Improving Pathways to Care for Patients at High Psychosis Risk in Switzerland: PsyYoung Study Protocol

Caroline Conchon; Elodie Sprüngli-Toffel; Luis Alameda; Anne Edan; Barbara Bailey; Alessandra Solida; Kerstin Jessica Plessen; Philippe Conus; Afroditi Kapsaridi; Davina Genoud; Aureliano Crameri; Sondes Jouabli; Camille Caron; Carmina Grob; Julia Gros; Smeralda Senn; Logos Curtis; Ana Liso Navarro; Remy Barbe; Nathalie Nanzer; Evelyn Herbrecht; Christian G. Huber; Nadia Micali; Marco Armando; Stefan Borgwardt; Christina Andreou

doi:10.3390/jcm12144642

Improving Pathways to Care for Patients at High Psychosis Risk in Switzerland: PsyYoung Study Protocol

Caroline Conchon^*, Elodie Sprüngli-Toffel, Luis Alameda, Anne Edan, Barbara Bailey, Alessandra Solida, Kerstin Jessica Plessen, Philippe Conus, Afroditi Kapsaridi, Davina Genoud, Aureliano Crameri, Sondes Jouabli, Camille Caron, Carmina Grob, Julia Gros, Smeralda Senn, Logos Curtis, Ana Liso Navarro, Remy Barbe, Nathalie NanzerEvelyn Herbrecht, Christian G. Huber, Nadia Micali, Marco Armando, Stefan Borgwardt, Christina Andreou

^*Corresponding author for this work

Clinic of Psychiatry and Psychotherapy

1 Citation (Scopus)

Abstract

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.

Original language	English
Article number	4642
Journal	Journal of Clinical Medicine
Volume	12
Issue number	14
ISSN	2077-0383
DOIs	https://doi.org/10.3390/jcm12144642
Publication status	Published - 07.2023

Funding

The PsyYoung project aimed to address the above challenges. The project started in 2019, funded by Health Promotion Switzerland (Promotion Santé Suisse), within the framework of the incentive program “Prevention in Healthcare”. This was initiated in collaboration with the Federal Office of Public Health to support the national strategy for the prevention of non-communicable diseases []. PsyYoung started in December 2019 and will end in March 2025. This research was funded by Promotion Santé Suisse grant number 19.313.

Research Areas and Centers

Academic Focus: Center for Brain, Behavior and Metabolism (CBBM)

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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Conchon, C., Sprüngli-Toffel, E., Alameda, L., Edan, A., Bailey, B., Solida, A., Plessen, K. J., Conus, P., Kapsaridi, A., Genoud, D., Crameri, A., Jouabli, S., Caron, C., Grob, C., Gros, J., Senn, S., Curtis, L., Liso Navarro, A., Barbe, R., ... Andreou, C. (2023). Improving Pathways to Care for Patients at High Psychosis Risk in Switzerland: PsyYoung Study Protocol. Journal of Clinical Medicine, 12(14), Article 4642. https://doi.org/10.3390/jcm12144642

@article{4737df034d934bb0bfa924a3c2e9b5ce,

title = "Improving Pathways to Care for Patients at High Psychosis Risk in Switzerland: PsyYoung Study Protocol",

abstract = "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.",

author = "Caroline Conchon and Elodie Spr{\"u}ngli-Toffel and Luis Alameda and Anne Edan and Barbara Bailey and Alessandra Solida and Plessen, \{Kerstin Jessica\} and Philippe Conus and Afroditi Kapsaridi and Davina Genoud and Aureliano Crameri and Sondes Jouabli and Camille Caron and Carmina Grob and Julia Gros and Smeralda Senn and Logos Curtis and \{Liso Navarro\}, Ana and Remy Barbe and Nathalie Nanzer and Evelyn Herbrecht and Huber, \{Christian G.\} and Nadia Micali and Marco Armando and Stefan Borgwardt and Christina Andreou",

note = "Publisher Copyright: {\textcopyright} 2023 by the authors.",

year = "2023",

month = jul,

doi = "10.3390/jcm12144642",

language = "English",

volume = "12",

journal = "Journal of Clinical Medicine",

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Conchon, C, Sprüngli-Toffel, E, Alameda, L, Edan, A, Bailey, B, Solida, A, Plessen, KJ, Conus, P, Kapsaridi, A, Genoud, D, Crameri, A, Jouabli, S, Caron, C, Grob, C, Gros, J, Senn, S, Curtis, L, Liso Navarro, A, Barbe, R, Nanzer, N, Herbrecht, E, Huber, CG, Micali, N, Armando, M, Borgwardt, S & Andreou, C 2023, 'Improving Pathways to Care for Patients at High Psychosis Risk in Switzerland: PsyYoung Study Protocol', Journal of Clinical Medicine, vol. 12, no. 14, 4642. https://doi.org/10.3390/jcm12144642

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

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 - https://www.scopus.com/pages/publications/85166350353

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 -

Improving Pathways to Care for Patients at High Psychosis Risk in Switzerland: PsyYoung Study Protocol

Abstract

Funding

Research Areas and Centers

UN SDGs

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