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Golay P, Ramain J, Reiff C, et al. Rate and predictors of disengagement in an early psychosis program with time limited intensification of treatment. J Psychiatr Res. 2020;131:33-38doi: 10.1016/j.jpsychires.2020.08.036.
Golay, P., Ramain, J., Reiff, C., Solida, A., Baumann, P. S., & Conus, P. (2020). Rate and predictors of disengagement in an early psychosis program with time limited intensification of treatment. Journal of psychiatric research, 13133-38. https://doi.org/10.1016/j.jpsychires.2020.08.036
Golay, Philippe, et al. "Rate and predictors of disengagement in an early psychosis program with time limited intensification of treatment." Journal of psychiatric research vol. 131 (2020): 33-38. doi: https://doi.org/10.1016/j.jpsychires.2020.08.036
Golay P, Ramain J, Reiff C, Solida A, Baumann PS, Conus P. Rate and predictors of disengagement in an early psychosis program with time limited intensification of treatment. J Psychiatr Res. 2020 Dec;131:33-38. doi: 10.1016/j.jpsychires.2020.08.036. Epub 2020 Sep 01. PMID: 32916376.
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J Psychiatr Res. 2020 Dec;131:33-38. doi: 10.1016/j.jpsychires.2020.08.036. Epub 2020 Sep 01.

Rate and predictors of disengagement in an early psychosis program with time limited intensification of treatment.

Journal of psychiatric research

Philippe Golay, Julie Ramain, Caroline Reiff, Alessandra Solida, Philipp S Baumann, Philippe Conus

Affiliations

  1. Service of General Psychiatry, Treatment and Early Intervention in Psychosis Program (TIPP-Lausanne), Lausanne University Hospital and University of Lausanne, Switzerland; Service of Community Psychiatry, Department of Psychiatry, Lausanne University Hospital and University of Lausanne, Switzerland. Electronic address: [email protected].
  2. Service of General Psychiatry, Treatment and Early Intervention in Psychosis Program (TIPP-Lausanne), Lausanne University Hospital and University of Lausanne, Switzerland.

PMID: 32916376 DOI: 10.1016/j.jpsychires.2020.08.036

Abstract

BACKGROUND: Service disengagement is a frequent problem in early intervention in psychosis. The goal of this study was to evaluate the rate and variables associated with service disengagement in a three year specialized program that allows treatment intensification on a case to case basis.

METHODS: 328 early psychosis patients were assessed at baseline on a large set of socio-demographic and clinical variables and were followed-up over 36 months. Patients who left the program for reasons related to engagement with care were compared to patients who completed the program.

RESULTS: Rates of disengagement were low (6.3%). Patients with lower socio-economic status, who committed offences during the program or with a diagnosis of Schizophreniform/brief psychotic disorder were more likely to disengage from the program.

CONCLUSIONS: The engagement strategies implemented in the context of our early intervention programs have allowed to keep disengagements to a relatively low level. In this context, only 3 variables emerged to guide adaptation of the intervention in order to improve this already good engagement rate.

Copyright © 2020 The Author(s). Published by Elsevier Ltd.. All rights reserved.

Keywords: Disengagement; Drop out; Early psychosis; First episode; Schizophrenia

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