title: Treatment and early intervention in psychosis program (TIPP-Lausanne): Implementation of an early intervention programme for psychosis in Switzerland.
abstract: OBJECTIVE
  In a survey conducted in the Lausanne catchment area in 2000, we could estimate on the basis of file assessment that first-episode psychosis (FEP) patients had psychotic symptoms for more than 2 years before treatment and that 50% did not attend any outpatient appointment after discharge from hospital. In this paper, we describe the implementation of a specialized programme aimed at improving engagement and quality of treatment for early psychosis patients in the Lausanne catchment area in Switzerland.
  
  
  METHODS
  The Treatment and Early Intervention in Psychosis Program-Lausanne is a comprehensive 3-year programme composed of (i) an outpatient clinic based on assertive case management; (ii) a specialized inpatient unit; and (iii) an intensive mobile team, connected for research to the Center for Psychiatric Neuroscience.
  
  
  RESULTS
  Eight years after implementation, the programme has included 350 patients with a disengagement rate of 9% over 3 years of treatment. All patients have been assessed prospectively and 90 participated in neurobiological research. Based on this experience, the Health Department funded the implementation of similar programmes in other parts of the state, covering a total population of 540,000 people.
  
  
  CONCLUSIONS
  Programmes for early intervention in psychosis have a major impact on patients' engagement into treatment. While development of mobile teams and assertive case management with specific training are crucial, they do not necessitate massive financial support to be started. Inclusion of a research component is important as well, in terms of service planning and improvement of both quality of care and impact of early intervention strategies.
authors: Service of General Psychiatry, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland. philipp.baumann@chuv.ch
authors: Philipp Sebastian
authors: PS
authors: Baumann
authors: Sara
authors: S
authors: Crespi
authors: Régis
authors: R
authors: Marion-Veyron
authors: Alessandra
authors: A
authors: Solida
authors: Jacques
authors: J
authors: Thonney
authors: Jérôme
authors: J
authors: Favrod
authors: Charles
authors: C
authors: Bonsack
authors: Kim Quang
authors: KQ
authors: Do
authors: Philippe
authors: P
authors: Conus
mesh_terms: D061345:Early Medical Intervention / Q000458:organization & administration*; D006801:Humans; D008605:Mental Health Services / Q000458:organization & administration*; D016730:Program Development; D011618:Psychotic Disorders / Q000628:therapy*; D013557:Switzerland
keywords: TIPP; case management; early intervention; psycho-education; psychosis