缩短未治疗精神病的持续时间：加强早期发现运动的案例。

IF 3.2 3区医学 Q1 HEALTH POLICY & SERVICES Psychiatric services Pub Date : 2025-06-01 Epub Date: 2025-02-06 DOI:10.1176/appi.ps.20240061

Ashley Weiss, Serena Chaudhry, Wasef Atiya, Sydney Long, Robert Roy, Ramin Mojtabai

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引用次数: 0

摘要

目的：路易斯安那州心理健康的明确答案（CALM）运动的目标是减少在新奥尔良社区经历首发精神病的患者未治疗精神病（DUP）的持续时间。方法：CALM使用公共交通和数字营销以及当地社区参与策略来减少转介到新奥尔良早期精神病干预诊所的DUP。收集calm启动前后临床转诊患者的DUP测量值（N=116）。来自营销策略的分析被用来评估活动的成功。结果：在CALM的前12个月，从精神病症状出现到进入临床的平均DUP从中位数6.6个月（四分位数间距[IQR]=2.5-14.9）下降到2.1个月（IQR=1.1-10.7）。从出现精神病症状到首次接受抗精神病药物治疗的时间中位数从2.0个月（IQR=0.5-8.6）降至0.2个月（IQR=0.0-0.7）。结论：CALM运动产生了有希望的结果，减少DUP转诊到一个协调的专科护理计划。

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Reducing Duration of Untreated Psychosis: Strengthening the Case for Early Detection Campaigns.

Objective: The Clear Answers to Louisiana Mental Health (CALM) campaign's objective is to reduce the duration of untreated psychosis (DUP) of patients experiencing first-episode psychosis in the New Orleans community.

Methods: CALM used mass transit and digital marketing and local community engagement strategies to reduce DUP in referrals to the Early Psychosis Intervention Clinic-New Orleans. DUP measures were collected for clinic referrals pre- and post-CALM launch (N=116). Analytics from marketing strategies were used to evaluate campaign success.

Results: In the first 12 months of CALM, the mean DUP from onset of psychotic symptoms to clinic entry decreased from a median of 6.6 (interquartile range [IQR]=2.5-14.9) to 2.1 (IQR=1.1-10.7) months. Time from onset of psychotic symptoms to first antipsychotic treatment decreased from a median of 2.0 (IQR=0.5-8.6) to 0.2 (IQR=0.0-0.7) months.

Conclusions: The CALM campaign produced promising results for reducing DUP in referrals to a coordinated specialty care program.

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来源期刊

Psychiatric services 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.80

自引率

7.90%

发文量

295

审稿时长

3-8 weeks

期刊介绍： Psychiatric Services, established in 1950, is published monthly by the American Psychiatric Association. The peer-reviewed journal features research reports on issues related to the delivery of mental health services, especially for people with serious mental illness in community-based treatment programs. Long known as an interdisciplinary journal, Psychiatric Services recognizes that provision of high-quality care involves collaboration among a variety of professionals, frequently working as a team. Authors of research reports published in the journal include psychiatrists, psychologists, pharmacists, nurses, social workers, drug and alcohol treatment counselors, economists, policy analysts, and professionals in related systems such as criminal justice and welfare systems. In the mental health field, the current focus on patient-centered, recovery-oriented care and on dissemination of evidence-based practices is transforming service delivery systems at all levels. Research published in Psychiatric Services contributes to this transformation.