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Early intervention program for psychosis in a portuguese hospital: The first results of the open program

Published online by Cambridge University Press:  13 August 2021

H. Simião ,
L. Santana ,
R. Silva  and
J. Gago
H. Simião*
Affiliation:
Psychiatry, Centro Hospitalar de Lisboa Ocidental, Lisbon, Portugal
L. Santana
Affiliation:
Psychiatry, Centro Hospitalar de Lisboa Ocidental, Lisbon, Portugal
R. Silva
Affiliation:
Psychiatry, Centro Hospitalar de Lisboa Ocidental, Lisbon, Portugal
J. Gago
Affiliation:
Psychiatry, Centro Hospitalar de Lisboa Ocidental, Lisbon, Portugal
*
*Corresponding author.

Abstract

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Introduction

OPEN is a structured intervention program for patients who present with untreated psychosis at an early stage, under the guidance of a case manager and a periodic evaluation performed by a multidisciplinary team.

Objectives

The aim of the OPEN program is to create an individual care plan, promoting recovery, functionality, quality of life and prevent relapses. One year after implementation of the program, we present the first results.

Methods

We performed a retrospective review of the patients’ clinical profiles included in the OPEN program.

Results

Nine patients were included in the program. The most frequent diagnosis was schizophrenia (n=5). By the time of inclusion in the program, 5 patients used cannabis frequently; one patient kept substance use. At the 6th month assessment, 4 in 5 patients showed an improvement in social functioning (Personal and Social Performance Scale; ± 16 points), and a decrease in symptom severity in all (Brief Psychiatric Rating Scale; ± 11 points). Due to COVID-19 pandemics, group interventions were suspended, and some visits were performed by teleconsultation. No patients lost follow-up.

Conclusions

We observed an overall positive result of the first months of this program, regarding both functionality and clinical outcomes. The main obstacle so far is the impossibility of performing group interventions since the start of the contingency measures regarding COVID-19 pandemics. We expect further results of the OPEN program with the inclusion of more patients.

Keywords

case managerindividual care plan
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S532
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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