Increasing medication adherence and income assistance access for first-episode psychosis patients

Jason Randall, Dan Chateau, James M Bolton, Mark Smith, Laurence Katz, Elaine Burland, Carole Taylor, Nathan C Nickel, Jennifer Enns, Alan Katz, Marni Brownell and the PATHS Equity Team

PLOS ONE, 2017, vol. 12, issue 6, 1-11

Abstract: Background: Assertive community treatment for first-episode psychosis programs have been shown to improve symptoms and reduce service use. There is little or no evidence on whether these programs can increase access to income assistance and improve medication adherence in first episode psychosis patients. This research examines the impact of the Early Psychosis Prevention and Intervention Service (EPPIS) on these outcomes. Methods: We extracted data on EPPIS patients held in the Data Repository at the Manitoba Centre for Health Policy. The Repository is a comprehensive collection of person-level de-identified administrative records, including data from Manitoba’s health services. We compared income assistance use and antipsychotic medication adherence in EPPIS patients to a historical cohort matched on pattern of diagnosis. Confounders were adjusted through propensity-score weighting with asymmetrical trimming. Odds ratios (OR), hazard ratios (HR) and 95% confidence intervals were calculated. Results: We identified a matched sample of 244 patients and 449 controls. EPPIS patients had a higher rate of income assistance use during the program (67·4% vs. 38·7%; p

Date: 2017
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0179089

DOI: 10.1371/journal.pone.0179089

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