PDF(Pubmed)
Abstract：
OBJECTIVE: To examine hospitalization as part of a complex pathway to care in first episode psychosis (FEP), exploring help-seeking episodes (HSE) and their relationship to hospitalization.
METHODS: Data from 66 patients at the Early Psychosis Intervention Clinic New Orleans (EPIC-NOLA), a coordinated specialty care (CSC) clinic, was obtained from Pathways to Care (PTC) assessments, which documents elements of help seeking. A chart review was performed identifying hospitalizations.
RESULTS: Most patients were hospitalized multiple times (n = 37, M = 2.98, SD = 2.14). On average, patients had more hospitalizations prior to starting treatment at EPIC-NOLA (M = 1.72, SD = 1.35) than after (M = 1.27, SD = 1.79). Patients whose first HSE resulted in intake at EPIC-NOLA were significantly less likely to be hospitalized after intake than patients with multiple HSE (F(1,52.3) = 12.9, p < .001). There was a significant correlation (N = 42) between HSE and hospitalizations after intake (τb = .327 p < .05); patients seeking help more often were more likely to be hospitalized after intake. No significant correlations were found between duration of untreated psychosis (DUP) and hospitalization.
CONCLUSIONS: While results are correlational, several key relationships were noted. Fewer hospitalizations occurred after intake into EPIC-NOLA. Starting treatment after the first HSE was related to fewer future hospitalizations, compared to intake after multiple HSEs. Intake into a CSC clinic after a single HSE may reduce hospitalization. Additionally, increased HSE, not DUP, impacted patients\' likelihood of hospitalization. This prompts treatment engagement during a first HSE to reduce hospitalization.
METHODS: Data from 66 patients at the Early Psychosis Intervention Clinic New Orleans (EPIC-NOLA), a coordinated specialty care (CSC) clinic, was obtained from Pathways to Care (PTC) assessments, which documents elements of help seeking. A chart review was performed identifying hospitalizations.
RESULTS: Most patients were hospitalized multiple times (n = 37, M = 2.98, SD = 2.14). On average, patients had more hospitalizations prior to starting treatment at EPIC-NOLA (M = 1.72, SD = 1.35) than after (M = 1.27, SD = 1.79). Patients whose first HSE resulted in intake at EPIC-NOLA were significantly less likely to be hospitalized after intake than patients with multiple HSE (F(1,52.3) = 12.9, p < .001). There was a significant correlation (N = 42) between HSE and hospitalizations after intake (τb = .327 p < .05); patients seeking help more often were more likely to be hospitalized after intake. No significant correlations were found between duration of untreated psychosis (DUP) and hospitalization.
CONCLUSIONS: While results are correlational, several key relationships were noted. Fewer hospitalizations occurred after intake into EPIC-NOLA. Starting treatment after the first HSE was related to fewer future hospitalizations, compared to intake after multiple HSEs. Intake into a CSC clinic after a single HSE may reduce hospitalization. Additionally, increased HSE, not DUP, impacted patients\' likelihood of hospitalization. This prompts treatment engagement during a first HSE to reduce hospitalization.
摘要：
目的：检查住院作为首发精神病（FEP）的复杂护理途径的一部分，探索求助事件（HSE）及其与住院的关系。
方法：来自新奥尔良早期精神病干预诊所（EPIC-NOLA）的66名患者的数据，协调的专科护理(CSC)诊所，是从护理途径(PTC)评估中获得的，它记录了寻求帮助的要素。进行图表审查以确定住院情况。
结果：大多数患者多次住院（n=37，M=2.98，SD=2.14）。平均而言,患者在EPIC-NOLA开始治疗前(M=1.72,SD=1.35)的住院次数多于治疗后(M=1.27,SD=1.79).首次HSE导致EPIC-NOLA摄入的患者在摄入后住院的可能性明显低于多次HSE患者(F(1,52.3)=12.9,p<.001)。HSE与摄入后住院之间存在显着相关性（N=42）（τb=.327p<.05）；寻求帮助的患者在摄入后住院的可能性更高。未治疗精神病（DUP）的持续时间与住院之间没有显着相关性。
结论：虽然结果是相关的，注意到几个关键关系。摄入EPIC-NOLA后住院次数减少。第一次HSE后开始治疗与未来住院人数减少有关，与多次HSE后的摄入量相比。单次HSE后进入CSC诊所可能会减少住院。此外,HSE增加,不是DUP,影响患者住院的可能性。这促使在第一次HSE期间进行治疗以减少住院。
方法：来自新奥尔良早期精神病干预诊所（EPIC-NOLA）的66名患者的数据，协调的专科护理(CSC)诊所，是从护理途径(PTC)评估中获得的，它记录了寻求帮助的要素。进行图表审查以确定住院情况。
结果：大多数患者多次住院（n=37，M=2.98，SD=2.14）。平均而言,患者在EPIC-NOLA开始治疗前(M=1.72,SD=1.35)的住院次数多于治疗后(M=1.27,SD=1.79).首次HSE导致EPIC-NOLA摄入的患者在摄入后住院的可能性明显低于多次HSE患者(F(1,52.3)=12.9,p<.001)。HSE与摄入后住院之间存在显着相关性（N=42）（τb=.327p<.05）；寻求帮助的患者在摄入后住院的可能性更高。未治疗精神病（DUP）的持续时间与住院之间没有显着相关性。
结论：虽然结果是相关的，注意到几个关键关系。摄入EPIC-NOLA后住院次数减少。第一次HSE后开始治疗与未来住院人数减少有关，与多次HSE后的摄入量相比。单次HSE后进入CSC诊所可能会减少住院。此外,HSE增加,不是DUP,影响患者住院的可能性。这促使在第一次HSE期间进行治疗以减少住院。
