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dc.contributor.author Randall, Jason R
dc.contributor.author Vokey, Sherri
dc.contributor.author Loewen, Hal
dc.contributor.author Martens, Patricia J
dc.contributor.author Brownell, Marni
dc.contributor.author Katz, Alan
dc.contributor.author Nickel, Nathan C
dc.contributor.author Burland, Elaine
dc.contributor.author Chateau, Dan
dc.date.accessioned 2015-10-29T15:06:55Z
dc.date.available 2015-10-29T15:06:55Z
dc.date.issued 2015
dc.identifier.citation Randall JR, Vokey S, Loewen H, Martens PJ, Brownell M, Katz A, Nickel NC, Burland E, Chateau D. A systematic review of the effect of early interventions for psychosis on the usage of inpatient services. Schizophrenia Bulletin 2015; 41(6): 1379-1386. DOI: 10.1093/schbul/sbv016 en_US
dc.identifier.uri http://hdl.handle.net/1993/30915
dc.description.abstract Objectives: To review and synthesize the currently available research on whether early intervention for psychosis programs reduce the use of inpatient services. Methods: A systematic review was conducted using keywords searches on PubMed, Embase (Ovid), PsycINFO (ProQuest), Scopus, CINAHL (EBSCO), Social Work Abstracts (EBSCO), Social Science Citations Index (Web of Science), Sociological Abstracts (ProQuest), and Child Development & Adolescent Studies (EBSCO). To be included, studies had to be peer-reviewed publications in English, examining early intervention programs using a variant of assertive community treatment, with a control/comparison group, and reporting inpatient service use outcomes. The primary outcome extracted number hospitalized and total N. Secondary outcome extracted means and standard deviations. Data were pooled using random effects models. Primary outcome was the occurrence of any hospitalization during treatment. A secondary outcome was the average bed-days used during treatment period. Results: Fifteen projects were identified and included in the study. Results of meta-analysis supported the occurrence of a positive effect for intervention for both outcome measures (any hospitalization OR: 0.33; 95% CI 0.18–0.63, bed-days usage SMD: −0.38, 95% CI −0.53 to −0.24). There was significant heterogeneity of effect across the studies. This heterogeneity is due to a handful of studies with unusually positive responses. Conclusion: These results suggest that early intervention programs are superior to standard of care, with respect to reducing inpatient service usage. Wider use of these programs may prevent the occurrence of admission for patients experiencing the onset of psychotic symptoms. en_US
dc.description.sponsorship Canadian Institutes of Health Research (CIHR) and the Heart & Stroke Foundation of Canada en_US
dc.language.iso en en_US
dc.publisher Oxford University Press en_US
dc.rights info:eu-repo/semantics/restrictedAccess
dc.subject psychosis en_US
dc.subject psychotic disorders en_US
dc.subject early intervention en_US
dc.subject health care utilization en_US
dc.subject treatment outcome en_US
dc.title A Systematic Review of the Effect of Early Interventions for Psychosis on the Usage of Inpatient Services en_US
dc.type Article en_US
dc.type info:eu-repo/semantics/article
dc.status yes
dc.identifier.doi 10.1093/schbul/sbv016


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