Health care System delays in order to detect early onset of psychosis, experiences from the TIPS 2 and POP (prevention of psychosis) studies
Poster C28,
Ivar Elvik1, Inge Joa2,3, Robert Jørgensen2, Lars Ravn Øhlckers1, Olaug Trøan1, Nina Nicoline Helland1, Wenche ten Velden Hegelstad2, Kolbjørn Brønnick2,3, Jan Olav Johannessen2,3; 1Stavanger University Hospital, Division of Psychiatry, 2Stavanger University Hospital, Division of Psychiatry, TIPS network clinical psychosis reserach, 3University of Stavanger, Network for medical sciences, Faculty of Social Sciences
Background: The TIPS/POP studies are ongoing Norwegian early detection initiatives providing early access to appropriate care for individuals with first episode psychosis (FEP) or Ultra-High risk states (UHR) through multi-focal information campaigns and low threshold detection teams. The POP-initiative is an expansion of the program to individuals in UHR states with the goal of preventing transition to psychosis. Aim: To investigate pathways to care of 24 consecutive referred cases of first-episode psychosis (FEP) in 2014; are there internal system delays causing missed UHR cases and thus increased DUP in FEP cases. Method: Systematic search through the medical journal of 24 FEP cases, examining 5 factors; 1: FEP pathways. 2: Earlier treatment 3: Adverse life events. 4: Possible prodromal signs in earlier treatment. 5: Signs of psychosis in earlier treatment. PANSS and SCID are used to evaluate diagnosis and severity of psychosis. Results: Preliminary results indicate that 21 of 24 patients had been in contact with mental health services for other mental disorders at an earlier stage. 8 had been in contact with Child and Adolescence service, 13 with community mental health service, and only 3 had not been previously treated. We also found high prevalence of adverse life events. The final results will be presented in the symposium presentation.
Topic Area: Service System Development and Reform