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Home-oriented management programme for people with early psychosis
1Dandenong Hospital Department of Psychiatry, Victoria, Australia.
The British Journal of Psychiatry. Supplement
|October 9, 1998
Summary
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.