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EFFECTIVENESS OF THE INTEGRATED LONG-TERM PROGRAM OF MANAGEMENT OF PATIENTS AFTER FIRST PSYCHOTIC EPISODE IN 5-YEAR FOLLOW-UP

Yuliya Zaytseva ; Moscow Research Institute of Psychiatry, Department of Outpatient Psychiatry and the Organization of Psychiatric Care, Russia
Isaac Ya. Gurovich ; Moscow Research Institute of Psychiatry, Department of Outpatient Psychiatry and the Organization of Psychiatric Care, Russia
Alexander Shmukler ; Moscow Research Institute of Psychiatry, Department of Outpatient Psychiatry and the Organization of Psychiatric Care, Russia


Puni tekst: engleski pdf 238 Kb

str. 92-94

preuzimanja: 78

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Sažetak

The Early Intervention Centre (First episode clinic, FEC) that provides specific service programs to this particular target group
of patients with early psychosis opened in November 2000 as a day clinic at the Moscow Research Institute of Psychiatry. To date,
FEC programs consistent with the developed model have been established in 30 regions across Russia. 5-year follow-up data are
available for 114 patients who received such care in the FEC. In more than 30% of cases complete remission was maintained over
the 5 years. The number of relapses increased on the 2nd and 3rd years, but later decreased more than by one half. The relapses were
mostly treated in day clinic or outpatient settings and did not require hospital admissions. More than 73% of the patients maintained
their social achievements with no losses. By the end of the 5th year only 1/5 of the cases were formally recognized as unemployable
due to psychiatric disability. Significantly better clinical and psychosocial outcomes have been shown in comparison with a control
group of patients, treated in routine psychiatric services.

Ključne riječi

schizophrenia; early intervention; effectiveness

Hrčak ID:

262394

URI

https://hrcak.srce.hr/262394

Datum izdavanja:

14.9.2010.

Posjeta: 231 *