PMID- 34007478
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220423
IS  - 1608-9685 (Print)
IS  - 2078-6786 (Electronic)
IS  - 1608-9685 (Linking)
VI  - 27
DP  - 2021
TI  - Quality of individual and group level interventions for first-episode psychosis 
      at the tertiary psychiatric hospital in Uganda.
PG  - 1604
LID - 10.4102/sajpsychiatry.v27i0.1604 [doi]
LID - 1604
AB  - BACKGROUND: Individual and group level interventions have the largest effect on 
      outcomes in patients with the first episode of psychosis. The quality of these 
      individual and group level interventions provided to first-episode psychosis 
      patients in Uganda is unclear. AIM: To determine the quality of the individual 
      and group level interventions provided to first episode psychosis patients in 
      Uganda. SETTING: The study was performed at the only tertiary psychiatric 
      hospital in Uganda. METHODS: A retrospective chart review of recently discharged 
      adult in-patients with the first episode of psychosis was performed. The 
      proportion of participants who received different essential components for 
      individual and group level interventions were calculated. From the different 
      proportions, the quality of the services across the individual and group 
      interventions was determined using the first-episode psychosis services fidelity 
      scale (FEPS-FS). The FEPS-FS assigns a grade of 1-5 on a Likert scale depending 
      on the proportion of patients who received the different components of the 
      intervention. Twelve essential components across the individual and group 
      interventions were assessed and their quality quantified. RESULTS: The final 
      sample included 156 first-episode psychosis patients. The median age was 27 years 
      (inter-quartile range [IQR] [24-36]) and 55% of the participants were female. All 
      12 essential components had poor quality with the range of scores on the FEPS-FS 
      between one and three. Only one essential component assessed (use of single 
      antipsychotics) had moderate quality. CONCLUSION: Amongst current services at the 
      Butabika National Referral Mental Hospital in Uganda, the essential components 
      for individual and group level interventions for psychotic disorders are of poor 
      quality. Further studies are required on how the quality of these interventions 
      can be improved.
CI  - (c) 2021. The Authors.
FAU - Mwesiga, Emmanuel K
AU  - Mwesiga EK
AUID- ORCID: 0000-0003-3512-7717
AD  - Department of Psychiatry, College of Health Sciences, Makerere University, 
      Kampala, Uganda.
FAU - Nakasujja, Noeline
AU  - Nakasujja N
AUID- ORCID: 0000-0002-8163-4376
AD  - Department of Psychiatry, College of Health Sciences, Makerere University, 
      Kampala, Uganda.
FAU - Nankaba, Lawrence
AU  - Nankaba L
AUID- ORCID: 0000-0001-6878-3441
AD  - Butabika National Referral Mental Hospital, Kampala, Uganda.
FAU - Nakku, Juliet
AU  - Nakku J
AUID- ORCID: 0000-0002-0611-1102
AD  - Butabika National Referral Mental Hospital, Kampala, Uganda.
FAU - Musisi, Seggane
AU  - Musisi S
AUID- ORCID: 0000-0002-3454-0000
AD  - Department of Psychiatry, College of Health Sciences, Makerere University, 
      Kampala, Uganda.
LA  - eng
GR  - D43 TW010132/TW/FIC NIH HHS/United States
PT  - Journal Article
DEP - 20210422
PL  - South Africa
TA  - S Afr J Psychiatr
JT  - The South African journal of psychiatry : SAJP : the journal of the Society of 
      Psychiatrists of South Africa
JID - 100958626
PMC - PMC8111614
OTO - NOTNLM
OT  - early intervention services
OT  - first episode psychosis
OT  - group level interventions
OT  - individual level interventions
OT  - low and middle income country
OT  - public health
OT  - service provision
COIS- The authors declare that they have no financial or personal relationships that 
      may have inappropriately influenced them in writing this article.
EDAT- 2021/05/20 06:00
MHDA- 2021/05/20 06:01
PMCR- 2021/04/22
CRDT- 2021/05/19 06:49
PHST- 2020/08/04 00:00 [received]
PHST- 2021/02/10 00:00 [accepted]
PHST- 2021/05/19 06:49 [entrez]
PHST- 2021/05/20 06:00 [pubmed]
PHST- 2021/05/20 06:01 [medline]
PHST- 2021/04/22 00:00 [pmc-release]
AID - SAJPsy-27-1604 [pii]
AID - 10.4102/sajpsychiatry.v27i0.1604 [doi]
PST - epublish
SO  - S Afr J Psychiatr. 2021 Apr 22;27:1604. doi: 10.4102/sajpsychiatry.v27i0.1604. 
      eCollection 2021.