From research to practice: how OPUS treatment was accepted and implemented throughout Denmark
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From research to practice : how OPUS treatment was accepted and implemented throughout Denmark. / Nordentoft, Merete; Melau, Marianne; Iversen, Tina; Petersen, Lone; Jeppesen, Pia; Thorup, Anne; Bertelsen, Mette; Hjorthøj, Carsten Rygaard; Hastrup, Lene Halling; Jørgensen, Per.
In: Early Intervention in Psychiatry, Vol. 9, No. 2, 04.2015, p. 156-162.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - From research to practice
T2 - how OPUS treatment was accepted and implemented throughout Denmark
AU - Nordentoft, Merete
AU - Melau, Marianne
AU - Iversen, Tina
AU - Petersen, Lone
AU - Jeppesen, Pia
AU - Thorup, Anne
AU - Bertelsen, Mette
AU - Hjorthøj, Carsten Rygaard
AU - Hastrup, Lene Halling
AU - Jørgensen, Per
N1 - © 2013 Wiley Publishing Asia Pty Ltd.
PY - 2015/4
Y1 - 2015/4
N2 - BACKGROUND: 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.METHODS: 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.RESULTS: 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.DISCUSSION: 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.
AB - BACKGROUND: 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.METHODS: 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.RESULTS: 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.DISCUSSION: 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.
KW - Adolescent
KW - Adult
KW - Combined Modality Therapy
KW - Community Mental Health Services
KW - Denmark
KW - Early Medical Intervention
KW - Family Therapy
KW - Female
KW - Humans
KW - Male
KW - Middle Aged
KW - Patient Satisfaction
KW - Program Development
KW - Psychotic Disorders
KW - Young Adult
U2 - 10.1111/eip.12108
DO - 10.1111/eip.12108
M3 - Journal article
C2 - 24304658
VL - 9
SP - 156
EP - 162
JO - Early Intervention in Psychiatry
JF - Early Intervention in Psychiatry
SN - 1751-7885
IS - 2
ER -
ID: 151945760