Mapping of early intervention programs for psychosis in France
Poster A49, Monday, October%208, 11:30%20am%20-%201:00%20pm, Essex%20Ballroom
Guy Gozlan1, Sophie Meunier-Cussac2, Laurent Lecardeur2, Anne Duburcq3, Laurène Courouve3; 1SAMSAH PREPSY, Paris, 2EMSI (Equipe mobile de soins intensifs pour jeunes adultes), CHU de Caen, 3Cemka, Bourg-la-Reine, France
BACKGROUND Early intervention programs (EIP) developed in many countries have been demonstrated effective in the treatment of psychosis. A recent report from the London School of Economics (2016) highlighted the delay of France in this area, despite the latest development of some EIP. METHODS This study aimed to draw up a comprehensive inventory and a description of existing or planned EIP in France in 2017. To be included, initiatives had to offer an early, intensive and multidisciplinary approach with at least 0.5 dedicated full-time equivalent staff (out-patient setting was a secondary criterion). Inventory was achieved through many contacts among physicians/psychiatrists, healthcare facilities or administrative institutions. An online declarative survey was administered covering structure of attachment, dedicated team, funding, targeted population, activity in 2016, partners, difficulties and prospects. RESULTS Between March and July 2017, 37 EIP were identified in France and overseas: 18 operational, 8 being established, and 11 under discussion. The operational programs were located throughout the country with a few regional disparities. They all operated with multidisciplinary teams (mean of 4.3 dedicated full-time equivalent staff), including at least one psychiatrist and one nurse. 12/18 programs offered case management, with a mean caseload 10:1. All programs included 15 to 35 year-old patients. DISCUSSION A real dynamic has been launched in France. This evaluation will help to improve visibility and promote the development of new programs.
Topic Area: First Episode Psychosis