Murray Nuala, O'Connor Karen
University College Cork, College Rd., Cork, Ireland.
Consultant Psychiatrist, Home Based Treatment Team & Early Intervention for Psychosis Service, South Lee Mental Health Services, Cork, Ireland.
Ir J Psychol Med. 2019 Dec;36(4):265-269. doi: 10.1017/ipm.2019.15. Epub 2019 May 27.
To evaluate if having an early intervention service (EIS), which is embedded within a home-based treatment team (HBTT), is associated with (1) shorter duration of untreated psychosis (DUP), (2) lower rates of hospital admissions at first presentation, (3) a lesser number of hospital admissions within 6 months of presentation and (4) a reduced mean bed usage for the first 6 months.
The files of those who presented with a first-episode psychosis (FEP) to the South Lee Mental Health Service from January 2016 to February 2017 were identified and a retrospective case review was carried out. The demographics, clinical characteristics and hospital admissions were compared for those admitted to either the EIS or community mental health teams.
Forty patients were assessed. DUP was found to be longer for those who presented to the EIS (U = 121, p = 0.03). There were fewer admissions at first presentation (χ2 (1) = 6.51 p = 0.01), fewer admissions within the first 6 months of presentation (χ2 (1) = 5.56 p = 0.02) and less bed usage overall (U = 131, p = 0.047) for those who presented to the EIS.
The study provides a baseline clinical and demographic profile of patients with FEP in an Irish mental health service and demonstrates current pathways to care. EIS embedded within an HBTT was associated with fewer hospital admissions and less bed usage. It is unclear whether these findings may have occurred due to the EIS or due to the benefits provided by an HBTT.
评估纳入居家治疗团队（HBTT）的早期干预服务（EIS）是否与以下方面相关：（1）未治疗精神病持续时间（DUP）更短；（2）首次就诊时的住院率更低；（3）就诊后6个月内的住院次数更少；（4）前6个月的平均床位使用率降低。
确定2016年1月至2017年2月首次发作精神病（FEP）并就诊于南李心理健康服务中心的患者档案，并进行回顾性病例审查。比较纳入EIS或社区心理健康团队的患者的人口统计学、临床特征和住院情况。
共评估了40名患者。发现就诊于EIS的患者DUP更长（U = 121，p = 0.03）。就诊于EIS的患者首次就诊时的住院次数更少（χ2(1)= 6.51，p = 0.01），就诊后前6个月内的住院次数更少（χ2(1)= 5.56，p = 0.02），总体床位使用率更低（U = 131，p = 0.047）。
该研究提供了爱尔兰心理健康服务中FEP患者的基线临床和人口统计学概况，并展示了当前的护理途径。纳入HBTT的EIS与更少的住院次数和更低的床位使用率相关。尚不清楚这些结果是由于EIS还是由于HBTT提供的益处所致。
