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From research to practice: how OPUS treatment was accepted and implemented throughout Denmark.

https://arctichealth.org/en/permalink/ahliterature268608
Source
Early Interv Psychiatry. 2015 Apr;9(2):156-62
Publication Type
Article
Date
Apr-2015
Author
Merete Nordentoft
Marianne Melau
Tina Iversen
Lone Petersen
Pia Jeppesen
Anne Thorup
Mette Bertelsen
Carsten Rygaard Hjorthøj
Lene Halling Hastrup
Per Jørgensen
Source
Early Interv Psychiatry. 2015 Apr;9(2):156-62
Date
Apr-2015
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Combined Modality Therapy
Community Mental Health Services
Denmark
Early Medical Intervention - methods
Family Therapy
Female
Humans
Male
Middle Aged
Patient satisfaction
Program Development
Psychotic Disorders - therapy
Young Adult
Abstract
The early phases of psychosis have been hypothesized to constitute a critical period, a window of opportunity. At the same time, the early phases of psychosis are associated with increased risk of unwanted outcome, such as suicidal behaviour and social isolation. This was the background for the emergence of early intervention services, and in Denmark, the OPUS trial was initiated as part of that process.
Modified assertive community treatment, together with family involvement and social skills training, constituted the core elements in the original programme. A total of 547 patients with first-episode psychosis were included in the trial.
To summarize briefly the results of the OPUS trial: the OPUS treatment was superior to standard treatment in reducing psychotic and negative symptoms and substance abuse, in increasing user satisfaction and adherence to treatment, and in reducing use of bed days and days in supported housing. Moreover, relatives included in the OPUS treatment were less strained and had a higher level of knowledge about schizophrenia and higher user satisfaction.
The OPUS treatment was implemented throughout Denmark. Training courses were developed and manuals and books were published. Regional health authorities had access to national grants for implementing early intervention services; as a result, OPUS teams were disseminated throughout the country. The content of the treatment is now further developed, and new elements are being tried out - such as individual placement and support, lifestyle changes, cognitive remediation, specialized treatment for substance abuse and different kinds of user involvement.
PubMed ID
24304658 View in PubMed
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