Discipline of Psychiatry, University of Queensland, Queensland, Australia.
Early Interv Psychiatry. 2010 Feb;4(1):25-30. doi: 10.1111/j.1751-7893.2009.00157.x.
Expert opinion holds that the rate of implementation of specialist services for first presentation psychosis in Australia is much too slow. We aimed to collect evidence regarding this view from the first national survey of adult public mental health services about their self-reported efforts to implement specialist early psychosis intervention (EPI).
Using a purpose-designed Census form for assessing EPI implementation, adult public mental health service directors throughout Australia were asked about EPI-relevant local service activities.
Sixty Census forms were returned (response rate = 61%), representing a total catchment population of 12.5 million people. A minority of services reported high levels of EPI implementation, which varied widely between area services and across state and territory jurisdictions. Rural and remote services were overrepresented in the lowest levels of reported EPI implementation. Only one service characteristic, the value of identifiable funding committed specifically to EPI, was predictive of level of reported EPI implementation.
The disturbingly high levels of variability in EPI implementation across jurisdictions suggest a pressing need for a set of nationally agreed uniform EPI implementation standards. Additional specific strategies for rural and remote mental health services may be needed for these services to implement EPI.
专家意见认为，澳大利亚首次出现精神病的专科服务的实施率太慢。我们旨在从第一次全国性成人公共精神卫生服务调查中收集有关其实施专科早期精神病干预（EPI）的自我报告努力的证据。
使用专门设计的普查表来评估 EPI 的实施情况，要求澳大利亚各地的成人公共精神卫生服务主任报告与 EPI 相关的当地服务活动。
共收回 60 份普查表（回应率=61%），代表了 1250 万人的总服务人口。少数服务报告了高水平的 EPI 实施，这在地区服务之间以及州和地区之间差异很大。农村和偏远地区的服务在报告的 EPI 实施水平最低。只有一个服务特征，即专门用于 EPI 的可识别资金的价值，可预测报告的 EPI 实施水平。
司法管辖区之间 EPI 实施水平的高度可变令人不安，这表明迫切需要一套全国统一的 EPI 实施标准。可能需要针对农村和偏远地区的精神卫生服务制定具体的额外策略，以使这些服务实施 EPI。
