Skip to main content Accessibility help
×
Home

A pilot study of the effects of early intervention on clinical symptoms and social functioning in psychiatric emergencies

  • P Tyrer (a1), S Merson (a1), P Harrison-Read (a1), S Lynch (a1), P Birkett (a1) and S Onyett (a1)...

Abstract

A pilot study of the effects of early intervention by a multidisciplinary community team in patients presenting as psychiatric emergencies to an inner London teaching hospital (St. Mary's) is described. Of 22 consecutive emergency referrals, 20 agreed to be formally assessed, 18 were successfully engaged and 16 had assessments of symptoms and social functioning assessed over a four week period. There was significant improvement in clinical symptoms but no important changes in social functioning. The discordance between improvement in social function and symptoms was unexpected and may reflect the unusual social circumstances of life in metropolitan London or be a consequence of the high proportion (55%) of patients seen with personality disorders.

Copyright

References

Hide All
1.Onyett, S, Tryer, P, Connolly, J, Malone, S, et al.The Early Intervention Service: the first eighteen months of an inner London demonstration project. Psychiatric Bulletin 1990; 14: 267269.
2.Asberg, M, Montgomery, SA, Perris, C, Schalling, D, Sedvall, G. A comprehensive psychopathological rating scale. Acta Psychiatr Scand 1978; Supplementum 271: 529.
3.Montgomery, SA, Asberg, M. A new depression scale designed to be sensitive to change. Br J Psychiatry 1979; 134: 382389.
4.Tyrer, P, Owen, RT, Cicchetti, D. The Brief Scale for Anxiety: a subdivision of the Comprehensive Psychopathological Rating Scale. J Neurol Neurosurg Psychiatry 1984; 47: 970975.
5.World health Organisation. International Classification of Diseases, draft for 10th revision. Geneva: WHO, 1988.
6.Tyrer, P, Alexander, J. Classification of personality disorder. Br J Psychiatry 1979; 135: 163167.
7.Tyrer, P, Alexander, J, Ferguson, B. Personality assessment schedule. In: Tyrer, P, ed. Personality disorders: diagnosis, management and course. London: Wright, 1988: 140167.
8.Remington, M, Tyrer, P. The Social Functioning Schedule – a brief semi-structured interview. Soc Psychiatry 1979; 14: 151157.
9.Tyrer, P. Personality disorder and social functioning. In: Peck, D, Shapiro, C, eds. Chichester: John Wiley and Sons (in press).
10.Anstee, BH. Psychiatry in the casualty department. Br J Psychiatry 1972; 120: 625629.
11.Lim, MH. A psychiatric emergency clinic: a study of attendances over six months. Br J Psychiatry 1983; 143: 460466.
12.Casey, PR, Tyrer, PJ, Dillon, S. The diagnostic status of patients with conspicuous psychiatric morbidity in primary care. Psychol Med 1984; 14: 673681.
13.Tyrer, P, Casey, P, Gall, J. The relationship between neurosis and personality disorder. Br J Psychiatry 1983; 142: 404408.
14.Cutting, J, Cowen, PJ, Mann, AH, Jenkins, R. Personality and psychosis: use of the Standardised Assessment of Personality. Acta Psychiatr Scand 1986; 73: 8792.
15.Tyrer, P, Remington, M. Controlled comparison of day hospital and out-patient treatment for neurotic disorders. Lancet 1979; i: 10141016.
16.Platt, S, Weyman, A, Hirsch, S, Hewett, S. The Social Behaviour Assessment Schedule (SBAS): rationale, contents, scoring and reliability of a new interview schedule. Soc Psychiatry 1980; 15: 4355.
17.Casey, PR, Tyrer, PJ, Piatt, S. The relationship between social functioning and psychiatric symptomatology in primary care. Soc Psychiatry 1985; 20: 59.
18.Weissman, MM, Klerman, GL, Paykel, ES, Prusoff, B, Hansen, B. Treatment effects on the social adjustment of depressed patients. Arch Gen Psychiatry 1974; 30: 771778.
19.Goering, P, Wasylenki, D, Lancee, W, Freeman, SJ. Social support and post-hospital outcome for despressed women. Can J Psychiatry 1983; 28: 612623.
20.Goering, P, Wasylenki, D, Lancee, W, Freeman, SJ. From hospital to community: six-month and two-year outcomes for 505 patients. J Nerv Ment Dis 1984; 172: 667–73.
21.Leaf, PJ, Weisman, MM, Myers, JK. Social factors related to psychiatric disorder: the Yale epidemiologic catchment area study. Soc Psychiatry 1984; 19: 5361.
22.Brugha, TS. Social support. Current Opinion in Psychiatry 1988; 1: 206–11.

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed