Is Treating Patients with First-Episode Psychosis Cost-Effective?

In general, most EI services provide a modified version of an assertive case management program along with rational pharmacotherapy and specific psychological interventions such as cognitive-behavioural therapy (CBT) and family intervention. Two recent randomized controlled studies and numerous, mos...

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Bibliographic Details
Published in:Canadian journal of psychiatry 2010-01, Vol.55 (1), p.3-8
Main Authors: Malla, Ashok, Pelosi, Anthony J
Format: Article
Language:English
Subjects:
Behavior
Cost control
Cost-Benefit Analysis
Health services
Hospitalization
Hospitals
Humans
Intervention
Mental disorders
Mental Disorders - economics
Mental Disorders - therapy
Mental health care
Mental Health Services - economics
Mental institutions
Patients
Psychiatry
Psychopathology
Psychosis
Systematic review
Treatment Outcome
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Summary:In general, most EI services provide a modified version of an assertive case management program along with rational pharmacotherapy and specific psychological interventions such as cognitive-behavioural therapy (CBT) and family intervention. Two recent randomized controlled studies and numerous, mostly uncontrolled and quasi-experimental, studies have shown that specialized EI services provide superior effectiveness on measures of psychopathology, rates of remission and relapse, adherence to and retention in treatment, greater family involvement in treatment, and better community adjustment.3-4 A recent meta-analysis has confirmed that an enriched intervention provided to patients with FEP is likely to produce significantly better clinical and functional outcome, compared with routine care.5 Such encouraging results should provoke us to ask more specific questions to further improve the effectiveness of EI and not stop this encouraging development.
ISSN:0706-7437
1497-0015
DOI:10.1177/070674371005500102