6533b7d2fe1ef96bd125eb8f
RESEARCH PRODUCT
The long-term use of psychiatric services within the Open Dialogue treatment system after first-episode psychosis
Jyri J. TaskilaPirjo MäkiTomi BergströmPäivi Köngäs-saviaroJaakko SeikkulaJukka AaltonenBirgitta Alakaresubject
Psychosismedicine.medical_specialty03 medical and health sciences0302 clinical medicineIntervention (counseling)First episode psychosismedicinefirst-episode psychosisPsychiatryBaseline (configuration management)ta515psychosesTreatment systemlong-term treatment patternsbusiness.industryopen-dialogue approachneed-adapted approachmedicine.diseaseMental health030227 psychiatryTerm (time)mental disordersPsychiatry and Mental healthlong-term careCatchment areabusiness030217 neurology & neurosurgerydescription
AbstractOpen Dialogue is a family-oriented early intervention model for mental health problems developed in the health district of Western Lapland, Finland. In the present study, the aim was to describe how psychiatric services were used in Western Lapland after decades of first-episode psychosis services, and to analyze how baseline characteristics were related to re-admission rates and the total duration of psychiatric treatment in geographical area where Open Dialogue approaches were developed and efforts made to systematically apply them to all psychiatric treatments. The data were obtained from the medical histories of patients who had first-episode psychosis in 1992–2005 and who lived continuously within the catchment area during the observation years (1992–2015) (N = 65). From baseline up to 2015, average length of treatment was 6 ± 2 years, and significant decrease (p < .001) in total use of psychiatric services was observed. The admission rates and duration of treatment were highest with subjects...
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2017-07-25 | Psychosis |