Origins and Establishment of the Schizophrenia Research Programme at Royal Park Psychiatric Hospital

Copolov, David L.; McGony, Patrick D.; Keks, Nicholas A; Minas, I. H.; Heman, Helen E.; Singh, Bruce

doi:10.3109/00048678909062611

Cited by 11 publications

(5 citation statements)

References 14 publications

(3 reference statements)

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“…However, the establishment of streamed, or discrete, early psychosis programs starkly revealed the clinical imperatives, both from a harm reduction perspective and an opportunity for reductions in premature death and disability and more complete functional recovery. This was certainly our own experience at Royal Park Hospital in Melbourne, where in 1984, we established a 10-bed clinical research unit for first-episode psychosis patients ( Copolov et al, 1989 ; McGorry, 1985 ). We immediately saw that their clinical needs were very different from those of older multiepisode patients and that the drug and psychosocial therapies offered to the latter ranged from off-key to completely inappropriate or even harmful.…”

Section: Originsmentioning

confidence: 99%

Early Intervention in Psychosis

McGorry

2015

Journal of Nervous &Amp; Mental Disease

235

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Early intervention for potentially serious disorder is a fundamental feature of healthcare across the spectrum of physical illness. It has been a major factor in the reductions in morbidity and mortality that have been achieved in some of the non-communicable diseases, notably cancer and cardiovascular disease. Over the past two decades, an international collaborative effort has been mounted to build the evidence and the capacity for early intervention in the psychotic disorders, notably schizophrenia, where for so long deep pessimism had reigned. The origins and rapid development of early intervention in psychosis are described from a personal and Australian perspective. This uniquely evidence-informed, evidence-building and cost-effective reform provides a blueprint and launch pad to radically change the wider landscape of mental health care and dissolve many of the barriers that have constrained progress for so long.

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Section: Originsmentioning

confidence: 99%

Early Intervention in Psychosis

McGorry

2015

Journal of Nervous &Amp; Mental Disease

235

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“…Eventually, a common 21-bed unit, into which both programs were merged, was opened in 1990 by Sir Michael Shepherd (Copolov 1991). The philosophy and operation of these early models of care have been described in detail elsewhere (McGorry 1985, 1992; Copolov et al 1989; McGorry et al 1989, 1990 a ; Edwards et al 1994).…”

Section: Models Of Early Interventionmentioning

confidence: 99%

EPPIC: An Evolving System of Early Detection and Optimal Management

McGorry¹,

Edwards²,

Mihalopoulos³

et al. 1996

Schizophrenia Bulletin

810

592

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Early intervention at the onset of psychotic disorders is a highly attractive theoretical notion that is receiving increasing international interest. In practical terms, it amounts to first deciding when a psychotic disorder can be said to have commenced and then offering potentially effective treatment at the earliest possible point. A second element involves ensuring that this intervention constitutes best practice for this phase of illness and is not merely the translation of standard treatments developed for later stages and the more persistently ill subgroups of the disorder. Furthermore, it means ensuring that this best practice model is actually delivered to patients and families. The relative importance of these elements in relation to outcome has not yet been established. This article outlines a framework for preventive intervention in early psychosis, based on more than a decade of experience initially gained within a first-generation model. This experience has been followed, after a prolonged gestation, by the birth of the Early Psychosis Prevention and Intervention Centre (EPPIC), a comprehensive "real-world" model of care targeting the multiple clinical foci underpinning the preventive task. Data are reported to illustrate the topography and impact of delay in treatment in our regional setting, and the results of an initial evaluation of the EPPIC model are presented. The latter demonstrate a significant improvement in symptomatic and functional outcome when the second-generation model is contrasted with the first. The implications of these findings and future developments are discussed.

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“…Royal Park Hospital is a 179-bed psychiatric hospital which services the inner-city area of Melbourne and has a catchment population of approximately 485,000. The focal point of the Royal Park Hospital research program, the Aubrey Lewis Clinical Research Unit (ALU), commenced as a 10-bed acute inpatient ward in October 1984 (Copolov et al, 1989). A prospective study of first-admission psychosis was a key component of the research program and, in the first 12 months of operation, firstepisode psychoses accounted for 80% of admissions.…”

Section: The Foundation: Aubrey Lewis Unitmentioning

confidence: 99%

Early Psychosis Prevention and Intervention: Evolution of a Comprehensive Community-Based Specialised Service

et al. 1994

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This article describes the Early Psychosis Prevention and Intervention Centre (EPPIC) — an innovative and comprehensive service that attempts to address the needs of older adolescents and young adults experiencing their first episode of psychosis. Some of the key theoretical concepts and philosophical tenets which underpin the service delivery model are adumbrated. Furthermore, the historical antecedents of the current service, and the “successive approximations” approach taken in developing the same, are delineated. Given the evolutionary nature of the program, the perceived future needs and developments are stipulated.

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Origins and Establishment of the Schizophrenia Research Programme at Royal Park Psychiatric Hospital

Cited by 11 publications

References 14 publications

Early Intervention in Psychosis

Early Intervention in Psychosis

EPPIC: An Evolving System of Early Detection and Optimal Management

Early Psychosis Prevention and Intervention: Evolution of a Comprehensive Community-Based Specialised Service

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