Τίτλος:
Early psychosis intervention outpatient service of the 1st Psychiatric
University Clinic in Athens: 3 Years of experience
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
To present the 3-year experience of the early intervention in psychosis
(EIP) service implementation of the 1st Psychiatric University Clinic in
Athens. An overview of: (1) the purpose of our service, (2) the referral
network, (3) the selection criteria, (4) the diagnostic procedures, (5)
the therapeutic interventions and (6) the research activities. The
service was established in 2012 and developed gradually aiming to
provide information, early detection, treatment and support to people
aged 15 to 40 years with psychotic manifestations, who are either at
increased risk of developing psychosis (at-risk mental state [ARMS])
or with first episode psychosis (FEP). In order to assess individuals
with ARMS, we used the comprehensive assessment of at-risk mental states
interview and the Social and Occupational Functioning Assessment Scale
The duration of untreated psychosis was estimated by using the
Nottingham Onset Schedule. So far we have had 65 referrals, of which 26
were ARMS and 17 FEP. Based on the individual needs, they were offered
psychotherapeutic and/or pharmacological treatment. After 3 years, the
rate of transition to psychosis was 19.2% and the rate of psychosis
relapse was 11.7%. The implementation of our service has had positive
results, enabling young people with early psychosis to receive prompt
and effective care. The rates of transition to psychosis are the first
to be published from a Greek EIP service. Further development of our
referral network and inter-hospital collaboration will allow us to
address the needs of a wider part of the population.
Συγγραφείς:
Kollias, Constantinos
Xenaki, Lida-Alkisti
Dimitrakopoulos,
Stefanos
Kosteletos, Ioannis
Kontaxakis, Vassilis
Stefanis,
Nikos
Papageorgiou, Charalampos
Περιοδικό:
Early Intervention in Psychiatry
Λέξεις-κλειδιά:
Athens; at-risk mental state; early intervention; first episode
psychosis; service implementation
