Early Intervention in Psychosis Service, National Health Service, Ashington, UK.
Early Interv Psychiatry. 2012 Nov;6(4):465-8. doi: 10.1111/j.1751-7893.2012.00349.x. Epub 2012 Mar 1.
To investigate the effectiveness of an early intervention in psychosis (EIP) service on engagement and hospital bed usage, post-discharge. A secondary aim was to identify if there was a subgroup of patients with 'poor outcomes'.
A naturalistic study comparing engagement and hospital bed day usage of individuals who received treatment from an EIP service (n = 75) with those who presented before the service was established (n = 113).
The EIP service demonstrated better engagement with service users in year 5 (P = 0.001). No significant differences were observed on hospital bed day usage. When 'poor outcome' cases were removed, a trend towards lower bed usage in EIP services emerged (P = 0.139).
EIP services improve engagement with service users. There was not a significant reduction in hospital bed usage. However, advantages could be masked by a relatively small number of individuals with 'poor outcomes'.
调查精神病早期干预（EIP）服务对出院后参与度和住院床位使用的效果。次要目的是确定是否存在“预后不良”的患者亚组。
一项自然主义研究比较了接受 EIP 服务治疗的个体（n=75）与该服务建立之前就诊的个体（n=113）的参与度和住院床位使用情况。
EIP 服务在第 5 年表现出更好的服务使用者参与度（P=0.001）。在住院床位使用方面未观察到显著差异。当去除“预后不良”病例时，EIP 服务中出现了住院床位使用量降低的趋势（P=0.139）。
EIP 服务提高了对服务使用者的参与度。住院床位使用量没有显著减少。然而，由于“预后不良”个体数量相对较少，优势可能被掩盖。
