ABC is a treatment program for young people with early psychosis in Utrecht, Netherlands. It serves an average of 23-year old clients, 39% of whom are immigrants from 15 nationalities. The program monitors client outcomes through ongoing research. After 1.75 years of treatment: - Psychotic and other impairments stabilize - The number of unmet client needs declines as treatment better addresses needs - Client autonomy increases as total needs decline - Activity and social participation levels increase However, 19% of clients get worse, 40% stay the same, and 41% get better, showing many important unmet client needs remain.

1. ABC – foryoungpeople with early psychosis VisitfromNorwayto ABC, November 4, 2009Dr. Tom van Wel

2. Overzicht ‘the product ABC’ basic information about ABC highlights from the ongoing research which monitors the clients (data till December 2008) treatment outcomes % people get better / get worse the most important unmet client needs four innovations.

3. Critical factors of the ‘product ABC’

4. Number of ABC-clients

5. January 2009: average: 23 years of age immigrants: 39% (in the city of Utrecht: 30%) 15 nationalities Morocco 11%; Turkey 6% male / female: 76% / 24% (2008: 71% / 29%) addiction as main diagnosis: 22% (2008: 30%) referred from university medical center: 35% (2008: 50%) from general practicioner: 33% (2008: 12%)

7. effects after 1¾ years of treatment

9. Would you recommend ABC to someone else? compared to all the Altrecht departments together.Percentage JA’s

10. After 1¾ year ABC (79 clients).

11. After 1¾ year ABC (79 clients)- psychotic impairment stabilizes- other psychiatric impairments stabilize- number of unmet needs decline(better connection between treatment and needs)- number of total needs decline(clients’ autonomy raises)- activity & societal participation level increases.

12. What percentage declines?Stays the same?Improves?

13. Changes between T1 and T2 (79 clients, 1¾ year)

14. Unmet clients’ needs

15. Summary: clients show less satisfaction with ABC psychotic and other impairments stabalize treatment connects better with clients’ needs clients’ autonomy increases activity and societal participation increases there are still many important unmet needs 19% get worse / 40% stay the same / 41% get better

16. four innovations Transparancyusing rehabilitation technology assertive rehabilitation multifamily groups (McFarlane) early detection and intervention