Multiple family group interventions in first episode psychosis: Enhancing knowledge and understanding

Introduction: Individual and group level interventions have the largest effect on outcomes in patients with the first episode of psychosis. The quality of these individual and group level interventions provided to first-episode psychosis patients in Uganda is unclear.Methods: The study was performed at Butabika National Psychiatric Teaching and referral hospital in Uganda. A retrospective chart review of recently discharged adult in-patients with the first episode of psychosis was first performed to determine the proportion of participants who received the different essential components for individual and group level interventions. From the different proportions, the quality of the services across the individual and group interventions was determined using the first-Episode Psychosis Services Fidelity Scale (FEPS-FS). The FEPS-FS assigns a grade of 1-5 on a Likert scale depending on the proportion of patients received the different components of the intervention. Results: The final sample included 156 first-episode psychosis patients. The median age was 27 years [IOR (24-36)] with 55% of participants of the female gender. 13 essential components across the individual and group interventions were assessed and their quality quantified. All 13 essential components had poor quality with the range of scores on the FEPS-FS of 1-3. Only one essential component assessed (use of single antipsychotics) had moderate quality.Discussion: Among current services at the National psychiatric hospital of Uganda, the essential for individual and group level interventions for psychotic disorders are of low quality. Further studies are required on how the quality of these interventions can be improved.

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Multi-Family Group Intervention in a Programme for Patients With First-Episode Psychosis: a Brazilian Experience

International Journal of Social Psychiatry ◽

10.1177/0020764009102754 ◽

2009 ◽

Vol 56 (5) ◽

pp. 527-532 ◽

Cited By ~ 17

Author(s):

Rita Regina Fabri Cabral ◽

Ana Cristina Chaves

Keyword(s):

Group Intervention ◽

First Episode Psychosis ◽

Family Group ◽

First Episode ◽

Episode Psychosis

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Quality of individual and group level interventions for first-episode psychosis at the tertiary psychiatric hospital in Uganda

South African Journal of Psychiatry ◽

10.4102/sajpsychiatry.v27i0.1604 ◽

2021 ◽

Vol 27 ◽

Author(s):

Emmanuel K. Mwesiga ◽

Noeline Nakasujja ◽

Lawrence Nankaba ◽

Juliet Nakku ◽

Seggane Musisi

Keyword(s):

Psychiatric Hospital ◽

First Episode Psychosis ◽

Poor Quality ◽

First Episode ◽

Group Level ◽

Group Interventions ◽

Episode Psychosis ◽

Essential Components ◽

The Individual

Background: Individual and group level interventions have the largest effect on outcomes in patients with the first episode of psychosis. The quality of these individual and group level interventions provided to first-episode psychosis patients in Uganda is unclear.Aim: To determine the quality of the individual and group level interventions provided to first episode psychosis patients in UgandaSetting: The study was performed at the only tertiary psychiatric hospital in Uganda.Methods: A retrospective chart review of recently discharged adult in-patients with the first episode of psychosis was performed. The proportion of participants who received different essential components for individual and group level interventions were calculated. From the different proportions, the quality of the services across the individual and group interventions was determined using the first-episode psychosis services fidelity scale (FEPS-FS). The FEPS-FS assigns a grade of 1–5 on a Likert scale depending on the proportion of patients who received the different components of the intervention. Twelve essential components across the individual and group interventions were assessed and their quality quantified.Results: The final sample included 156 first-episode psychosis patients. The median age was 27 years (inter-quartile range [IQR] [24–36]) and 55% of the participants were female. All 12 essential components had poor quality with the range of scores on the FEPS-FS between one and three. Only one essential component assessed (use of single antipsychotics) had moderate quality.Conclusion: Amongst current services at the Butabika National Referral Mental Hospital in Uganda, the essential components for individual and group level interventions for psychotic disorders are of poor quality. Further studies are required on how the quality of these interventions can be improved.

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Multi‐family group and single‐family intervention in first‐episode psychosis: A prospective, quasi‐experimental cohort study

Early Intervention in Psychiatry ◽

10.1111/eip.13047 ◽

2020 ◽

Author(s):

Ulrik Helt Haahr ◽

Jens Einar Jansen ◽

Hanne‐Grethe Lyse Nielsen ◽

Marlene Buch Pedersen ◽

Anne Marie Trauelsen ◽

...

Keyword(s):

Cohort Study ◽

Family Intervention ◽

First Episode Psychosis ◽

Family Group ◽

First Episode ◽

Single Family ◽

Episode Psychosis ◽

Quasi Experimental

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Jumping to social conclusions?: The implications of early and uninformed social judgements in first episode psychosis.

Journal of Abnormal Psychology ◽

10.1037/abn0000490 ◽

2020 ◽

Vol 129 (1) ◽

pp. 131-141

Author(s):

Michael J. Grossman ◽

Christopher R. Bowie

Keyword(s):

First Episode Psychosis ◽

First Episode ◽

Episode Psychosis

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Gender differences in response to metacognitive training in people with first-episode psychosis.

Journal of Consulting and Clinical Psychology ◽

10.1037/ccp0000468 ◽

2020 ◽

Vol 88 (6) ◽

pp. 516-525 ◽

Cited By ~ 1

Author(s):

Miriam Salas-Sender ◽

Raquel López-Carrilero ◽

Ana Barajas ◽

Esther Lorente-Rovira ◽

Esther Pousa ◽

...

Keyword(s):

Gender Differences ◽

First Episode Psychosis ◽

First Episode ◽

Metacognitive Training ◽

Episode Psychosis

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Cognitive clusters in first-episode psychosis: Overlap with healthy controls and relationship to concurrent and prospective symptoms and functioning.

Neuropsychology ◽

10.1037/neu0000367 ◽

2017 ◽

Vol 31 (7) ◽

pp. 787-797 ◽

Cited By ~ 18

Author(s):

Jacqueline Uren ◽

Susan M. Cotton ◽

Eoin Killackey ◽

Michael M. Saling ◽

Kelly Allott

Keyword(s):

First Episode Psychosis ◽

First Episode ◽

Healthy Controls ◽

Episode Psychosis

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Improving outcomes: Factors influencing help-seeking behaviors in immigrants and ethnic minorities with first-episode psychosis

Die Psychiatrie ◽

10.1055/s-0038-1672286 ◽

2016 ◽

Vol 13 (03) ◽

pp. 152-157

Author(s):

A. O. Berg ◽

K. Leopold ◽

S. Zarafonitis-Müller ◽

M. Nerhus ◽

L. H. Stouten ◽

...

Keyword(s):

Mental Health ◽

Help Seeking ◽

Service Use ◽

First Episode Psychosis ◽

Pathways To Care ◽

First Episode ◽

Factors Influencing ◽

Increased Risk ◽

Episode Psychosis ◽

The Hague

Summary Background: Immigrants have increased risk of a poor recovery from first episode psychosis (FEP). Early treatment can improve prognosis, but having an immigrant background may influence pathways to care. Method: We present research of service use and factors influencing treatment outcome in immigrants with FEP. Service use was assessed in in-patients at an early intervention center in Berlin, Germany. Duration of untreated psychosis and beliefs about illness was assessed in a FEP study in Oslo, Norway and cognitive functioning in patients with FEP schizophrenia from the regular mental health services in The Hague, the Netherlands. The proportion of immigrants in Berlin and Oslo was at level with the local populations, while the proportion in The Hague appeared to be higher. Result: There were clear indications that mental health literacy, probably based in different cultural expectations, were lower in first generation immigrants (FGI). Findings regarding clinical insight were ambiguous. There were also indications that FGI had more cognitive problems, based in higher stress levels or in cognitive styles. Early psychosis services must take issues of immigration and ethnicity into consideration.

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