Abstract
The use of a multidisciplinary team approach is essential for increasing the likelihood of recovery among individuals with early psychosis. The aim of the present study was to investigate the effects of community-based mental health services on the symptoms and socio-occupational functioning of subjects with early psychosis. The study included participants who were referred to our Mental Health Promotion Center and who agreed to participate in diverse individual and group programs. During the 1-year follow-up, the medication adherence rate remained high, the recovery rate substantially increased, and the scores on the Positive and Negative Syndrome Scale, Psychotic Symptom Rating Scale-Delusion and Auditory Hallucinations subscales, Global Assessment of Functioning, Interpersonal Sensitivity Measure, and Social Functioning Questionnaire significantly improved over time. The findings suggest that the 1-year outcome of subjects with early psychosis can be improved by diverse community-based psychosocial interventions.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental health disorders (4th ed.). Washington, DC: American Psychiatric Press.
Bertland, M. C., Sutton, H., Achim, A. M., Malla, A. K., & Lepage, M. (2007). Social cognitive impairments in first episode psychosis. Schizophrenia Research, 95, 124–133.
Birchwood, M., & Fiorillo, A. (2000). The critical period for early intervention. Psychiatric Rehabilitation Skills, 4, 182–198.
Boyce, P., & Parker, G. (1989). Development of a scale to measure interpersonal sensitivity. Australian and New Zealand Journal of Psychiatry, 23(3), 341–351.
Coldham, E. L., Addington, J., & Addington, D. (2002). Medication adherence of individuals with a first episode of psychosis. Acta Psychiatrica Scandinavica, 106, 286–290.
Connor, K. M., & Davidson, J. R. T. (2003). Development of a new resilience scale: The Connor-Davidson Resilience Scale (CD-RISC). Depression and Anxiety, 18(2), 76–82.
Cullberg, J., Mattsson, M., Levander, S., Holmqvist, R., Tomsmark, L., Elingfors, C., et al. (2006). Treatment costs and clinical outcome for first episode schizophrenia patients: A 3-year follow-up of the Swedish “Parachute Project” and two comparison groups. Acta Psychiatrica Scandinavica, 114, 274–281.
Faerden, A., Ragnar, N., & Marder, S. R. (2008). Definitions of the term ‘recovered’ in schizophrenia and other disorders. Psychopathology, 41(5), 271–278.
Fowler, D., Freeman, D., Smith, B., Kuipers, E., Bebbington, P., Bashforth, H., et al. (2006). The Belief Core Schema Scales (BCSS): Psychometric properties and associations with paranoia and grandiosity in non-clinical and psychosis samples. Psychological Medicine, 36, 749–759.
Guy, W. (1976). The clinical global impression scale. In ECDEU Assessment Manual for Psychopharmacology-Revised. Rockville, MD: US Dept. of Health, Education and Welfare, ADAMHA, MIMH Psychopharmacology Research Branch, pp. 218–222.
Haddock, G., McCarron, J., Tarrier, N., & Faragher, E. B. (1999). Scales to measure dimensions of hallucinations and delusions: The psychotic symptom rating scales (PSYRATS). Psychological Medicine, 19, 879–889.
Henry, L. P., Amminger, P., Harris, M. G., Yuen, H. P., Harrigan, S. M., Schwartz, O. S., et al. (2010). The EPPIC follow-up study of first-episode psychosis: Longer-term clinical and functional outcome 7 years after index admission. The Journal of Clinical Psychiatry, 71(6), 716–728.
Horan, W. P., Green, M. F., DeGroot, M., Fiske, A., Hellenmann, G., Kee, K., et al. (2012). Social cognition in schizophrenia, part 2: 12-Month stability and prediction of functional outcome in first-episode patients. Schizophrenia Bulletin, 38(4), 865–872. doi:10.1093/schbul/sbr001.
Kay, S. R., Flszbein, A., & Opler, L. A. (1987). The positive and negative syndrome scale (PANSS) for schizophrenia. Schizophrenia Bulletin, 13(2), 261–276.
Leucht, S., & Lasser, R. (2006). The concepts of remission and recovery in schizophrenia. Pharmacopsychiatry, 39(5), 161–170.
Lieberman, J. A., Tollwdaon, F., Tohen, M., Green, A. I., Gur, R. E., Kahn, R., et al. (2003). Comparative efficacy and safety of atypical and conventional antipsychotic drugs in first-episode psychosis: A randomized double-blind trial of olanzapine versus haloperidol. American Journal of Psychiatry, 160, 1396–1404.
Merlo, M. C. G., Hofer, H., Gekle, W., Berger, G., Ventura, J., Panhuber, I., et al. (2002). Risperidone, 2 mg/day vs. 4 mg/day, in first-episode, acutely psychotic patients: Treatment efficacy and effects on fine motor functioning. The Journal of Clinical Psychiatry, 63(10), 885–891.
Morken, G., Widen, J. H., & Grawe, R. W. (2008). Non-adherence to antipsychotic medication, relapse and rehospitalisation in recent-onset schizophrenia. BMC Psychiatry, 8, 32.
Penn, D. L., Waldheter, E. J., Perkins, D. O., Mueser, K. T., & Lieberman, J. A. (2005). Psychosocial treatment for first-episode psychosis: A research update. American Journal of Psychiatry, 162, 2220–2220.
Robinson, D. G., Woerner, M. G., McMeniman, M., Mendelowitz, A., & Bilder, R. M. (2004). Symptomatic and functional recovery from a first episode of schizophrenia or schizoaffective disorder. American Journal of Psychiatry, 161, 473–479.
Tauscher-Wisniewski, S., Kapur, S., Tauscher, J., Jones, C., Daskalakis, Z. J., Papatheodorou, G., et al. (2002). Quetiapine: An effective antipsychotic in first-episode schizophrenia despite only transiently high dopamine-2 receptor blockade. The Journal of Clinical Psychiatry, 63(11), 992–997.
Zanello, A., Weber, R. B., Gex-Fabry, M., Maercker, A., & Guimon, J. (2006). Validation of the QFS measuring the frequency and satisfaction in social behaviours in psychiatric adult population. L’Encéphale, 32, 45–59.
Acknowledgments
This study was supported by a grant from the Korean Health Technology R&D Project, Ministry of Health & Welfare, Republic of Korea. (HI13C1459). The author would like to thank all the participants in the study and heavenly father who guides along the right pathway.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors report no conflicts of interest.
Rights and permissions
About this article
Cite this article
Na, EJ., Kang, NI., Kim, MY. et al. Effects of Community Mental Health Service in Subjects with Early Psychosis: One-Year Prospective Follow Up. Community Ment Health J 52, 724–730 (2016). https://doi.org/10.1007/s10597-015-9966-1
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10597-015-9966-1