4.2 Article

The impact of delivering GP training on the clinical high risk and first-episode psychosis on referrals and pathways to care

期刊

EARLY INTERVENTION IN PSYCHIATRY
卷 9, 期 6, 页码 459-466

出版社

WILEY-BLACKWELL
DOI: 10.1111/eip.12126

关键词

early diagnosis; early intervention; education; general practitioner; psychosis

资金

  1. Guy's Charitable Foundation
  2. St Thomas' Charitable Foundation
  3. NIHR Biomedical Research Centre for Mental Health at the South London and Maudsley NHS Foundation Trust
  4. Institute of Psychiatry King's College London

向作者/读者索取更多资源

AimThis project explored the impact of a general practitioner (GP) training programme on referrals and pathways to care for people at high clinical risk of psychosis or with a first-episode psychosis. The resources needed to deliver the training were measured to help inform other teams considering this approach. Satisfaction with the training was also explored. MethodsAll of the GP (48) practices in the London Borough of Southwark were approached. Presentations were given on the symptoms of a clinical high-risk state and the first signs of psychosis alongside information on how to access the teams. Referrals to the prodromal and first-episode teams 6 months before and after the training were recorded. Resources needed to deliver the training in terms of staff time were recorded. A questionnaire on attendees' satisfaction with the training was given. ResultsSixty percent of eligible practices received education. On average, it took 2h for every two staff members each to deliver the training. Over the 12-month period, the teams received 148 referrals. The training led to a significant increase in referrals to the two specialized teams and a significant increase in direct referrals to the teams from GPs. Attendees were satisfied with the training. ConclusionsThis study indicates that GP education programmes are a viable and acceptable way of increasing the identification of young people at high clinical risk for psychosis or with a first-episode psychosis and increasing direct referrals to specialist teams.

作者

我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。

评论

主要评分

4.2
评分不足

次要评分

新颖性
-
重要性
-
科学严谨性
-
评价这篇论文

推荐

Review Psychology, Clinical

Impact of data extraction errors in meta-analyses on the association between depression and peripheral inflammatory biomarkers: an umbrella review

San Lee, Keum Hwa Lee, Kyung Mee Park, Sung Jong Park, Won Jae Kim, Jinhee Lee, Andreas Kronbichler, Lee Smith, Marco Solmi, Brendon Stubbs, Ai Koyanagi, Louis Jacob, Andrew Stickley, Trevor Thompson, Elena Dragioti, Hans Oh, Andre R. Brunoni, Andre F. Carvalho, Joaquim Radua, Suk Kyoon An, Kee Namkoong, Eun Lee, Jae Il Shin, Paolo Fusar-Poli

Summary: Errors in data extraction may account for discrepancies in previous meta-analyses on the association between depression and inflammatory biomarkers.

PSYCHOLOGICAL MEDICINE (2023)

Review Psychology, Developmental

Systematic Review and Meta-analysis: Efficacy of Pharmacological Interventions for Irritability and Emotional Dysregulation in Autism Spectrum Disorder and Predictors of Response

Gonzalo Salazar de Pablo, Carolina Pastor Jorda, Julio Vaquerizo-Serrano, Carmen Moreno, Anna Cabras, Celso Arango, Patricia Hernandez, Jeremy Veenstra-VanderWeele, Emily Simonoff, Paolo Fusar-Poli, Paramala Santosh, Samuele Cortese, Mara Parellada

Summary: This meta-analysis found that antipsychotics and medications used to treat ADHD were significantly better than placebo in improving emotional dysregulation and irritability in individuals with ASD. Specifically, risperidone and aripiprazole showed efficacy in short-term treatment. However, other drug classes did not show evidence of efficacy. Lower efficacy was associated with comorbid epilepsy.

JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY (2023)

Article Psychology, Clinical

Psychosis and substance abuse increase the COVID-19 mortality risk

Ana Catalan, Claudia Aymerich, Amaia Bilbao, Borja Pedruzo, Jose Luis Perez, Nerea Aranguren, Gonzalo Salazar de Pablo, Emily Hedges, Patxi Gil, Rafael Segarra, Ana Gonzalez-Pinto, Aranzazu Fernandez-Rivas, Lucia Inchausti, Philip McGuire, Paolo Fusar-Poli, Miguel Angel Gonzalez-Torres

Summary: COVID-19-related mortality and hospitalization rates were higher for patients with pre-existing psychotic disorders, while patients with affective disorders had lower rates.

PSYCHOLOGICAL MEDICINE (2023)

Review Biochemistry & Molecular Biology

Efficacy and acceptability of psychosocial interventions in schizophrenia: systematic overview and quality appraisal of the meta-analytic evidence

Marco Solmi, Giovanni Croatto, Giada Piva, Stella Rosson, Paolo Fusar-Poli, Jose M. Rubio, Andre F. Carvalho, Eduard Vieta, Celso Arango, Nicole R. DeTore, Elizabeth S. Eberlin, Kim T. Mueser, Christoph U. Correll

Summary: Psychosocial interventions play an important role in schizophrenia and early psychosis. However, the literature on this topic is heterogeneous and contradictory. This umbrella review summarizes the findings from multiple meta-analyses comparing the effectiveness of different psychosocial interventions with standard treatment or other active interventions. The results suggest that early intervention services and cognitive behavioral therapy have significant effects on symptom reduction and functional improvement in early psychosis. For schizophrenia patients, cognitive behavioral therapy, psychoeducation, and any family interventions show positive effects on symptom reduction, relapse prevention, and functional improvement.

MOLECULAR PSYCHIATRY (2023)

Review Psychiatry

The incidence of non-affective psychotic disorders in low and middle-income countries: a systematic review and meta-analysis

Rayanne John-Baptiste Bastien, Tao Ding, Alfonso Gonzalez-Valderrama, Lucia Valmaggia, James B. Kirkbride, Hannah E. Jongsma

Summary: There is a lack of reliable evidence on the incidence of non-affective psychotic disorders in low and middle-income countries (LMICs). A new, more equitable global mental health evidence base is urgently needed.

SOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY (2023)

Article Psychology, Developmental

Autistic young people's experiences of remote psychological interventions during COVID-19

Lucy Adams, Nicoletta Adamo, Matthew J. Hollocks, Jennifer Watson, Aylana Brewster, Lucia Valmaggia, Emma Jewitt, Jodie Edwards, Maisie Krisson, Emily Simonoff

Summary: Remote psychological interventions have both challenges and benefits for individuals with autism spectrum disorder. A study interviewed autistic individuals and clinicians, finding that there are barriers and challenges to remote delivery, but also potential benefits for some individuals. Most participants supported the provision of hybrid delivery post-pandemic.

AUTISM (2023)

Article Endocrinology & Metabolism

An automatic analysis framework for FDOPA PET neuroimaging

Giovanna Nordio, Rubaida Easmin, Alessio Giacomel, Ottavia Dipasquale, Daniel Martins, Steven Williams, Federico Turkheimer, Oliver Howes, Mattia Veronese, Sameer Jauhar, Maria Rogdaki, Robert McCutcheon, Stephen Kaar, Luke Vano, Grazia Rutigliano, Ilinca Angelescu, Faith Borgan, Enrico D'Ambrosio, Tarik Dahoun, Euitae Kim, Seoyoung Kim, Micheal Bloomfield, Alice Egerton, Arsime Demjaha, Ilaria Bonoldi, Chiara Nosarti, James Maccabe, Philip McGuire, Julian Matthews, Peter S. Talbot

Summary: In this study, a fully automated analytical framework for FDOPA PET neuroimaging data was evaluated. The framework showed good reproducibility and sensitivity to demographic and experimental variables. It represents an effective resource for standardized and robust quantification of dopamine synthesis capacity using FDOPA PET data.

JOURNAL OF CEREBRAL BLOOD FLOW AND METABOLISM (2023)

Article Biochemistry & Molecular Biology

Variability and magnitude of brain glutamate levels in schizophrenia: a meta and mega-analysis

Kate Merritt, Robert McCutcheon, Andre Aleman, Sarah Ashley, Katherine Beck, Wolfgang Block, Oswald J. N. Bloemen, Faith Borgan, Christiana Boules, Juan R. Bustillo, Aristides Capizzano, Jennifer Q. Coughlin, Anthony David, Camilo de la Fuente-Sandoval, Arsime Demjaha, Kara Dempster, Kim Do, Fei E. Du, Peter Falkai, Beata Galinska-Skok, Juergen Gallinat, Charles Gasparovic, Cedric E. Ginestet, Naoki Goto, Ariel Graff-Guerrero, Beng-Choon Ho, Oliver Howes, Sameer Jauhar, Peter Jeon, Tadafumi Kato, Charles A. Kaufmann, Lawrence S. Kegeles, Matcheri S. Keshavan, Sang-Young Kim, Bridget King, Hiroshi Kunugi, J. Lauriello, Pablo Leon-Ortiz, Edith Liemburg, Meghan Mcilwain, Gemma Modinos, Elias Mouchlianitis, Jun Nakamura, Igor Nenadic, Dost Ongur, Miho Ota, Lena E. Palaniyappan, Christos Pantelis, Tulsi F. Patel, Eric Plitman, Sotirios R. Posporelis, Scot Purdon, Juergen R. Reichenbach, Perry C. Renshaw, Francisco Reyes-Madrigal, Bruce A. Russell, Akira Sawa, Martin Schaefer, Dikoma C. Shungu, Stefan Smesny, Jeffrey Stanley, James G. Stone, Agata Szulc, Reggie Taylor, Katharine N. Thakkar, Jean J. Theberge, Philip Tibbo, Therese van Amelsvoort, Jerzy Walecki, Peter Williamson, Stephen Wood, Lijing Xin, Hidenori Yamasue, Philip K. McGuire, Alice Egerton

Summary: This study conducted meta-analyses and found that patients with schizophrenia have greater variability in glutamate metabolites compared to controls in various brain regions, and age and symptoms also influence individual variability.

MOLECULAR PSYCHIATRY (2023)

Review Clinical Neurology

Psychotic disorders as a framework for precision psychiatry

Fiona Coutts, Nikolaos Koutsouleris, Philip McGuire

Summary: Precision psychiatry is an approach that aims to stratify individuals with psychotic disorders according to different clinical outcomes and tailor treatment to their individual needs. Currently, it is difficult to predict interindividual differences in outcomes of psychotic disorders solely on the basis of clinical assessment. Therefore, current research focuses on building models that integrate clinical information with a range of biological measures to predict outcomes.

NATURE REVIEWS NEUROLOGY (2023)

Article Multidisciplinary Sciences

Country-level gender inequality is associated with structural differences in the brains of women and men

Andre Zugman, Luz Maria Alliende, Vicente Medel, Richard A. I. Bethlehem, Jakob Seidlitz, Grace Ringlein, Celso Arango, Aurina Arnatkeviciute, Laila Asmal, Mark Bellgrove, Vivek Benegal, Miquel Bernardo, Pablo Billeke, Jorge Bosch-Bayard, Rodrigo Bressan, Geraldo F. Busatto, Mariana N. Castro, Tiffany Chaim-Avancini, Albert Compte, Monise Costanzi, Leticia Czepielewski, Paola Dazzan, Camilo de la Fuente-Sandoval, Marta Di Forti, Covadonga M. Diaz-Caneja, Ana Maria Diaz-Zuluaga, Stefan Du Plessis, Fabio L. S. Duran, Sol Fittipaldi, Alex Fornito, Nelson B. Freimer, Ary Gadelha, Clarissa S. Gama, Ranjini Garani, Clemente Garcia-Rizo, Cecilia Gonzalez Campo, Alfonso Gonzalez-Valderrama, Salvador Guinjoan, Bharath Holla, Agustin Ibanez, Daniza Ivanovic, Andrea Jackowski, Pablo Leon-Ortiz, Christine Lochner, Carlos Lopez-Jaramillo, Hilmar Luckhoff, Raffael Massuda, Philip McGuire, Jun Miyataaaa, Romina Mizrahi, Robin Murray, Aysegul Ozerdem, Pedro M. Pan, Mara Parellada, Lebogan Phahladira, Juan P. Ramirez-Mahalu, Ramiro Reckziegel, Tiago Reis Marques, Francisco Reyes-Madrigal, Annerine Roos, Pedro Rosa, Giovanni Salum, Freda Scheffler, Gunter Schumann, Mauricio Serpa, Dan J. Stein, Angeles Tepper, Jeggan Tiego, Tsukasa Ueno, Juan Undurraga, Eduardo A. Undurrag, Pedro Valdes-Sosaooo, Isabel Valliy, Mirta Villarrealu, Toby T. Winton-Brownrrr, Nefize Yalin, Francisco Zamorano, Marcus V. Zanetti, Anderson M. Winkler, Daniel S. Pine, Sara Evans-Lacko, Nicolas A. Crossley

Summary: Gender inequality has been linked to higher mental health risks and lower academic achievement for women globally. Differences in brain structure between men and women may be partially explained by unequal exposure to harsher conditions in gender-unequal countries, leading to worse outcomes for women. A meta-analysis of MRI scans from 139 samples across 29 countries revealed that women in gender-equal countries had no differences or even thicker cortical regions, while those in countries with greater gender inequality had thinner cortices. These findings highlight the potential negative impact of gender inequality on women's brains and the need for policies based on neuroscience for gender equality.

PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA (2023)

Article Clinical Neurology

Influence of cannabis use on incidence of psychosis in people at clinical high risk

Lucy A. Chester, Lucia R. Valmaggia, Matthew J. Kempton, Edward Chesney, Dominic Oliver, Emily P. Hedges, Elise Klatsa, Daniel Stahl, Mark van der Gaag, Lieuwe de Haan, Barnaby Nelson, Patrick McGorry, G. Paul Amminger, Anita Riecher-Rossler, Erich Studerus, Rodrigo Bressan, Neus Barrantes-Vidal, Marie-Odile Krebs, Birte Glenthoj, Merete Nordentoft, Stephan Ruhrmann, Gabriele Sachs, Philip McGuire

Summary: The aim of this study was to investigate the association between cannabis use and the incidence of psychotic disorders in individuals at clinical high risk of psychosis. The results showed no significant association between cannabis use and the transition to psychosis, persistence of symptoms, or functional outcome.

PSYCHIATRY AND CLINICAL NEUROSCIENCES (2023)

Review Psychology, Clinical

Virtual reality and immersive technologies to promote workplace wellbeing: a systematic review

Simon Riches, Lawson Taylor, Priyanga Jeyarajaguru, Wim Veling, Lucia Valmaggia

Summary: This systematic review evaluates the feasibility, acceptability, and effectiveness of immersive technologies in promoting workplace wellbeing. The findings show that immersive VR environments can provide relaxation and stress reduction experiences that are helpful for workplaces, but more long-term data and controlled trials are needed to support the conclusions.

JOURNAL OF MENTAL HEALTH (2023)

Article Psychiatry

Integrating a virtual reality relaxation clinic within acute psychiatric services: A pilot study

Simon Riches, Sarah L. Nicholson, Carolina Fialho, Jordan Little, Lava Ahmed, Harley Mcintosh, Ina Kaleva, Tom Sandford, Rebecca Cockburn, Clarissa Odoi, Lisa Azevedo, Ruxandra Vasile, James Payne -Gill, Helen L. Fisher, Catheleine van Driel, Wim Veling, Lucia Valmaggia, Freya Rumball

Summary: This study investigated the feasibility and acceptability of integrating a virtual reality relaxation clinic within acute psychiatric services. The findings suggest that virtual reality relaxation sessions can effectively reduce stress and improve psychological well-being for patients with acute psychiatric conditions. Furthermore, the implementation of virtual reality also resulted in a significant decrease in violent incidents and restrictive practices.

PSYCHIATRY RESEARCH (2023)

Article Nutrition & Dietetics

Exploring Correlations of Food-Specific Disgust with Eating Disorder Psychopathology and Food Interaction: A Preliminary Study Using Virtual Reality

Sevgi Bektas, Ludovica Natali, Katie Rowlands, Lucia Valmaggia, Jerome Di Pietro, Hiba Mutwalli, Hubertus Himmerich, Janet Treasure, Valentina Cardi

Summary: The emotion of disgust plays a critical role in maintaining restrictive eating among individuals with anorexia nervosa. This study found that both food-specific trait and state disgust are associated with eating disorder psychopathology. Effective strategies are needed to attenuate food-specific disgust.

NUTRIENTS (2023)

Article Psychiatry

Individual Placement and Support Focusing on Employment and Education for Young People at Clinical High Risk of Psychosis: A Feasibility Study

Maria Chiara Del Piccolo, Lucia Valmaggia, Claire Henderson, Tom J. Spencer, David Lewis, Sharon Fitzell, Sara Edwards, Carys Evans, Stefania Tognin

Summary: This study assessed the feasibility of implementing Individual Placement and Support (IPS) with a focus on educational and employment goals within a clinical service for individuals at clinical high risk (CHR) of psychosis. The findings suggest that IPS implementation within a CHR clinical team is feasible and may be a beneficial intervention for young people at CHR. Longer follow-up is needed to assess its impact on educational outcomes.

PSYCHIATRIC REHABILITATION JOURNAL (2023)

暂无数据