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Predictors of hospitalization two years after treatment for first-episode psychosis

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From Māori Health Review Issue 48
Authors:
  • Turner MA et al.
Summary:

Researchers from Christchurch studied sociodemographic and clinical factors predicting hospital admission after early intervention for psychosis services treatment in 231 patients between 2000 and 2005. Most patients (78%) were admitted before or during treatment, while 29% were admitted after completing the program. Māori ethnicity, older age, a domestic partner at referral, a lower Global Assessment of Functioning score, and hospitalisation before and during treatment significantly predicted the number of post-treatment hospital admissions.

Comment:
The authors, in identifying ethnic differences in outcomes for this intervention, have focussed on the need for services to improve cultural responsiveness. Whilst this is important, a review of the quality of care into and through the program by ethnicity, would also be useful.
Reference: Psychiatr Serv. 2013;64(12):1230-5
Abstract
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Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.

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