Social and occupational outcomes for young people who attend early intervention mental health services: a longitudinal study

• DOI: 10.5694/mja2.51308
• Publication Date: 2021-10-20T22:07:01Z
• Authors: Frank Iorfino; Joanne S Carpenter; Shane PM Cross; Jacob Crouse; Tracey A Davenport; Daniel F Hermens; Hannah Yee; Alissa Nichles; Natalia Zmicerevska; Adam Guastella; Elizabeth M Scott; Ian B Hickie
• Keywords: Longitudinal Study

Objective To identify trajectories of social and occupational functioning in young people during the two years after presenting for early intervention mental health care; to demographic clinical factors that influence these trajectories. Design Longitudinal, observational study care. Setting Two primary care-based services at Brain Mind Centre (University Sydney), 1 June 2008 – 31 July 2018. Participants 1510 aged 12‒25 who had presented with anxiety, mood, or psychotic disorders, whom years' follow-up data were available analysis. Main outcome measures Latent class based on growth mixture modelling Social Occupational Assessment Scale (SOFAS) scores. Results We identified four first care: deteriorating volatile (733 participants, 49%); persistent impairment (237, 16%); stable good (291, 19%); improving, but late recurrence (249, 16%). The less favourable (deteriorating volatile; impairment) associated physical comorbidity, not being education, employment, training, having substance-related been hospitalised, a childhood onset disorder, psychosis-like experiences, history self-harm suicidality. Conclusions three emerging disorders did experience meaningful improvement Most functional also quite volatile, indicating need dynamic service models emphasise multidisciplinary interventions measurement-based