6533b7ddfe1ef96bd1273fb2
RESEARCH PRODUCT
The comprehensive Open-Dialogue approach in Western Lapland: II. Long-term stability of acute psychosis outcomes in advanced community care
Jukka AaltonenBirgitta AlakareJaakko Seikkulasubject
Family therapymedicine.medical_specialtyIncidence (epidemiology)medicine.diseaseMental healthUntreated psychosisAcute PsychosisTerm (time)Psychiatry and Mental healthSchizophreniamedicinePsychiatryPsychologyInclusion (education)ta515description
An open dialogue need-adapted approach was applied in Finnish Western Lapland by organizing three-year family therapy training for the entire staff, and by following the outcomes. Three inclusion periods of first-episode psychotic patients were compared. In a two-year follow-up of two consecutive periods during the 1990s (1992–3 and 1994–7) it was found that 81% of patients did not have any residual psychotic symptoms, and that 84% had returned to full-time employment or studies. Only 33% had used neuroleptic medication. A third inclusion period, covering 2003–2005, was organized to determine whether the outcomes were consistent 10 years after the preliminary period. Fewer schizophrenia psychotic patients emerged, and their mean age was significantly lower. Duration of untreated psychosis had shortened to three weeks and the outcomes remained as good as for the first two periods. It is therefore suggested that the new practice can be related to profound changes in the incidence of severe mental health pro...
year | journal | country | edition | language |
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2011-10-01 | Psychosis |