Royal Park Multidiagnostic Instrument for Psychosis: Part I. Rationale and Review

Abstract

The Royal Park Multidiagnostic Instrument for Psychosis (RPMIP) is a validity-oriented assessment procedure developed for the acute psychotic episode using serial interviews and multiple information sources to construct a data base of clinical information. A number of sets of operational criteria, including 11 definitions of schizophrenia and several concepts of atypical, schizoaffective, and affective psychoses, are simultaneously applied to the data base to produce a diagnostic profile for each patient that can be linked to other variables. This article describes the rationale for the development of the RPMIP and contrasts it with other assessment and diagnostic procedures. A companion article (Part II) presents data on interrater reliability and procedural validity, together with an account of the structure and development of the instrument.

Effectiveness of Integrated Care Including Therapeutic Assertive Community Treatment in Severe Schizophrenia Spectrum and Bipolar I Disorders

“…Durations of untreated psychosis and untreated illness were assessed with the Duration of Untreated Psychosis Scale. [16][17][18] Prevalence of previous inpatient treatment and any involuntary admission in lifetime and within 2 years before ACCESS was assessed by interviewing patients, relatives, and health service staff previously responsible for the respective patient. Data were validated by cross checking the hospital database.…”

Prevalence, Predictors, and Consequences of Long-Term Refusal of Antipsychotic Treatment in First-Episode Psychosis

“…Assessments are based on the Royal Park Multi-diagnostic Instrument for Psychosis. 28,29 Each file contains information compiled during the 18-month treatment period from various sources using high-quality assessments carried out by trained clinicians. Two experienced psychiatrists assessed all files using a standardized questionnaire (Early Psychosis File Questionnaire).…”

“…Two experienced psychiatrists assessed all files using a standardized questionnaire (Early Psychosis File Questionnaire). 18 The Early Psychosis File Questionnaire includes a large part on demographic and illness-related variables as well as questions derived from the following assessment tools and scales: the Drug and Alcohol Assessment Schedule, 28 Clinical diagnoses at EPPIC are the consensus result of an intensive diagnostic and treatment process within the first 6 weeks of admission (baseline diagnosis) by well-trained clinicians working in a specialized assessment and crisis intervention team. This diagnosis is then reviewed according to occurring clinical events.…”

Integrierte Versorgung von Patienten mit psychotischen Erkrankungen nach dem Hamburger Modell: Teil 2

“…Die Ergebnisse bieten eine wissenschaftlich fundierte und klinisch erprobte Vorlage für die weitreichende Einführung der integrierten Versorgung nach dem Hamburger Modell für Patienten mit Psychosen. [5,6]). Die Diagnose der psychotischen Störung und komorbider Achse-I-Störungen werden anhand DSM-IV Achse I (SCID-I) gestellt [7].…”