Background

Service disengagement is a frequent problem in early intervention in psychosis. The goal of this study was to evaluate the rate and variables associated with service disengagement in a three year specialized program that allows treatment intensification on a case to case basis.

Methods

328 early psychosis patients were assessed at baseline on a large set of socio-demographic and clinical variables and were followed-up over 36 months. Patients who left the program for reasons related to engagement with care were compared to patients who completed the program.

Results

Rates of disengagement were low (6.3%). Patients with lower socio-economic status, who committed offences during the program or with a diagnosis of Schizophreniform/brief psychotic disorder were more likely to disengage from the program.

Conclusions

The engagement strategies implemented in the context of our early intervention programs have allowed to keep disengagements to a relatively low level. In this context, only 3 variables emerged to guide adaptation of the intervention in order to improve this already good engagement rate.

中文翻译：

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在早期精神病治疗方案中，随着时间的推移，强化治疗的脱离率和预测因素。

背景

服务分离是精神病早期干预中的常见问题。这项研究的目的是在为期三年的专业计划中评估与服务脱离相关的比率和变量，该计划可以根据具体情况加强治疗。

方法

在基线时对328名早期精神病患者进行了一系列社会人口统计学和临床​​变量评估，并在36个月内进行了随访。将因与护理相关的原因而退出计划的患者与完成计划的患者进行比较。

结果

脱离率很低（6.3％）。社会经济地位较低，在计划期间犯下罪行或诊断为精神分裂症/简短精神病的患者更有可能脱离计划。

结论

在我们的早期干预计划的背景下实施的参与策略已将脱离保持在相对较低的水平。在这种情况下，仅出现了3个变量来指导干预措施的适应性，以提高本已良好的参与率。