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Service and treatment engagement of people with very late-onset schizophrenia-like psychosis

  • Chun Chiang Sin Fai Lam (a1), Suzanne J. Reeves (a2) (a3), Robert Stewart (a2) and Robert Howard (a2) (a3)
Abstract
Aims and method

Electronic patient records were used to investigate the level of engagement and treatment that patients with very late-onset schizophrenia-like psychosis (VLOSLP) had with mental health services.

Results

Of 131 patients assessed and diagnosed, 63 (48%) were taking antipsychotic treatment at 3 months, 46 (35%) at 6 months and 36 (27%) at 12 months. At discharge from mental health services, 54% of patients had failed to engage with services or became lost to follow-up, 18% had engaged with services but were not taking antipsychotic medication and only 28% were taking treatment.

Clinical implications

Results showed that less than half of the patients with VLOSLP were commenced on antipsychotic treatment and less than a third remained on treatment at 1 year or at point of discharge. This highlights the need for services to consider being more assertive in taking potentially effective treatment to this patient group.

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Copyright
This is an open-access article published by the Royal College of Psychiatrists and distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Corresponding author
Correspondence to Chun Chiang Sin Fai Lam (chunchiang.sinfailam@nhs.net)
Footnotes
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Declaration of interests

R.H. is chief investigator and S.J.R. is a co-investigator on the NIHR-funded randomised clinical trial of Antipsychotic Treatment of very LAte-onset Schizophrenia-like psychosis (ATLAS).

Footnotes
References
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1 Essali, A, Ali, G. Antipsychotic drug treatment for elderly people with late-onset schizophrenia. Cochrane Database Syst Rev 2012; 2: CD004162.
2 Howard, R, Rabins, PV, Seeman, MV, Jeste, DV. Late onset schizophrenia and very-late-onset schizophrenia-like psychosis: an international consensus. Am J Psychiatry 2000; 157: 172–8.
3 Barak, Y, Aizenberg, D, Mirecki, I, Mazeh, D, Achiron, A. Very late-onset schizophrenia-like psychosis: clinical and imaging characteristics in comparison with elderly patients with schizophrenia. J Nerv Ment Dis 2002; 190: 733–6.
4 Psarros, C, Theleritis, CG, Paparrigopoulos, TJ, Politis, AM, Papadimitriou, GN. Amisulpride for the treatment of very-late-onset schizophrenia-like psychosis. Int J Geriatr Psychiatry 2009; 24: 518–22.
5 Scott, J, Greenwald, BS, Kramer, E, Shuwall, M. Atypical (second generation) antipsychotic treatment response in very late-onset schizophrenia-like psychosis. Int Psychogeriatr 2011; 23: 742–8.
6 World Health Organization. The ICD-10 Classification of Mental and Behavioural Disorders: Clinical Descriptions and Diagnostic Guidelines. WHO, 1992.
7 Folstein, MF, Folstein, SE, McHugh, PR. “Mini-mental state”. A practical method for gradig the cognitive state of patients for the clinician. J Psychiatr Res 1975; 12: 189–98.
8 Howard, R, Almeida, O, Levy, R. Phenomenology, demography and diagnosis in late paraphrenia. Psychol Med 1994; 24: 397410.
9 Palmer, BW, Dunn, LB, Appelbaum, PS, Jeste, DV. Correlates of treatment-related decision-making capacity among middle-aged and older patients with schizophrenia. Arch Gen Psychiatry 2004; 61: 230–6.
10 Hahn, C, Kim, HK, Lee, CU. Neuroimaging findings in late-onset schizophrenia and bipolar disorder. J Geriatr Psychiatry Neurol 2014; 27: 5662.
11 Palmer, BW, Bondi, MW, Twamley, EW, Thal, L, Golshan, S, Jeste, DV. Are late-onset schizophrenia spectrum disorders neurodegenerative conditions? Annual rates of change on two dementia measures. J Neuropsychiatry Clin Neurosci 2003; 15: 4552.
12 Mazeh, D, Zemishiani, C, Aizenberg, D, Barak, Y. Patients with very-late-onset schizophrenia-like psychosis: a follow-up study. Am J Geriatr Psychiatry 2005; 13: 417–9.
13 Thompson, C. Inpatients formally detained in hospitals under the Mental Health Act 1983, and patients subject to supervised community treatment. In Health and Social Care Information Centre Annual Report 2013/2014: p. 22. HSCIC, 2014.
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BJPsych Bulletin
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Service and treatment engagement of people with very late-onset schizophrenia-like psychosis

  • Chun Chiang Sin Fai Lam (a1), Suzanne J. Reeves (a2) (a3), Robert Stewart (a2) and Robert Howard (a2) (a3)
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