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A retrospective study of outcomes after referral to the early intervention in psychosis programme at Valkenberg Psychiatric Hospital
Background. Psychotic Disorders affect more than 1% of the South African adult population and have a chronic course that is associated with high rates of morbidity and mortality. The implementation of early intervention strategies may reduce the severity of these disorders. Little is known about the...
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| Format: | Thesis |
| Language: | English |
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Department of Psychiatry and Mental Health
2023
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| _version_ | 1867613195975262208 |
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| access_status_str | Open Access |
| author | Setjie, Sewela |
| author2 | Horn, Neil |
| author_browse | Horn, Neil Setjie, Sewela |
| author_facet | Horn, Neil Setjie, Sewela |
| author_sort | Setjie, Sewela |
| collection | Thesis |
| description | Background. Psychotic Disorders affect more than 1% of the South African adult population and have a chronic course that is associated with high rates of morbidity and mortality. The implementation of early intervention strategies may reduce the severity of these disorders. Little is known about the effectiveness of these interventions in South Africa and few longerterm studies have been undertaken internationally. Aim. This study aimed to measure the effectiveness of an Early Intervention and Support (EISH) service at reducing readmission to hospital in patients with psychotic disorders. Setting. Valkenberg Psychiatric Hospital, Cape Town. The EISH Team is an outpatient service consisting of psychiatrists, a psychologist, an occupational therapist, psychiatric nurses and social workers. Methods. Retrospective cohort study. Hospitalisation during the two years after discharge from the index admission was measured in 100 subjects who attended EISH and 100 who had treatment as usual (TAU). Readmission rate, average length of stay (ALOS), and time to readmission to District Hospitals (DH) and Tertiary Psychiatric Hospitals (TPH) were calculated. Results. Readmission Rates were three times higher in TAU compared to EISH patients for both types of Hospital. For TAU subjects compared to EISH subjects: ALOS was longer (59 vs 13 days), and days to readmission were fewer (187 vs 320 days). All differences were statistically significant (ps < .05). Conclusion. EISH intervention at Valkenberg Hospital was useful in reducing readmission rate, ALOS, and time to readmission in patients with Psychotic disorders. Prospective controlled trials are required to confirm the efficacy of this intervention. |
| format | Thesis |
| id | oai:open.uct.ac.za:11427/38142 |
| institution | University of Cape Town (South Africa) |
| language | eng |
| last_indexed | 2026-06-10T12:32:17.361Z |
| license_str | Not specified — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository |
| publishDate | 2023 |
| publishDateRange | 2023 |
| publishDateSort | 2023 |
| publisher | Department of Psychiatry and Mental Health |
| publisherStr | Department of Psychiatry and Mental Health |
| record_format | dspace |
| source_str | UCTD — University of Cape Town Open Access Repository |
| spelling | oai:open.uct.ac.za:11427/38142 A retrospective study of outcomes after referral to the early intervention in psychosis programme at Valkenberg Psychiatric Hospital Setjie, Sewela Horn, Neil Rodwell Catherine Psychiatry and Mental Health Background. Psychotic Disorders affect more than 1% of the South African adult population and have a chronic course that is associated with high rates of morbidity and mortality. The implementation of early intervention strategies may reduce the severity of these disorders. Little is known about the effectiveness of these interventions in South Africa and few longerterm studies have been undertaken internationally. Aim. This study aimed to measure the effectiveness of an Early Intervention and Support (EISH) service at reducing readmission to hospital in patients with psychotic disorders. Setting. Valkenberg Psychiatric Hospital, Cape Town. The EISH Team is an outpatient service consisting of psychiatrists, a psychologist, an occupational therapist, psychiatric nurses and social workers. Methods. Retrospective cohort study. Hospitalisation during the two years after discharge from the index admission was measured in 100 subjects who attended EISH and 100 who had treatment as usual (TAU). Readmission rate, average length of stay (ALOS), and time to readmission to District Hospitals (DH) and Tertiary Psychiatric Hospitals (TPH) were calculated. Results. Readmission Rates were three times higher in TAU compared to EISH patients for both types of Hospital. For TAU subjects compared to EISH subjects: ALOS was longer (59 vs 13 days), and days to readmission were fewer (187 vs 320 days). All differences were statistically significant (ps < .05). Conclusion. EISH intervention at Valkenberg Hospital was useful in reducing readmission rate, ALOS, and time to readmission in patients with Psychotic disorders. Prospective controlled trials are required to confirm the efficacy of this intervention. 2023-07-19T13:12:41Z 2023-07-19T13:12:41Z 2023 2023-07-19T13:11:52Z Master Thesis Masters MMed http://hdl.handle.net/11427/38142 eng application/pdf Department of Psychiatry and Mental Health Faculty of Health Sciences |
| spellingShingle | Psychiatry and Mental Health Setjie, Sewela A retrospective study of outcomes after referral to the early intervention in psychosis programme at Valkenberg Psychiatric Hospital |
| thesis_degree_str | Master's |
| title | A retrospective study of outcomes after referral to the early intervention in psychosis programme at Valkenberg Psychiatric Hospital |
| title_full | A retrospective study of outcomes after referral to the early intervention in psychosis programme at Valkenberg Psychiatric Hospital |
| title_fullStr | A retrospective study of outcomes after referral to the early intervention in psychosis programme at Valkenberg Psychiatric Hospital |
| title_full_unstemmed | A retrospective study of outcomes after referral to the early intervention in psychosis programme at Valkenberg Psychiatric Hospital |
| title_short | A retrospective study of outcomes after referral to the early intervention in psychosis programme at Valkenberg Psychiatric Hospital |
| title_sort | retrospective study of outcomes after referral to the early intervention in psychosis programme at valkenberg psychiatric hospital |
| topic | Psychiatry and Mental Health |
| url | http://hdl.handle.net/11427/38142 |
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