Title: Evolution of early psychosis intervention services in Singapore
year: 2012
Journal: East Asian Arch Psychiatry
Volume: 22
Issue: 3
Pages: 114-7
Epubdate: 29/09/2012
date: Sep
Alternate Journal: East Asian archives of psychiatry : official journal of the Hong Kong College of Psychiatrists = Dong Ya jing shen ke xue zhi : Xianggang jing shen ke yi xue yuan qi kan
ISSN: 2078-9947
Accession Number: 23019285
Abstract: The alarmingly long duration of untreated psychosis in Singapore and probable severe consequences were the impetus for establishing the Early Psychosis Intervention Programme in 2001. In 2007, the Early Psychosis Intervention Programme became a part of the National Mental Health Blueprint. This study analysed the Early Psychosis Intervention Programme's key outcomes according to the case management model, and shows how the programme has evolved and expanded into indicated prevention by establishment of the Support for Wellness Achievement Programme focusing on at-risk mental state. The Early Psychosis Intervention Programme has incorporated an evaluation component into the clinical programme by administering regular structured assessments and generating operational statistics from the hospital's data systems. Based on data analysis from a study on consecutive patients accepted into the Early Psychosis Intervention Programme over a 4-year period, we found that at the end of 2 years of follow-up, majority of patients (85%) scored >/= 61 on Global Assessment of Functioning (GAF) disability scale, while two-thirds (66%) met criteria for functional remission, which was defined as having a GAF disability score of >/= 61 with engagement in age-appropriate vocation (gainfully employed or studying). There was also a significant decrease in the Positive and Negative Syndrome Scale for schizophrenia (t = 27.7, p < 0.05) and increase in GAF (t = 33.7, p < 0.05) mean scores from baseline at 2 years. As a national programme, the Early Psychosis Intervention Programme has articulated processes and outcome indicators to the stakeholders, and a periodic report card on these outcomes ensures accountability to the funders, patients, and their families.
URI: https://open-access.imh.com.sg/handle/123456789/4588
Authors Address: Department of Early Psychosis Intervention
Institute of Mental Health
10 Buangkok View
Singapore. Swapna_VERMA@imh.com
Database Provider: NLM
language: eng
Appears in Collections:2012

Files in This Item:
File Description SizeFormat 
Evolution of Early Psychosis Intervention Services in Singapore.pdf396.39 kBAdobe PDFThumbnail
View/Open



Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.