Quality of individual and group level interventions for first-episode psychosis at the tertiary psychiatric hospital in Uganda.
early intervention services
first episode psychosis
group level interventions
individual level interventions
low and middle income country
public health
service provision
Journal
The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa
ISSN: 1608-9685
Titre abrégé: S Afr J Psychiatr
Pays: South Africa
ID NLM: 100958626
Informations de publication
Date de publication:
2021
2021
Historique:
received:
04
08
2020
accepted:
10
02
2021
entrez:
19
5
2021
pubmed:
20
5
2021
medline:
20
5
2021
Statut:
epublish
Résumé
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. To determine the quality of the individual and group level interventions provided to first episode psychosis patients in Uganda. The study was performed at the only tertiary psychiatric hospital in Uganda. 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. 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. 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.
Sections du résumé
BACKGROUND
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
OBJECTIVE
To determine the quality of the individual and group level interventions provided to first episode psychosis patients in Uganda.
SETTING
METHODS
The study was performed at the only tertiary psychiatric hospital in Uganda.
METHODS
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
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
CONCLUSIONS
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.
Identifiants
pubmed: 34007478
doi: 10.4102/sajpsychiatry.v27i0.1604
pii: SAJPsy-27-1604
pmc: PMC8111614
doi:
Types de publication
Journal Article
Langues
eng
Pagination
1604Subventions
Organisme : FIC NIH HHS
ID : D43 TW010132
Pays : United States
Informations de copyright
© 2021. The Authors.
Déclaration de conflit d'intérêts
The authors declare that they have no financial or personal relationships that may have inappropriately influenced them in writing this article.
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