Programmes pour premiers épisodes psychotiques: Une revue systématique de la littérature.

The objectives of this review are to describe different specialized first-episode psychosis services (FEP) and report their results at different times of follow-up in order to determine what specific approaches they should include, the optimal duration of treatment, and the characteristics of the patients who benefit the most from such programs. We systematically reviewed psycINFO and MEDLINE in search of studies dealing with efficacy or efficiency of specialized FEP programs. We only included research that had at least one comparison group and excluded those dealing with primary prevention of psychosis or prodromal interventions. Result demonstrates that five, all Scandinavian, programs and their results at different follow-up times are presented. The Parachute project started in 1994 in Sweden with the objectives to use low dosages of antipsychotics (AP), to minimize hospitalizations, to offer specialized individual and familial psychotherapy, and to assure continuity of care during a five-year period. The programs specialized in the treatment of FEP show encouraging results mainly during their active phase.. This review suggests that a two-year treatment period is not long enough to enable patients to maintain the improvements obtained during the active phase of an integrated treatment. Future studies should aim to determine —the characteristics of the patients that most benefit from—the specific interventions that should be included in and— the ideal duration of treatment of the comprehensive FEP programs. (PsycInfo Database Record (c) 2021 APA, all rights reserved)