PMID- 23019285
OWN - NLM
STAT- MEDLINE
DCOM- 20130225
LR  - 20191210
IS  - 2224-7041 (Electronic)
IS  - 2078-9947 (Linking)
VI  - 22
IP  - 3
DP  - 2012 Sep
TI  - Evolution of early psychosis intervention services in Singapore.
PG  - 114-7
AB  - The alarmingly long duration of untreated psychosis in Singapore and probable 
      severe consequences were the impetus for establishing the Early Psychosis 
      Intervention Programme in 2001. In 2007, the Early Psychosis Intervention 
      Programme became a part of the National Mental Health Blueprint. This study 
      analysed the Early Psychosis Intervention Programme's key outcomes according to 
      the case management model, and shows how the programme has evolved and expanded 
      into indicated prevention by establishment of the Support for Wellness 
      Achievement Programme focusing on at-risk mental state. The Early Psychosis 
      Intervention Programme has incorporated an evaluation component into the clinical 
      programme by administering regular structured assessments and generating 
      operational statistics from the hospital's data systems. Based on data analysis 
      from a study on consecutive patients accepted into the Early Psychosis 
      Intervention Programme over a 4-year period, we found that at the end of 2 years 
      of follow-up, majority of patients (85%) scored >/= 61 on Global Assessment of 
      Functioning (GAF) disability scale, while two-thirds (66%) met criteria for 
      functional remission, which was defined as having a GAF disability score of >/= 61 
      with engagement in age-appropriate vocation (gainfully employed or studying). 
      There was also a significant decrease in the Positive and Negative Syndrome Scale 
      for schizophrenia (t = 27.7, p < 0.05) and increase in GAF (t = 33.7, p < 0.05) 
      mean scores from baseline at 2 years. As a national programme, the Early 
      Psychosis Intervention Programme has articulated processes and outcome indicators 
      to the stakeholders, and a periodic report card on these outcomes ensures 
      accountability to the funders, patients, and their families.
FAU - Verma, S
AU  - Verma S
AD  - Department of Early Psychosis Intervention, Institute of Mental Health, 10 
      Buangkok View, Singapore. Swapna_VERMA@imh.com
FAU - Poon, L Y
AU  - Poon LY
FAU - Lee, H
AU  - Lee H
FAU - Rao, S
AU  - Rao S
FAU - Chong, S A
AU  - Chong SA
LA  - eng
PT  - Journal Article
PL  - China
TA  - East Asian Arch Psychiatry
JT  - East Asian archives of psychiatry : official journal of the Hong Kong College of 
      Psychiatrists = Dong Ya jing shen ke xue zhi : Xianggang jing shen ke yi xue yuan 
      qi kan
JID - 101536416
SB  - IM
MH  - Early Medical Intervention/methods/*trends
MH  - Humans
MH  - Mental Health Services/organization & administration/*trends
MH  - Outcome and Process Assessment, Health Care/statistics & numerical data
MH  - Psychiatric Status Rating Scales/statistics & numerical data
MH  - Psychotic Disorders/*therapy
MH  - Singapore
EDAT- 2012/09/29 06:00
MHDA- 2013/02/26 06:00
CRDT- 2012/09/29 06:00
PHST- 2012/09/29 06:00 [entrez]
PHST- 2012/09/29 06:00 [pubmed]
PHST- 2013/02/26 06:00 [medline]
PST - ppublish
SO  - East Asian Arch Psychiatry. 2012 Sep;22(3):114-7.