the specifics of treatment remain difficult to

Development of an implementation guide to facilitate the roll‐out of early intervention services for psychosis

Our aim was to develop an implementation guide that was informed by an analysis of context‐specific barriers and enablers, behaviour change theory, as well as evidence about the effects of

Early detection and intervention in first‐episode schizophrenia: a critical review

The literature on early intervention in psychosis and relevant studies are reviewed to evaluate relevant studies and to establish a baseline for assessing the effectiveness of these interventions.



Preventive strategies in early psychosis: verging on reality

  • P. McGorry
  • Psychology, Medicine
    British Journal of Psychiatry
  • 1998
“Very early schizophrenia still constitutes a relatively unexplored territory. Entry into this territory calls for new ideas on the social problems involved in bringing the early schizophrenic

Early Psychosis Prevention and Intervention: Evolution of a Comprehensive Community-Based Specialised Service

This article describes the Early Psychosis Prevention and Intervention Centre (EPPIC) — an innovative and comprehensive service that attempts to address the needs of older adolescents and young

Analysis of the initial treatment phase in first-episode psychosis

This naturalistic study suggests that the feasibility of implementing the EPPIC model in a range of clinical settings is promising and applicable in practice.

Early Psychosis Prevention and Intervention Centre

  • P. McGorry
  • Psychology, Medicine
    Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists
  • 1993
The development of the Early psychosis Prevention and Intervention Centre (EPPIC) is a new and innovative response to address the needs of young people with emerging or manifest psychotic disorder.

EPPIC: an evolving system of early detection and optimal management.

A framework for preventive intervention in early psychosis is outlined, based on more than a decade of experience initially gained within a first-generation model, a comprehensive "real-world" model of care targeting the multiple clinical foci underpinning the preventive task.

Effectiveness and cost of community care for schizophrenic patients.

There was a relationship between increased psychiatric outpatient treatment and lower levels of inpatient care as well as between psychiatric aftercare and reduced symptomatology and disease-related behavior.

Cost‐effectiveness in the treatment of patients with schizophrenia

  • D. Goldberg
  • Medicine, Psychology
    Acta psychiatrica Scandinavica. Supplementum
  • 1994
Day care — often preceded by a short admission — has been shown to be cost‐effective as an alternative to traditional hospitalization and there is some evidence that higher community costs are associated with better outcomes.

The Quality of Life Scale: an instrument for rating the schizophrenic deficit syndrome.

The authors describe the Quality of Life Scale (QLS), a 21-item scale based on a semistructured interview designed to assess deficit symptoms and thereby fill an important gap in the range of instruments now available.

Duration of psychosis and outcome in first-episode schizophrenia.

Duration of psychosis before treatment may be an important predictor of outcome in first-episode schizophrenia, and is significantly associated with time to remission as well as with level of remission.

Early detection and intervention with schizophrenia: rationale.

The evidence to date does not demonstrate that early intervention with known treatments can change the natural history of schizophrenia, but it is suggestive enough (for both biological and psychosocial treatment) to support further investigation.