The long-term outcome of early detection for psychosis, data from the outreach and support in south London service

Presentation First Author: 
Lucia Valmaggia

An increasing number of new clinical services are being set up to identify and manage people during the ‘at-risk’ phase of the illness, before the first episode of psychosis develops. Previous studies have shown that intervening in the at risk phase can reduce prodromal symptoms and prevent transition to psychosis within two years from referral. Less definitive are the data regarding the medium and long term outcomes of those at risk and the outcome in those who go on to develop a psychotic episode. Data measuring clinical and social outcome were obtained from OASIS service users at 4 years or longer after initial referral to OASIS. The following domains were assessed at follow-up: details of any treatment either in primary or secondary care received since leaving OASIS including any admission to hospital; assigned diagnosis since leaving OASIS; psychopathology; drug and alcohol use; and social Functioning. We will present the results of a total of 155 people with an At Risk Mental State for psychosis who were taken on by OASIS. At the date of submission of this abstract follow-up data was collected for 94 patients (61%). Four were contacted but declined participation. Those not contactable directly were traced using a variety of electronic databases and via their GPs. No new transition to psychosis were found, a significant number of participants reported transition other mental health problems and poor functioning. Two service users lost their lives. The clinical and service development implications of these findings will be discussed.

Conference Name: 
Presentation Date: 
January, 2013
Additional Authors: 
Lucia Valmaggia, Ceri Jones, Paolo Fusar-Poli, Majella Byrne, Isabel Valli, Paul Allen, Philip McGuire
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