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Specialised care for early psychosis may reduce number of readmissions

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Q What is the effect of a specialised care team for early psychosis on relapse and readmissions?

METHODS

Embedded ImageDesign:

Randomised controlled trial.

Embedded ImageAllocation:

Concealed.

Embedded ImageBlinding:

Single blinded (assessors blinded).

Embedded ImageFollow up period:

18 months.

Embedded ImageSetting:

Mental health service in Lambeth, London, UK; recruitment January 2000 to October 2001.

Embedded ImagePatients:

144 adults (16–40 years old) with non-affective psychosis (ICD-10 diagnosis of schizophrenia, schizotypal, or delusional disorder) presenting to psychiatric services for the first or second time, with no previous routine community mental health treatment. Excluded were asylum seekers, and people with organic psychosis or a primary substance addiction.

Embedded ImageIntervention:

Specialised assertive outreach care by a multidisciplinary community mental health team, who provided extended access to care (weekends and holidays), and individually tailored evidence-based treatment including low dose atypical antipsychotic drugs, cognitive behavioural therapy, family counselling, and vocational strategies as necessary; standard care by …

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