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, Saturday, October 22, 11:30 am - 1:00 pm, Le Baron

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

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