|Title:||Rate and predictors of service disengagement among patients with first-episode psychosis|
|Alternate Journal:||Psychiatric services (Washington, D.C.)|
|Abstract:||OBJECTIVE: This study determined the rate of service disengagement among patients in the Early Psychosis Intervention Program (EPIP) in Singapore and predictors of disengagement. METHODS: EPIP is a two-year multidisciplinary program targeting first-episode psychosis. The sample comprised patients consecutively accepted (2001-2009) who had two years of follow-up data. Disengagement was assessed with a semistructured scale. Sociodemographic and clinical variables were assessed with the Structured Clinical Interview for DSM-IV Axis I Disorders, the Positive and Negative Syndrome Scale, and the Global Assessment of Functioning. Regression analyses were conducted. RESULTS: Among 775 patients, 109 (14%) disengaged from EPIP within two years. Significant baseline predictors included Malay ethnicity (odds ratio [OR]=1.93, 95% confidence interval [CI]=1.12-3.29) and less than six years of education (OR=2.30, CI=1.23-4.29). CONCLUSIONS: EPIP's engagement strategy should focus on patients of Malay ethnicity and of low educational attainment. Further studies should examine how these factors affect service disengagement.|
Poon, Lye Yin
Psychiatr Serv. 2013 Aug 1
64(8):812-5. doi: 10.1176/appi.ps.201200199.
|Authors Address:||National Psychiatry Residency Program, NHG-AHPL Residency, Ren Ci Community Hospital, Singapore. firstname.lastname@example.org|
|Appears in Collections:||2013|
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