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Home-oriented management programme for people with early psychosis

P Fitzgerald1, J Kulkarni

  • 1Dandenong Hospital Department of Psychiatry, Victoria, Australia.

The British Journal of Psychiatry. Supplement
|October 9, 1998
PubMed

Insights

The Home-Oriented Management of Early Psychosis (HOMES) program successfully managed most first-episode psychosis patients at home, preventing hospital admission. Social support, not illness severity, predicted successful home-based treatment outcomes.

Area of Science:

  • Psychiatry
  • Mental Health Care
  • Clinical Psychology

Background:

  • The Home-Oriented Management of Early Psychosis (HOMES) programme offers home-based care for individuals with first-episode psychosis.
  • This approach aims to provide an alternative to traditional hospital admission for early psychosis management.

Purpose of the Study:

  • To present preliminary efficacy data for the HOMES programme.
  • To identify factors associated with successful prevention of hospital admission in early psychosis patients managed at home.

Main Methods:

  • The study involved 31 patients with first-episode psychosis deemed suitable for home-based management at Dandenong Hospital.
  • Prospective evaluation data was collected for patients managed within the HOMES programme.

Main Results:

  • Twenty-two out of 31 patients (71%) were successfully managed without hospital admission.
  • Illness severity did not correlate with the success of home-based management.
  • Higher levels of social support and shorter durations of untreated psychosis were associated with successful home-based treatment.

Conclusions:

  • Home-based management is a feasible and effective alternative to hospital admission for select patients with first-episode psychosis.
  • Successful home-based treatment is contingent on adequate social support, independent of illness severity.
Abstract

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