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An examination of patient-identified goals for treatment in a first-episode programme in Chennai, India

Authors

  • Srividya N. Iyer,

    Corresponding author
    1. Prevention and Early Intervention Program for Psychoses (PEPP-Montréal), Douglas Mental Health University Institute
    2. Department of Psychiatry, McGill University, Montréal, Québec, Canada
      Dr Srividya N. Iyer, Prevention and Early Intervention Program for Psychoses (PEPP-Montreal), Douglas Mental Health University Institute, Wilson Pavilion, 6875 Boulevard LaSalle, Montréal, QC, Canada H4H 1R3. Email: srividya.iyer@douglas.mcgill.ca
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  • Ramamurti Mangala,

    1. Schizophrenia Research Foundation (SCARF), Anna Nagar West Extension, Chennai, Tamil Nadu, India
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  • Jeyagurunathan Anitha,

    1. Schizophrenia Research Foundation (SCARF), Anna Nagar West Extension, Chennai, Tamil Nadu, India
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  • Rangaswamy Thara,

    1. Schizophrenia Research Foundation (SCARF), Anna Nagar West Extension, Chennai, Tamil Nadu, India
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  • Ashok K. Malla

    1. Prevention and Early Intervention Program for Psychoses (PEPP-Montréal), Douglas Mental Health University Institute
    2. Department of Psychiatry, McGill University, Montréal, Québec, Canada
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Dr Srividya N. Iyer, Prevention and Early Intervention Program for Psychoses (PEPP-Montreal), Douglas Mental Health University Institute, Wilson Pavilion, 6875 Boulevard LaSalle, Montréal, QC, Canada H4H 1R3. Email: srividya.iyer@douglas.mcgill.ca

Abstract

Aim: Our objective was to describe the goals identified by patients upon entering a specialized programme for treatment of first-episode psychosis (FEP) in Chennai, India.

Methods: 68 patients with FEP completed the Goal Attainment section of the Wisconsin Quality of Life – Client Questionnaire upon entry into treatment. Patients were asked to identify a maximum of three treatment goals and rate each identified goal on its importance and the extent of its achievement.

Results: In the order of frequency of endorsement, the primary goalsidentified pertained to work, family/interpersonal relationships, education, symptom relief and psychological recovery, living condition, religion, finances, and household responsibilities. All patients identified at least one goal, 41 patients identified two goals, and 11 patients identified three goals.

Conclusion: Individuals with FEP in India present with a range of realistic and reasonable goals. Findings have implications for improving early intervention services in India by targeting patient-identified goals.

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