title: Pattern of health service utilization and predictors of readmission after a first admission for psychosis: a 2-year follow-up study.
abstract: OBJECTIVE
  To explore the pattern of health service utilization over 2 years following a first admission for psychosis and the baseline characteristics predicting readmission.
  
  
  METHODS
  Patients included in a cohort of first-admitted subjects with psychosis (n = 84) were assessed at the end of a 2-year follow-up using multiple sources of information.
  
  
  RESULTS
  At the end of the follow-up, one of three subjects had no contact with any mental health professional, and 38% of subjects had no contact with a psychiatrist. Half of the patients were readmitted over the 2-year follow-up. The baseline characteristics independently predicting psychiatric readmission were a high number of helping contacts before first admission and persistence of psychotic symptoms at discharge.
  
  
  CONCLUSIONS
  Decreasing the frequency of readmission in the early course of psychosis is a public health priority. Development of psychotherapeutic programs for subjects with early psychosis who have enduring psychotic symptoms at first discharge should be promoted.
authors.affiliation: University Victor Segalen Bordeaux2, Bordeaux, France.
authors.forename: A
authors.initials: A
authors.lastname: Cougnard
authors.forename: M
authors.initials: M
authors.lastname: Parrot
authors.forename: S
authors.initials: S
authors.lastname: Grolleau
authors.forename: E
authors.initials: E
authors.lastname: Kalmi
authors.forename: A
authors.initials: A
authors.lastname: Desage
authors.forename: D
authors.initials: D
authors.lastname: Misdrahi
authors.forename: H
authors.initials: H
authors.lastname: Brun-Rousseau
authors.forename: H
authors.initials: H
authors.lastname: Verdoux
mesh_terms: D000293:Adolescent; D000328:Adult; D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D005602:France; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008605:Mental Health Services / Q000706:statistics & numerical data*; D008875:Middle Aged; D010359:Patient Readmission / Q000706:statistics & numerical data*; D011618:Psychotic Disorders / Q000534:rehabilitation*