Title: Rate and predictors of service disengagement among patients with first-episode psychosis
year: 2013
Journal: Psychiatr Serv
Volume: 64
Issue: 8
Pages: 812-5
Epubdate: 02/08/2013
date: 01/08/2001
Alternate Journal: Psychiatric services (Washington, D.C.)
ISSN: 1075-2730
DOI: 10.1176/appi.ps.201200199
Accession Number: 23903608
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.
Notes: 1557-9700
Zheng, Shushan
Poon, Lye Yin
Verma, Swapna
Journal Article
United States
Psychiatr Serv. 2013 Aug 1
64(8):812-5. doi: 10.1176/appi.ps.201200199.
URI: https://open-access.imh.com.sg/handle/123456789/4694
Authors Address: National Psychiatry Residency Program, NHG-AHPL Residency, Ren Ci Community Hospital, Singapore. shushan.zheng@mohh.com.sg
Database Provider: NLM
language: eng
Appears in Collections:2013

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