title: A controlled trial of cognitively oriented psychotherapy for early psychosis (COPE) with four-year follow-up readmission data.
abstract: OBJECTIVE
  Cognitively oriented psychotherapy for early psychosis (COPE) is aimed at facilitating the adjustment of the person, and preventing or alleviating secondary morbidity in the wake of the first psychotic episode. The present study reports on the outcomes of a controlled trial comparing two conditions: COPE versus No-COPE.
  
  
  METHODS
  Ninety-one people participated in the trial which was analysed by intention-to-treat, including 12 people who were assigned to COPE but refused to participate. Assessments were conducted at pre-treatment, mid-treatment and post-treatment. Hospital readmission data were obtained through a Psychiatric Case Register. The study was conducted in a front-line public mental health service, the Early Psychosis Prevention and Intervention Centre (EPPIC). Clients in both COPE and No-COPE were provided with full access to the complete range of EPPIC services.
  
  
  RESULTS
  There were no significant differences between the two conditions on the nine primary outcome variables. Hospital readmissions were assessed for each client at yearly intervals up to 4 years following the completion of treatment and again there were no significant between-group differences.
  
  
  CONCLUSIONS
  The study indicated that there was no significant advantage to COPE over and above routine care at EPPIC.
authors.affiliation: ORYGEN/Early Psychosis Prevention and Intervention Centre (EPPIC) and Department of Psychology, University of Melbourne, Parkville, Victoria, Australia. henryjj@unimelb.edu.au
authors.forename: Henry
authors.initials: H
authors.lastname: Jackson
authors.forename: Patrick
authors.initials: P
authors.lastname: McGorry
authors.forename: Jane
authors.initials: J
authors.lastname: Edwards
authors.forename: Carol
authors.initials: C
authors.lastname: Hulbert
authors.forename: Lisa
authors.initials: L
authors.lastname: Henry
authors.forename: Susy
authors.initials: S
authors.lastname: Harrigan
authors.forename: Paul
authors.initials: P
authors.lastname: Dudgeon
authors.forename: Shona
authors.initials: S
authors.lastname: Francey
authors.forename: Dana
authors.initials: D
authors.lastname: Maude
authors.forename: John
authors.initials: J
authors.lastname: Cocks
authors.forename: Eoin
authors.initials: E
authors.lastname: Killackey
authors.forename: Paddy
authors.initials: P
authors.lastname: Power
mesh_terms: D000293:Adolescent; D000328:Adult; D015928:Cognitive Behavioral Therapy; D003156:Community Mental Health Services; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D010359:Patient Readmission; D011618:Psychotic Disorders / Q000523:psychology* / Q000628:therapy*; D016896:Treatment Outcome