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Measuring the Functional Abilities of Children Aged 3-6 Years Old with Observational Methods and Computer Tools

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Service evaluation of an embedded Early Intervention in Psychosis programme.

Paula Connolly¹, Cornelia Carey¹, John Staunton²

¹Department of Psychiatry, Tallaght Hospital, Dublin, Ireland.

Irish Journal of Psychological Medicine

|February 2, 2024

Summary

Implementing an Early Intervention in Psychosis (EIP) program significantly improved adherence to best practices for First Episode Psychosis (FEP) care, including cognitive behavioral therapy and physical health monitoring.

Keywords:

Cognitive Behavioural Therapy Early Intervention Family Therapy Psychotic disorders

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Area of Science:

Psychiatry
Mental Health Services Research

Background:

First Episode Psychosis (FEP) affects approximately 1300 adults annually in Ireland.
Early Intervention in Psychosis (EIP) is recognized as a leading practice for conditions like schizophrenia.
A dedicated EIP program was initiated in Dublin South Central Mental Health Service in 2012.

Purpose of the Study:

To evaluate the impact of an established Early Intervention in Psychosis (EIP) program.
To compare outcomes for First Episode Psychosis (FEP) patients before and after EIP implementation.
To assess changes in therapeutic interventions and physical healthcare monitoring.

Main Methods:

A cross-sectional study design was employed.
Service users with FEP from 2016-2022 were analyzed post-EIP program introduction.
Data was compared to a retrospective study of treatment as usual from 2002-2012.

Main Results:

Post-EIP introduction, Cognitive Behavioural Therapy for psychosis (CBTp) increased from 12% to 52% (p < 0.001).
Engagement with behavioural family therapy rose from 3% to 15% (p < 0.01).
Significant improvements were observed in physical healthcare monitoring rates (p < 0.001).

Conclusions:

Dedicated multidisciplinary teams in EIP programs enhance guideline adherence.
EIP programs improve delivery of key interventions like CBTp and family therapy.
Specialized EIP services lead to better physical health monitoring for FEP patients.