title: The development of the Recovery and Prevention of Psychosis Service in Melbourne, Australia.
abstract: OBJECTIVE
  To describe the establishment of a multicomponent, phase-specific, early intervention service for young people experiencing psychosis.
  
  
  METHODS
  The Recovery and Prevention of Psychosis Service commenced streamed clinical service delivery in November 2004, providing comprehensive case management for up to 3 years within Victoria's largest metropolitan health service. It delivers phase-oriented treatment focusing on early detection, recovery and relapse prevention, and minimizing disability and secondary comorbidity. The combined programme covers training and professional development, data collection and evaluation, specialist intervention services, group programme work and community development.
  
  
  RESULTS
  Of the first 151 clients, 70.2% were male, the average age at first presentation was 20.9 years, 15% were under 18 at first contact and 67% required inpatient admission at least once. Mean age at first contact was 20.84 years for those requiring inpatient services and 70% admitted were male. The average length of stay was 25.69 days and 23% were secluded, with an average of 2.1 seclusions. A large percentage of Recovery and Prevention of Psychosis Service clients (81%) required involuntary treatment, a significantly greater proportion of admitted patients were on Community Treatment Orders compared to those never admitted (22.5% cf. 4.1%; P = 0.04) and 92% of those admitted subsequently relapsed compared to 8% of those not admitted (P = 0.02).
  
  
  CONCLUSIONS
  Recovery and Prevention of Psychosis Service is successfully developing a fully integrated first episode service. Recent developments include expanding the period of care up to 5 years for selected patients, the recruitment of a health promotions officer and planning for the development of a youth inpatient unit.
authors.affiliation: Recovery and Prevention of Psychosis Service, Community Services Building, 145 Cleeland Street, Dandenong, Vic. 3175, Australia. brendan.murphy@med.monash.edu.a
authors.forename: Brendan P
authors.initials: BP
authors.lastname: Murphy
authors.forename: Carolyn
authors.initials: C
authors.lastname: Simms
authors.forename: Rose-Mary
authors.initials: RM
authors.lastname: Dowling
authors.forename: Annette
authors.initials: A
authors.lastname: Graham
authors.forename: Anne
authors.initials: A
authors.lastname: Doherty
authors.forename: Graham N
authors.initials: GN
authors.lastname: Meadows
mesh_terms: D003266:Continuity of Patient Care; D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D008605:Mental Health Services / Q000458:organization & administration; D011618:Psychotic Disorders / Q000517:prevention & control* / Q000534:rehabilitation / Q000628:therapy; D014739:Victoria; D055815:Young Adult