title: First-episode psychosis patients recruited into treatment via early detection teams versus ordinary pathways: course and health service use during 5 years.
abstract: OBJECTIVE
  To compare the 5-year course and outcome of first-episode psychosis (FEP) patients recruited via active outreach detection teams (DTs) versus ordinary referral channels (not-DT).
  
  
  METHODS
  Longitudinal comparison of two parallel consecutive samples on the Positive and Negative Syndrome Scale Score and the Global Assessment of Functioning Scale. Altogether, 203 FEP patients were identified, of whom 42 refused to participate. Included were 161 patients: 56 DT and 105 not-DT.
  
  
  RESULTS
  After 2 years, the DT group developed more cases of schizophrenia with poorer prognostic features. However, the two groups did not differ significantly on outcome measures. More DT patients were treated as outpatients only and had fewer admissions and shorter total time as inpatients during the observation period.
  
  
  CONCLUSIONS
  We have previously shown that detection teams recruited more chronic patients with poorer prognostic features, but fewer symptoms and better functioning at baseline. After 2 years, the DT patients functioned as well as the not-DT patients. At 5 years, both groups have stabilized to the same plateau of low symptom severity.
authors.affiliation: Regional Centre for Clinical Research in Psychosis, Stavanger University Hospital, Faculties of Science and Mathematics, University of Stavanger, Stavanger, Norway. jojo@sus.no
authors.forename: Jan Olav
authors.initials: JO
authors.lastname: Johannessen
authors.forename: Inge
authors.initials: I
authors.lastname: Joa
authors.forename: Bjørn
authors.initials: B
authors.lastname: Auestad
authors.forename: Ulrik
authors.initials: U
authors.lastname: Haahr
authors.forename: Tor K
authors.initials: TK
authors.lastname: Larsen
authors.forename: Ingrid
authors.initials: I
authors.lastname: Melle
authors.forename: Stein
authors.initials: S
authors.lastname: Opjordsmoen
authors.forename: Per
authors.initials: P
authors.lastname: Simonsen
authors.forename: Bjørn R
authors.initials: BR
authors.lastname: Rund
authors.forename: Erik
authors.initials: E
authors.lastname: Simonsen
authors.forename: Per
authors.initials: P
authors.lastname: Vaglum
authors.forename: Svein
authors.initials: S
authors.lastname: Friis
authors.forename: Thomas
authors.initials: T
authors.lastname: McGlashan
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D042241:Early Diagnosis; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D018579:Patient Selection; D011379:Prognosis; D011618:Psychotic Disorders / Q000175:diagnosis* / Q000628:therapy