Prediction and Early Detection of First-Episode Psychosis

Author(s):  
Frauke Schultze-Lutter ◽  
Chantal Michel ◽  
Stephan Ruhrmann ◽  
Joachim Klosterkötter ◽  
Benno G. Schimmelmann
2005 ◽  
Vol 187 (S48) ◽  
pp. s24-s28 ◽  
Author(s):  
Jan Olav Johannessen ◽  
Tor K. Larsen ◽  
Inge Joa ◽  
Ingrid Melle ◽  
Svein Friis ◽  
...  

BackgroundEarly detection programmes aim to reduce the duration of untreated psychosis (DUP) by public education and by prompt access to treatment via active outreach detection teams.AimsTo determine whether those with first-episode psychosis in an early detection healthcare area with existing referral channels differ from those who access care via detection teams.MethodThose with first-episode psychosis recruited via detection teams were compared with those accessing treatment via conventional channels, at baseline and after 3 months of acute treatment.ResultsPatients recruited via detection teams are younger males with a longer DUP a less dramatic symptom picture and better functioning; however they recover more slowly, and have more symptoms at 3-month follow-up.ConclusionsAfter establishing low threshold active case-seeking detection teams, we found clear differences between those patients entering treatment via detection teams v. those obtaining treatment via the usual channels. Such profiling may be informative for early detection service development.


2006 ◽  
Vol 86 ◽  
pp. S41 ◽  
Author(s):  
P. Power ◽  
N. Reynolds ◽  
H. Fisher ◽  
E. Iacoponi ◽  
P. Garety ◽  
...  

2005 ◽  
Vol 32 (4) ◽  
pp. 758-764 ◽  
Author(s):  
T. K. Larsen ◽  
I. Melle ◽  
B. Auestad ◽  
S. Friis ◽  
U. Haahr ◽  
...  

2015 ◽  
Vol 12 (2) ◽  
pp. 169-176 ◽  
Author(s):  
Jens Einar Jansen ◽  
Marlene Buch Pedersen ◽  
Lene Halling Hastrup ◽  
Ulrik Helt Haahr ◽  
Erik Simonsen

2001 ◽  
Vol 51 (1) ◽  
pp. 39-46 ◽  
Author(s):  
Jan Olav Johannessen ◽  
Thomas H McGlashan ◽  
Tor Ketil Larsen ◽  
Marthe Horneland ◽  
Inge Joa ◽  
...  

1998 ◽  
Vol 29 (1-2) ◽  
pp. 159
Author(s):  
T.H. McGlashan ◽  
P. Vaglum ◽  
J.O. Johannessen ◽  
T.K. Larsen ◽  
S. Friis ◽  
...  

2018 ◽  
Vol 13 (4) ◽  
pp. 853-858 ◽  
Author(s):  
Nadja P. Maric ◽  
Sanja Andric Petrovic ◽  
Andrea Raballo ◽  
Martina Rojnic-Kuzman ◽  
Joachim Klosterkötter ◽  
...  

2007 ◽  
Vol 191 (S51) ◽  
pp. s133-s139 ◽  
Author(s):  
Paddy Power ◽  
Eduardo Iacoponi ◽  
Nicola Reynolds ◽  
Helen Fisher ◽  
Morris Russell ◽  
...  

BackgroundThere are few evaluations of strategies to improve rates of early detection and treatment of patients with first-episode psychosisAimsTo evaluate the effectiveness of a general practitioner (GP) education programme and an early detection assessment team (the Lambeth Early Onset Crisis Assessment Team; LEO CAT) in reducing delays in accessing treatment for first-episode psychosis patients.Method46 clusters of GP practices randomised to GP education in early detection with direct access to LEO CATv. care as usual. Primary outcome measures were GP referral rates, duration of untreated psychosis (DUP) and delays in receiving treatment. Results 150 patients with first-episode psychosis were recruited; 113 were registered with the study GPs, who referred 54 (47.7%) directly to mental health services. Significantly more intervention group GPs (86.1% v. 65.7%) referred their patients directly to mental health services and fewer patients experienced long delays in receiving treatment. However, their overall DUP was unaffectedConclusionsEducating GPs improves detection and referral rates of first-episode psychosis patients. An early detection team reduces the long delays in initial assessment and treatment. However, these only impact on the later phases of the DUP. Broader measures, such as public health education, are needed to reduce the earlier delays in DUP.


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