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Does an integrated outreach intervention targeting multiple stages of early psychosis improve the identification of individuals at clinical high risk?

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2019

Autor:innen

McIlwaine, Sarah V.
Jordan, Gerald
Malla, Ashok
Faridi, Kia
Iyer, Srividya N.
Joober, Ridha
Shah, Jai L.

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Early Intervention in Psychiatry. 2019, 13(4), pp. 989-992. ISSN 1751-7885. eISSN 1751-7893. Available under: doi: 10.1111/eip.12750

Zusammenfassung

Aims
To explore the impact of a targeted case identification intervention, with training and education regarding first‐episode psychosis and clinical high‐risk syndromes, on the referral and identification of those at high risk.

Methods
Using a historical control design, referral information from pre‐intervention and post‐intervention periods was collected via administrative data and clinician notes from a catchment‐based early psychosis service.

Results
A significant increase in the number of referrals sent to the service's clinical high‐risk unit was observed following the intervention (P = 0.01). The proportion of referrals eligible was significantly higher post‐intervention (P = 0.03), with the majority (26/44, 59.1%) referred via the first‐episode psychosis service unit.

Conclusions
An integrated outreach intervention for both first‐episode psychosis and the clinical high‐risk state was effective in increasing referrals of eligible cases to the service's at‐risk unit. Rather than being stage‐specific, targeted case identification strategies and service integration should span across the early stages of psychosis.

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150 Psychologie

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ISO 690MCILWAINE, Sarah V., Gerald JORDAN, Marita PRUESSNER, Ashok MALLA, Kia FARIDI, Srividya N. IYER, Ridha JOOBER, Jai L. SHAH, 2019. Does an integrated outreach intervention targeting multiple stages of early psychosis improve the identification of individuals at clinical high risk?. In: Early Intervention in Psychiatry. 2019, 13(4), pp. 989-992. ISSN 1751-7885. eISSN 1751-7893. Available under: doi: 10.1111/eip.12750
BibTex
@article{McIlwaine2019integ-46518,
  year={2019},
  doi={10.1111/eip.12750},
  title={Does an integrated outreach intervention targeting multiple stages of early psychosis improve the identification of individuals at clinical high risk?},
  number={4},
  volume={13},
  issn={1751-7885},
  journal={Early Intervention in Psychiatry},
  pages={989--992},
  author={McIlwaine, Sarah V. and Jordan, Gerald and Pruessner, Marita and Malla, Ashok and Faridi, Kia and Iyer, Srividya N. and Joober, Ridha and Shah, Jai L.}
}
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    <dcterms:abstract xml:lang="eng">Aims&lt;br /&gt;To explore the impact of a targeted case identification intervention, with training and education regarding first‐episode psychosis and clinical high‐risk syndromes, on the referral and identification of those at high risk.&lt;br /&gt;&lt;br /&gt;Methods&lt;br /&gt;Using a historical control design, referral information from pre‐intervention and post‐intervention periods was collected via administrative data and clinician notes from a catchment‐based early psychosis service.&lt;br /&gt;&lt;br /&gt;Results&lt;br /&gt;A significant increase in the number of referrals sent to the service's clinical high‐risk unit was observed following the intervention (P = 0.01). The proportion of referrals eligible was significantly higher post‐intervention (P = 0.03), with the majority (26/44, 59.1%) referred via the first‐episode psychosis service unit.&lt;br /&gt;&lt;br /&gt;Conclusions&lt;br /&gt;An integrated outreach intervention for both first‐episode psychosis and the clinical high‐risk state was effective in increasing referrals of eligible cases to the service's at‐risk unit. Rather than being stage‐specific, targeted case identification strategies and service integration should span across the early stages of psychosis.</dcterms:abstract>
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