Overcoming the gap between child and adult mental health services: The Reggio Emilia experience in an early intervention in psychosis program
| Autor: | Luigi Rocco Chiri, Silvia Azzali, Michele Poletti, Sara Garlassi, Lorenzo Pelizza, Ilaria Scazza, Andrea Raballo, Simona Pupo, Federica Paterlini |
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| Rok vydání: | 2020 |
| Předmět: |
early psychosis
Adult Mental Health Services medicine.medical_specialty Adolescent Social Welfare 03 medical and health sciences 0302 clinical medicine Intervention (counseling) First episode psychosis Early Intervention Educational Medicine Humans Educational Psychiatry Child Descriptive quantitative Referral and Consultation Biological Psychiatry business.industry Early psychosis Early Intervention psychiatric services early intervention in psychosis Mental health 030227 psychiatry Early intervention in psychosis Psychiatry and Mental health care pathways Italy Psychotic Disorders Anxiety adolescence Pshychiatric Mental Health medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | Early intervention in psychiatryREFERENCES. 15(6) |
| ISSN: | 1751-7893 |
| Popis: | Aim Early intervention in psychosis (EIP) can reduce severity and persistence of illness. From September 2012, the Reggio Emilia Department of Mental Health developed the 'Reggio Emilia At-Risk Mental States' (ReARMS) protocol as a specific EIP infrastructure in all its adult and child/adolescent mental health services. Aims of this study were (a) to describe the ReARMS macroscopic organization and (b) to analyse some specific process indicators (i.e., the amount of individuals referred to the ReARMS program, the number of subjects who met defined diagnostic criteria of early psychosis and accepted the intervention, and the 1-year drop-out rate) during the first 5 years of its clinical activity, in order to examine feasibility and quality of its procedures on the adolescent help-seeking subgroup. Methods Adolescent participants (n = 125), aged 13-18 years, completed the Comprehensive Assessment of At-Risk Mental States (CAARMS) to investigate the clinical status. Descriptive quantitative analyses were then used. Results Fifty (40%) individuals did not meet early psychosis-defined criteria, while 75 (60%: i.e., 44 Ultra-High Risk [UHR] and 31 First Episode Psychosis [FEP] subjects) were offered an EIP dedicated care protocol: of them, 66 (88%) were enrolled in the program and 9 (12%) dropped out during the first year of treatment). Adolescents enrolled in the ReARMS protocol were mainly referred by general practitioners (32%), family members (16%), or school/social services (15.2%). Seventy (56%) participants had a history of previous specialist contact (especially for learning and anxiety disorders). Conclusions An EIP program for adolescents with early psychosis in Italian child/adolescent mental health services are feasible, clinically relevant and recommended, specifically in this age group with a high risk of falling through the child/adult service gap. |
| Databáze: | OpenAIRE |
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