Only a small proportion of patients with first episode psychosis come via prodromal services: a retrospective survey of a large UK mental health programme

BMC Psychiatry

Research Article

Anthony S. David¹  Olesya Ajnakina¹  Robin M. Murray¹  Paola Dazzan²  James H. MacCabe²  Sally Bramley³  Sherifat Oduola⁴  Craig Morgan⁵  Charlotte Gayer-Anderson⁵  François Bourque⁵  Jessica Williamson⁶ 

[1] Department of Psychosis Studies, Institute of Psychiatry, Psychology & Neuroscience, King’s College London, 16 De Crespigny Park, SE5 8AF, London, UK;Department of Psychosis Studies, Institute of Psychiatry, Psychology & Neuroscience, King’s College London, 16 De Crespigny Park, SE5 8AF, London, UK;National Institute for Health Research (NIHR) Mental Health Biomedical Research Centre at South London and Maudsley NHS Foundation Trust and King’s College London, London, UK;Guy’s, King’s and St Thomas’ School of Medical Education, King’s College London, London, UK;NIHR Biomedical Research Centre, David Goldberg Building, Institute of Psychiatry, Psychology & Neuroscience, Kings College London, De Crespigny Park, SE5 8AF, London, UK;Society and Mental Health Research Group, Health Service and Population Research Department, Institute of Psychiatry, Psychology & Neuroscience, King’s College London, De Crespigny Park, SE5 8AF, London, UK;Violence Prevention Research Unit Queen Mary University of London & East London NHS Foundation Trust, Garrod Building, Turner Street, E1 2AD, London, UK;

关键词: First episode psychosis;    At risk mental state;    Pathways to care;    Retrospective;    Transition to psychosis;    Prodromal services;   

DOI  :  10.1186/s12888-017-1468-y

 received in 2017-06-14, accepted in 2017-08-15,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundLittle is known about patients with a first episode of psychosis (FEP) who had first presented to prodromal services with an “at risk mental state” (ARMS) before making the transition to psychosis. We set out to identify the proportion of patients with a FEP who had first presented to prodromal services in the ARMS state, and to compare these FEP patients with FEP patients who did not have prior contact with prodromal services.MethodsIn this study information on 338 patients aged ≤37 years who presented to mental health services between 2010 and 2012 with a FEP was examined. The data on pathways to care, clinical and socio-demographic characteristics were extracted from the Biomedical Research Council Case Register for the South London and Maudsley NHS Trust.ResultsOver 2 years, 14 (4.1% of n = 338) young adults presented with FEP and had been seen previously by the prodromal services. These ARMS patients were more likely to enter their pathway to psychiatric care via referral from General Practice, be born in the UK and to have had an insidious mode of illness onset than FEP patients without prior contact with the prodromal services.ConclusionsIn the current pathways to care configuration, prodromal services are likely to prevent only a few at-risk individuals from transitioning to psychosis even if effective preventative treatments become available.

【 授权许可】

CC BY   
© The Author(s). 2017