Sin Fai Lam, CC; Reeves, SJ; Stewart, R; Howard, R; (2016) Service and treatment engagement of people with very late-onset schizophrenia-like psychosis. BJPsych Bulletin , 40 (4) pp. 185-186. 10.1192/pb.bp.115.051599.

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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. 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).

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