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2 results

  • Learning and Soft Outcomes: Evidence from Intensive Intervention Projects

  • Elaine Batty
  • Journal:
    Social Policy and Society / Volume 13 / Issue 3 / July 2014
    Published online by Cambridge University Press:
    20 June 2013, pp. 357-369
    Print publication:
    July 2014

  • Over the last decade there has been a clear focus on tackling disadvantage and transforming lives. A plethora of programmes such as Family Intervention Projects, Think Families Pathfinders and Intensive Intervention Projects have focussed on families meeting centrally determined quantifiable outcomes and have used this as a factor to judge the success or otherwise of intervention programmes. However, little attention, or indeed value, has been given to the learning that young people experience throughout the intervention period. The article argues that learning is a crucial component of intervention projects. Qualitative evidence from a longitudinal study is used to explore young people's engagement with an Intensive Intervention Programme. Using individual experiences, evidence suggests that continuous learning during engagement with Intensive Intervention Projects can lead to soft outcomes which enable future positive change in the lives of individuals.

  • Deinstitutionalization revisited: a 5-year follow-up of a randomized clinical trial of hospital-based rehabilitation versus specialized assertive intervention (OPUS) versus standard treatment for patients with first-episode schizophrenia spectrum disorders

  • M. Nordentoft, J. Øhlenschlæger, A. Thorup, L. Petersen, Pia Jeppesen, M. Bertelsen
  • Journal:
    Psychological Medicine / Volume 40 / Issue 10 / October 2010
    Published online by Cambridge University Press:
    11 January 2010, pp. 1619-1626
  • Background

    The effects of hospital-based rehabilitation including weekly supportive psychodynamic therapy compared with specialized assertive intervention and standard treatment has not previously been investigated in first-episode psychosis. The aim of the study was to examine long-term effect on use of institutional care of different intensive interventions for patients with first-episode schizophrenia spectrum disorder on use of psychiatric bed days and days in supported housing.

    Method

    A total of 94 severely ill patients with first-episode schizophrenia spectrum disorders were included in a special part of the Copenhagen OPUS trial and randomized to either the specialized assertive intervention program (OPUS), standard treatment or hospital-based rehabilitation.

    Results

    It was a stable pattern that patients randomized to hospital-based rehabilitation spent more days in psychiatric wards and in supported housing throughout the 5-year follow-up period compared with the two other groups. Patients in OPUS treatment spent significantly fewer days in psychiatric wards and supported housing in the first 3 years compared with patients in hospital-based rehabilitation. Due to attrition and small sample size, differences in level of psychotic and negative symptoms at 5-year follow-up could not be evaluated.

    Conclusions

    The study indicates that hospital-based rehabilitation together with weekly supportive psychodynamic therapy was associated with a continued increased use of psychiatric bed days and days in supported housing. The data cannot justify using hospital-based rehabilitation in first-episode psychosis.