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Article: Early intervention and evaluation for adult-onset psychosis: The JCEP study rationale and design

TitleEarly intervention and evaluation for adult-onset psychosis: The JCEP study rationale and design
Authors
Issue Date2014
Citation
Early Intervention in Psychiatry, 2014, v. 8 n. 3, p. 261-268 How to Cite?
AbstractAim: Psychotic disorders incur substantial long-term burdens to patients and society. Early intervention (EI) during the initial years of psychotic disorders can improve long-term outcome. In Hong Kong, a pilot EI programme (EASY, Early Assessment Service for Young people with psychosis) had been set up since 2001 to serve clients under 25 years of age. Although EASY has been effective in improving outcome, consolidation of early psychosis work requires further development. Methods: The present paper describes a new EI development which targets adult patients with psychosis in Hong Kong. The Jockey Club Early Psychosis (JCEP) project was launched in 2009. Expanding the service to patients above 25 years old, JCEP aims to deliver a territory-wide specialized EI service to adult-onset psychosis patients, to promote public awareness on early psychosis, and to research on the optimal intervention model and duration for early psychosis in a 4-year randomized controlled trial (RCT). Participants were randomly assigned to receive either 4 years of EI service, 2 years of EI service, or 4 years of standard care. Their symptoms, neurocognitive functions, psychosocial well-being and health economics were regularly assessed. Results: To date, 360 patients were recruited into the RCT, and 740 patients were recruited in a 2-year naturalistic study. Prospective, longitudinal follow-up assessments of these patients are still underway. Conclusions: JCEP is the first EI project to provide adult early psychosis service in Chinese population. Future data would help to address the optimal duration of EI and its cost-effectiveness. This would also assist regional and international mental health development. © 2013 Wiley Publishing Asia Pty Ltd.
Persistent Identifierhttp://hdl.handle.net/10722/192732
ISSN
2015 Impact Factor: 2.889
2015 SCImago Journal Rankings: 1.071
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorHui, CLMen_US
dc.contributor.authorChang, WCen_US
dc.contributor.authorChan, SKen_US
dc.contributor.authorLee, EHen_US
dc.contributor.authorTam, WWen_US
dc.contributor.authorLai, DCen_US
dc.contributor.authorWong, GHen_US
dc.contributor.authorTang, YMJen_US
dc.contributor.authorLi, FWen_US
dc.contributor.authorLeung, KFen_US
dc.contributor.authorMcghee, SMen_US
dc.contributor.authorSham, PCen_US
dc.contributor.authorChen, EYen_US
dc.date.accessioned2013-11-20T05:00:02Z-
dc.date.available2013-11-20T05:00:02Z-
dc.date.issued2014en_US
dc.identifier.citationEarly Intervention in Psychiatry, 2014, v. 8 n. 3, p. 261-268en_US
dc.identifier.issn1751-7885en_US
dc.identifier.urihttp://hdl.handle.net/10722/192732-
dc.description.abstractAim: Psychotic disorders incur substantial long-term burdens to patients and society. Early intervention (EI) during the initial years of psychotic disorders can improve long-term outcome. In Hong Kong, a pilot EI programme (EASY, Early Assessment Service for Young people with psychosis) had been set up since 2001 to serve clients under 25 years of age. Although EASY has been effective in improving outcome, consolidation of early psychosis work requires further development. Methods: The present paper describes a new EI development which targets adult patients with psychosis in Hong Kong. The Jockey Club Early Psychosis (JCEP) project was launched in 2009. Expanding the service to patients above 25 years old, JCEP aims to deliver a territory-wide specialized EI service to adult-onset psychosis patients, to promote public awareness on early psychosis, and to research on the optimal intervention model and duration for early psychosis in a 4-year randomized controlled trial (RCT). Participants were randomly assigned to receive either 4 years of EI service, 2 years of EI service, or 4 years of standard care. Their symptoms, neurocognitive functions, psychosocial well-being and health economics were regularly assessed. Results: To date, 360 patients were recruited into the RCT, and 740 patients were recruited in a 2-year naturalistic study. Prospective, longitudinal follow-up assessments of these patients are still underway. Conclusions: JCEP is the first EI project to provide adult early psychosis service in Chinese population. Future data would help to address the optimal duration of EI and its cost-effectiveness. This would also assist regional and international mental health development. © 2013 Wiley Publishing Asia Pty Ltd.en_US
dc.languageengen_US
dc.relation.ispartofEarly Intervention in Psychiatryen_US
dc.titleEarly intervention and evaluation for adult-onset psychosis: The JCEP study rationale and designen_US
dc.typeArticleen_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1111/eip.12034en_US
dc.identifier.pmid23445124-
dc.identifier.scopuseid_2-s2.0-84904756126en_US
dc.identifier.hkuros214630-
dc.identifier.hkuros221673-
dc.identifier.hkuros235642-
dc.identifier.isiWOS:000339799400008-

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