Early treatment for non-UHR /non-FEP mental health problems in patients presenting with psychosis or UHR.

Poster A86, Monday, October 8, 11:30 am - 1:00 pm, Essex Ballroom

Robert Leon Jørgensen1, Inge Joa1,2, Jan Olav Johannnessen1,2, Britt Sissel Fagerjord1, Kolbjørn Brønnick1,2, Wenche ten Velden1; 1TIPS (early intervention and treatment first episode psychosis). Stavanger University Hospital. Health West Trust., 2Stavanger University

Background: The TIPS/POP studies are ongoing Norwegian early intervention initiatives providing early access to appropriate care for individuals with first episode psychosis (FEP) and in Ultra-High risk states (UHR) by the use of multi-focal information campaigns and low threshold detection teams. In 2014 we investigated help-seeking delays and health system for 24 FEP patients who had presented to mental health care that year. Eight had previously been treated for non-FEP mental health problems in child- and adolescent care and 13 in primary health care. Only three were treatment naïve. Adverse life events were common in all. Findings gave rise to the suspicion that FEP patients may be characterized by a combination of non-specific mental health care problems in childhood or adolescence such as ADHD, self-harming, depression or anxiety, for which earlier treatment has been terminated before the emergence of UHR or FEP symptoms. Aim: To develop and pilot a study in order to investigate the prevalence of earlier treatment episodes for mental health problems not captured by FEP or UHR definitions. Method: Patient files of 50 consecutive referrals to TIPS/POP (FEP/UHR) will be investigated assessed according to the following: Pathways to care (help-seeking and health system delays); Earlier treatment for any psychiatric problem; Adverse life events; Possible prodromal signs in earlier treatment if the patient is FEP; Signs of psychosis in earlier treatment. PANSS and SCID are used to evaluate diagnosis and severity of psychosis. Results: Data collection is under preparation and preliminary results will be presented.

Topic Area: First Episode Psychosis

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