Pathways to care in youth and young adults at clinical high risk for psychosis in Switzerland: Current situation and clinical implementation of the PsyYoung project.
PsyYoung
clinical high risk for psychosis
early detection
early intervention
pathways to care
Journal
Early intervention in psychiatry
ISSN: 1751-7893
Titre abrégé: Early Interv Psychiatry
Pays: Australia
ID NLM: 101320027
Informations de publication
Date de publication:
27 Apr 2024
27 Apr 2024
Historique:
revised:
22
03
2024
received:
23
04
2023
accepted:
19
04
2024
medline:
28
4
2024
pubmed:
28
4
2024
entrez:
27
4
2024
Statut:
aheadofprint
Résumé
We aim to give an insight into the current situation in Switzerland concerning the pathways to care of young people with clinical high risk of psychosis. In a second step we propose a procedure of optimizing pathways to care developed within the project PsyYoung. A qualitative survey derived and adapted from Kotlicka-Antczak et al. (2020) was conducted in large early detection services of three Swiss cantons (Geneva, Basel-Stadt, Vaud) focusing on pathways to care. More specifically, using questionnaires delivered to the heads of participating services, information was collected on referral sources, on activities to implement outreach campaigns and on the use of a pre-screening tool. Main results on referral source indicated that sources were variable but seemed to come primarily from the medical sector and more so from the psychiatric sector. Very few referrals came from non-medical sectors. Outreach activities included the contact to other clinics as well as through brochures and posters. All services but one used the Prodromal Questionnaire - 16 as pre-screening tool. All in all, the results indicate a referral and care pathway system implemented mostly within the medical and particularly mental health sector. Accordingly, the PsyYoung project proposes a procedure for pathways to care which could help overcome the obstacle of referrals being restrained to a narrow field of mental health and to harmonize the referral process within services dedicated to the same aim of helping young people at high risk of developing a psychosis.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : Promotion Santée Suisse
ID : 19.313
Organisme : Office Fédéral de la Santé Publique
Informations de copyright
© 2024 The Authors. Early Intervention in Psychiatry published by John Wiley & Sons Australia, Ltd.
Références
Andreou, C., Bailey, B., Armando, M., Micali, N., Huber, C., Herbrecht, E., Curtis, L., Genoud, D., Borgwardt, S., Plessen, K. J., Conus, P., & Solida, A. (2021). PsyYoung: A transcantonal project for facilitating access to care for young people at risk for psychotic disorders. Revue Medicale Suisse, 17(751), 1597–1601.
Armando, M., Klauser, P., Anagnostopoulos, D., Hebebrand, J., Moreno, C., Revet, A., & Raynaud, J. P. (2021). Clinical high risk for psychosis model in children and adolescents. A joint position statement of ESCAP Clinical Division and Research Academy. European Child + Adolescent. Psychiatry Journal, 29(4), 413–416. https://doi.org/10.1007/s00787-020-01499-3
Baumann, P. S., Crespi, S., Marion‐Veyron, R., Solida, A., Thonney, J., Favrod, J., Bonsack, C., Do, K. Q., & Conus, P. (2013). Treatment and early intervention in psychosis program (TIPP‐Lausanne): Implementation of an early intervention programme for psychosis in Switzerland. Early Intervention in Psychiatry, 7(3), 322–328. https://doi.org/10.1111/eip.12037
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, 4642.
Estradé, A., Salazar de Pablo, G., Zanotti, A., Wood, S., Fisher, H., & Fusar‐Poli, P. (2022). Public health primary prevention implemented by clinical highrisk services for psychosis. Translational Psychiatry, 12, 43. https://doi.org/10.1038/s41398-022-01805-4
Fusar‐Poli, P., Salazar de Pablo, G., Correll, C. U., Meyer‐Lindenberg, A., Millan, M. J., Borgwardt, S., Galderisi, S., Bechdolf, A., Pfennig, A., Kessing, L. V., van Amelsvoort, T., Nieman, D. H., Domschke, K., Krebs, M. O., Koutsouleris, N., McGuire, P., do, K. Q., & Arango, C. (2020). Prevention of psychosis: Advances in detection, prognosis, and intervention. JAMA Psychiatry, 77, 755. https://doi.org/10.1001/jamapsychiatry.2019.4779
Fusar‐Poli, P., Schultze‐Lutter, F., Cappucciati, M., Rutigliano, G., Bonoldi, I., Stahl, D., Borgwardt, S., Riecher‐Rössler, A., Addington, J., Perkins, D. O., Woods, S. W., McGlashan, T., Lee, J., Klosterkötter, J., Yung, A. R., & McGuire, P. (2016). The dark side of the moon: Meta‐analytical impact of recruitment strategies on risk enrichment in the clinical high risk state for psychosis. Schizophrenia Bulletin, 42(3), 732–743.
Fusar‐Poli, P., Sullivan, S. A., Shah, J. L., & Uhlhaas, P. J. (2019). Improving the detection of individuals at clinical risk for psychosis in the community, primary and secondary care: An integrated evidence‐based approach. Frontiers in Psychiatry, 10, 774. https://doi.org/10.3389/fpsyt.2019.00774
Ising, H. K., Veling, W., Loewy, R. L., Rietveld, M. W., Rietdijk, J., Dragt, S., Klaassen, R. M., Nieman, D. H., Wunderink, L., Linszen, D. H., & van der Gaag, M. (2012). The validity of the 16‐item version of the Prodromal Questionnaire (PQ‐16) to screen for ultra high risk of developing psychosis in the general help‐seeking population. Schizophrenia Bulletin, 38(6), 1288–1296. https://doi.org/10.1093/schbul/sbs068
Kotlicka‐Antczak, M., Podgórski, M., Oliver, D., Maric, N. P., Valmaggia, L., & Fusar‐Poli, P. (2020). Worldwide implementation of clinical services for the prevention of psychosis: The IEPA early intervention in mental health survey. Early Intervention in Psychiatry, 14(6), 741–750.
Lejuste, F., Pedron, L., Bonnard, E., Urban, M., Morvan, Y., Urben, S., Gaillard, R., Conus, P., & Krebs, M. O. (2021). Validation d'une version francaise du 16‐items Pàrdromal Questionnaire (fPQ16) chez des adolescents et jeunes adultes consultant en psyxchiatrie. L'Encéphale, 47(6), 547–553.
McGlashan, T., Walsh, B. C., & Woods, S. W. (2010). The psychosis risk syndrome: Handbook for diagnosis and follow‐up. Oxford University Press.
McGorry, P. D., Hartmann, J. A., Spooner, R., & Nelson, B. (2018). Beyond the “at risk mental state” concept: Transitioning to transdiagnostic psychiatry. World Psychiatry, 17, 133–142. https://doi.org/10.1002/wps.20514
Mei, C., van der Gaag, M., Nelson, B., Smit, F., Yuen, H. P., Berger, M., Krcmar, M., French, P., Amminger, G. P., Bechdolf, A., Cuijpers, P., Yung, A. R., & McGorry, P. D. (2021). Preventive interventions for individuals at ultra high risk for psychosis: An updated and extended meta‐analysis. Clinical Psychology Review, 86, 102005.
Moritz, S., Gawęda, L., Heinz, A., & Gallinat, J. (2019). Four reasons why early detection centers for psychosis should be renamed and their treatment targets reconsidered: We should not catastrophize a future we can neither reliably predict nor change. Psychological Medicine, 49(13), 2134–2140.
Oliver, D., Arribas, M., Radua, J., Salazar de Pablo, G., de Micheli, A., Spada, G., Mensi, M. M., Kotlicka‐Antczak, M., Borgatti, R., Solmi, M., Shin, J. I., Woods, S. W., Addington, J., McGuire, P., & Fusar‐Poli, P. (2022). Prognostic accuracy and clinical utility of psychometric instruments for individuals at clinical high‐risk of psychosis: A systematic review and meta‐analysis. Molecular Psychiatry, 27, 3670–3678.
Oliver, D., Davies, C., Crossland, G., Lim, S., Gifford, G., McGuire, P., & Fusar‐Poli, P. (2018). Can we reduce the duration of untreated psychosis? A systematic review and meta‐analysis of controlled interventional studies. Schizophrenia Bulletin, 44(6), 1362–1372.
Raballo, A., Poletti, M., & Preti, A. (2023). Clinical High Risk for Psychosis (CHR‐P) in children and adolescents: A roadmap to strengthen clinical utility through conceptual clarity. European Child & Adolescent Psychiatry. https://doi.org/10.1007/s00787-023-02139-2
Salazar de Pablo, G., Radua, J., Pereira, J., Bonoldi, I., Arienti, V., Besana, F., Soardo, L., Cabras, A., Fortea, L., Catalan, A., Vaquerizo‐Serrano, J., Coronelli, F., Kaur, S., da Silva, J., Shin, J. I., Solmi, M., Brondino, N., Politi, P., McGuire, P., & Fusar‐Poli, P. (2021). Probability of transition to psychosis in individuals at clinical high risk: An updated meta‐analysis. JAMA Psychiatry, 78(9), 970–978.
Salazar de Pablo, G., Woods, S. W., Drymonitou, G., de Diego, H., & Fusar‐Poli, P. (2021). Prevalence of individuals at clinical high‐risk of psychosis in the general population and clinical samples: Systematic review and meta‐analysis. Brain Sciences, 11(11), 1544.
Savill, M., D'Ambrosio, J., Cannon, T. D., & Loewy, R. L. (2018). Psychosis‐risk screening in different populations using the Prodromal Questionnaire – A systematic review. Early Intervention in Psychiatry, 12, 3–14.
Schultze‐Lutter, F., Addington, J., Ruhrmann, S., & Klosterkötter, J. (2007). Schizophrenia proneness instrument, adult version (SPI‐A). Giovanni Fioriti Editore.
Schultze‐Lutter, F., & Koch, E. (2010). Schizophrenia proneness instrument, child and youth version (SPI‐CY). Fioriti.
Vos, T., Abajobir, A. A., Abate, K. H., Abbafati, C., Abbas, K. M., Abd‐Allah, F., Abdulkader, R. S., Abdulle, A. M., Abebo, T. A., Abera, S. F., Aboyans, V., Abu‐Raddad, L. J., Ackerman, I. N., Adamu, A. A., Adetokunboh, O., Afarideh, M., Afshin, A., Agarwal, S. K., Aggarwal, R., … Murray, C. J. L. (2017). Global, regional, and national incidence, prevalence, and years lived with disability for 328 diseases and injuries for 195 countries, 1990–2016: A systematic analysis for the Global Burden of Disease Study 2016. The Lancet, 390(10100), 1211–1259.
Yung, A. R., Yuen, H. P., McGorry, P. D., Phillips, L. J., Kelly, D., Dell'Olio, M., Francey, S. M., Cosgrave, E. M., Killackey, E., Stanford, C., Godfrey, K., & Buckby, J. (2005). Mapping the onset of psychosis: The comprehensive assessment of at‐risk mental states. The Australian and New Zealand Journal of Psychiatry, 39, 964–971.