PMID- 12225494 OWN - NLM STAT- MEDLINE DCOM- 20021213 LR - 20190815 IS - 0001-690X (Print) IS - 0001-690X (Linking) VI - 106 IP - 4 DP - 2002 Oct TI - One-year outcome in first episode psychosis patients in the Swedish Parachute project. PG - 276-85 AB - OBJECTIVE: Implementing a system designed to treat first episode psychotic (FEP) patients. METHOD: Every FEP patient (n=253) from a catchment area of 1.5 million inhabitants were asked to participate in this 5-year project. One historical (n=71) and one prospective (n=64) FEP group were used for comparisons. RESULTS: A total of 175 patients (69%) were followed up through the first year of treatment. Global Assessment of Functioning (GAF) values were significantly higher than in the historical comparison group but similar to the prospective group. Psychiatric in-patient care was lower as was prescription of neuroleptic medication. Satisfaction with care was generally high in the Parachute group. Access to a small overnight crisis home was associated with higher GAF. CONCLUSION: It is possible to successfully treat FEP patients with fewer in-patient days and less neuroleptic medication than is usually recommended, when combined with intensive psychosocial treatment and support. FAU - Cullberg, J AU - Cullberg J AD - Stockholm Center of Public Health, Unit of Mental Health, Stockholm, Sweden. johan.cullberg@smd.sll.se FAU - Levander, S AU - Levander S FAU - Holmqvist, R AU - Holmqvist R FAU - Mattsson, M AU - Mattsson M FAU - Wieselgren, I-M AU - Wieselgren IM LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Acta Psychiatr Scand JT - Acta psychiatrica Scandinavica JID - 0370364 RN - 0 (Antipsychotic Agents) SB - IM MH - Antipsychotic Agents/therapeutic use MH - Brief Psychiatric Rating Scale MH - Follow-Up Studies MH - Hospitalization/statistics & numerical data MH - Humans MH - Mental Health Services/*standards MH - Prospective Studies MH - Psychotic Disorders/diagnosis/drug therapy/*rehabilitation MH - Severity of Illness Index MH - Social Support MH - Sweden MH - Treatment Outcome EDAT- 2002/09/13 10:00 MHDA- 2002/12/17 04:00 CRDT- 2002/09/13 10:00 PHST- 2002/09/13 10:00 [pubmed] PHST- 2002/12/17 04:00 [medline] PHST- 2002/09/13 10:00 [entrez] AID - 2o376 [pii] AID - 10.1034/j.1600-0447.2002.02376.x [doi] PST - ppublish SO - Acta Psychiatr Scand. 2002 Oct;106(4):276-85. doi: 10.1034/j.1600-0447.2002.02376.x.