Specialized home treatment versus hospital-based outpatient treatment for first-episode psychosis: a randomized clinical trial

Early Interv Psychiatry. 2009 Nov;3(4):304-11. doi: 10.1111/j.1751-7893.2009.00139.x.

Abstract

Objective: This pilot study compared the effectiveness of specialized care that was home based versus hospital based for individuals experiencing their first psychotic episode.

Method: A randomized controlled trial design was used. A total of 29 subjects were interviewed at baseline, 3 and 9 months. Repeated measures analysis of variance was employed to test for statistically significant changes over time within and between groups with regard to community psychosocial functioning and symptom severity.

Results: Our findings indicate that subjects in both the home-based and hospital-based programmes significantly improved with regard to symptoms and community functioning over time. However, the rates of change over time were not significantly different between the two programmes. There was a statistically significant difference between programmes with regard to the proportion of subjects with less than two visits (i.e. either did not attend their first assessment or attended follow-up visits after their assessment).

Conclusions: This was a modest pilot study and the sample was too small to allow definitive conclusions to be drawn. However, the results raise questions about differences in initial treatment engagement. They suggest the need for additional research focusing on interventions that promote initial treatment seeking.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adaptation, Psychological
  • Adolescent
  • Adult
  • Canada
  • Community Mental Health Services / organization & administration*
  • Community Mental Health Services / statistics & numerical data
  • Female
  • Home Care Services / organization & administration*
  • Home Care Services / statistics & numerical data
  • Humans
  • Male
  • Patient Acceptance of Health Care / psychology
  • Patient Acceptance of Health Care / statistics & numerical data
  • Patient Dropouts / statistics & numerical data
  • Pilot Projects
  • Psychiatric Status Rating Scales / statistics & numerical data
  • Psychotic Disorders / psychology
  • Psychotic Disorders / therapy*