The Lambeth Early Onset Crisis Assessment Team Study: general practitioner education and access to an early detection team in first-episode psychosis.
The Lambeth Early Onset Crisis Assessment Team Study: general practitioner education and access to an early detection team in first-episode psychosis.
复制标题
兰贝斯早期发作危机评估小组研究：全科医生教育和获得首发精神病早期检测小组的机会。
DOI：
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发表时间：
2007
期刊：
影响因子：
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通讯作者：
T. Craig
中科院分区：
文献类型：
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作者：
P. Power;E. Iacoponi;N. Reynolds;H. Fisher;M. Russell;P. Garety;P. McGuire;T. Craig
背景
对于提高首发精神病患者的早期发现和治疗率的策略评估很少。
目标管理系统
旨在评估全科医生 (GP) 教育计划和早期发现评估小组（兰贝斯早发危机评估小组；LEO CAT）在减少首发精神病患者获得治疗延误方面的有效性。
方法
46 个全科医生诊所在早期发现中随机接受全科医生教育，并像往常一样直接获得 LEO CAT v. 护理。主要结局指标是全科医生转诊率、未经治疗的精神病持续时间（DUP）和接受治疗的延迟。
结果
招募了150名首发精神病患者； 113 名患者在本研究的全科医生处注册，其中 54 名患者 (47.7%) 直接转介至心理健康服务机构。干预组全科医生中显着更多的人（86.1% vs. 65.7%）将患者直接转介至心理健康服务机构，并且较少的患者在接受治疗时经历了长时间的延误。然而，他们的整体 DUP 并未受到影响。
结论
对全科医生进行教育可提高首发精神病患者的检出率和转诊率。早期检测团队可以减少初始评估和治疗中的长期延误。然而，这些仅影响 DUP 的后期阶段。需要采取更广泛的措施，例如公共卫生教育，以减少 DUP 早期的延误。
BACKGROUND
There are few evaluations of strategies to improve rates of early detection and treatment of patients with first-episode psychosis.
AIMS
To evaluate the effectiveness of a general practitioner (GP) education programme and an early detection assessment team (the Lambeth Early Onset Crisis Assessment Team; LEO CAT) in reducing delays in accessing treatment for first-episode psychosis patients.
METHOD
46 clusters of GP practices randomised to GP education in early detection with direct access to LEO CAT v. care as usual. Primary outcome measures were GP referral rates, duration of untreated psychosis (DUP) and delays in receiving treatment.
RESULTS
150 patients with first-episode psychosis were recruited; 113 were registered with the study GPs, who referred 54 (47.7%) directly to mental health services. Significantly more intervention group GPs (86.1% v. 65.7%) referred their patients directly to mental health services and fewer patients experienced long delays in receiving treatment. However, their overall DUP was unaffected.
CONCLUSIONS
Educating GPs improves detection and referral rates of first-episode psychosis patients. An early detection team reduces the long delays in initial assessment and treatment. However, these only impact on the later phases of the DUP. Broader measures, such as public health education, are needed to reduce the earlier delays in DUP.
未经治疗的首次精神病发作持续时间缩短：治疗时患者特征的变化。
DOI：
10.1176/appi.ajp.158.11.1917
发表时间：
2001
期刊：
The American journal of psychiatry
影响因子：
--
作者：
Larsen,TK;McGlashan,TH;Johannessen,JO;Friis,S;Guldberg,C;Haahr,U;Horneland,M;Melle,I;Moe,LC;Opjordsmoen,S;Simonsen,E;Vaglum,P
通讯作者：
Vaglum,P