Open Door Review

Figure 1

Centres with ”randomisation” 1. Part intervention 43 2. Part TAU 29 N = 72 (27%)

Centres with TAU only

Centres with SPP only

N = 121 (45%)

N = 76 (28%)

TAU

SPP-treatment

N= 121 (81%) + N = 29 (19%)

N = 43(36%) + N = 76 (64%)

N total = 119

N total = 150

The sample consisted of 181 males and 88 females, mainly of Nordic origin (90%). The patients’ median age at inclusion was 23.7 yrs. (range 16.2-35.9 years), and median age at onset of illness was 20.0 yrs. (range 6-35 years). A total of 48% were living alone, 26% had no friends, 70 % were without education, 22% had not worked within the past year, and 30 % had some kind of moderate substance abuse. The median values for Global Assessment of Functioning (GAF) were 31 for GAF symptom and 35 for GAF function . 7($/&'-(&2!1#'!0&12-(&2! Patients with a first-episode psychosis admitted to either the inpatient unit or to the community mental health centre, in 1997-1999, were systematically assessed within two weeks to determine whether they conformed to the diagnosis of ICD-10 F20-F29. The following assessment and measurement scales were used: demographic and socio-economic charts, Operational Criteria Checklist for Psychotic Illness (OPCRIT) (McGuffin, Farmer & Harvey, 1991), GAF in the DSM-IV (APA, 1994), Strauss-Carpenter (Strauss & Carpenter, 1974; Strauss & Carpenter, 1977) and the PANSS (Kay, Fiszbein & Opler, 1987). The test battery was repeated after two and five years. All assessments were conducted by trained interviewers who were independent of, but not blinded to, the treatments offered to the patients. Reliability testing was made by means of videos of interviews with patients from the different centres. Allocation to treatment is visualised in Figure 1. In three centres (27% of the sample), patients from the first part of the intake were allocated to the SPP group and from the second part of the intake to the TaU group. No further selection was made regarding this allocation of patients. In five centres (28% of the sample), all patients were offered SPP (in addition to TaU), whereas six centres (45% of the sample) offered only TaU to the project patients.

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