TY - JOUR
T1 - Improving Pathways to Care for Patients at High Psychosis Risk in Switzerland
T2 - PsyYoung Study Protocol
AU - Conchon, Caroline
AU - Sprüngli-Toffel, Elodie
AU - Alameda, Luis
AU - Edan, Anne
AU - Bailey, Barbara
AU - Solida, Alessandra
AU - Plessen, Kerstin Jessica
AU - Conus, Philippe
AU - Kapsaridi, Afroditi
AU - Genoud, Davina
AU - Crameri, Aureliano
AU - Jouabli, Sondes
AU - Caron, Camille
AU - Grob, Carmina
AU - Gros, Julia
AU - Senn, Smeralda
AU - Curtis, Logos
AU - Liso Navarro, Ana
AU - Barbe, Remy
AU - Nanzer, Nathalie
AU - Herbrecht, Evelyn
AU - Huber, Christian G.
AU - Micali, Nadia
AU - Armando, Marco
AU - Borgwardt, Stefan
AU - Andreou, Christina
N1 - Publisher Copyright:
© 2023 by the authors.
PY - 2023/7
Y1 - 2023/7
N2 - Aims: Psychotic disorders are one of the main causes of chronic disability in young people. An at-risk mental state (ARMS) is represented by subclinical symptoms that precede the first episode of psychosis (FEP). The PsyYoung project aims to optimize the detection of an ARMS while reducing unnecessary psychiatric treatments. It investigates the effects of service changes on the referrals and outcomes of young people with ARMS or a FEP. Methods: Six psychiatric outpatient clinics in three cantons (Basel-Stadt, Vaud, and Geneva) participated in the project. They passed through an implementation phase including service changes and the adaptation of a standardized stepped care model for diagnosis and assessment, in addition to measures for increasing the awareness, networking and training of local professionals. Preliminary results: All participating cantons had entered the implementation phase. By March 2023, there were 619 referrals to participating sites. A total of 163 patients (37% FEP and 31% ARMS) and 15 close relatives had participated in individual longitudinal assessments, and 26 patients participated in qualitative interviews. Conclusion: This national collaborative project addresses the issue of early intervention for emerging psychoses, and creates spaces for fruitful reflections and collaboration in Switzerland. The ultimate aim of PsyYoung is to harmonize clinical practices in early intervention of psychosis on a national level.
AB - Aims: Psychotic disorders are one of the main causes of chronic disability in young people. An at-risk mental state (ARMS) is represented by subclinical symptoms that precede the first episode of psychosis (FEP). The PsyYoung project aims to optimize the detection of an ARMS while reducing unnecessary psychiatric treatments. It investigates the effects of service changes on the referrals and outcomes of young people with ARMS or a FEP. Methods: Six psychiatric outpatient clinics in three cantons (Basel-Stadt, Vaud, and Geneva) participated in the project. They passed through an implementation phase including service changes and the adaptation of a standardized stepped care model for diagnosis and assessment, in addition to measures for increasing the awareness, networking and training of local professionals. Preliminary results: All participating cantons had entered the implementation phase. By March 2023, there were 619 referrals to participating sites. A total of 163 patients (37% FEP and 31% ARMS) and 15 close relatives had participated in individual longitudinal assessments, and 26 patients participated in qualitative interviews. Conclusion: This national collaborative project addresses the issue of early intervention for emerging psychoses, and creates spaces for fruitful reflections and collaboration in Switzerland. The ultimate aim of PsyYoung is to harmonize clinical practices in early intervention of psychosis on a national level.
UR - http://www.scopus.com/inward/record.url?scp=85166350353&partnerID=8YFLogxK
U2 - 10.3390/jcm12144642
DO - 10.3390/jcm12144642
M3 - Journal articles
AN - SCOPUS:85166350353
SN - 2077-0383
VL - 12
JO - Journal of Clinical Medicine
JF - Journal of Clinical Medicine
IS - 14
M1 - 4642
ER -
