Related Experiment Videos
Baby or bathwater? Referrals of "non-cases" in a targeted early identification intervention for psychosis
Gerald Jordan1,2, Miriam Kinkaid1,2, Srividya N Iyer1,2,3
1Prevention and Early Intervention Program for Psychoses, Douglas Mental Health University Institute, Verdun, Canada.
Insights
Targeted case identification campaigns for first episode psychosis (FEP) may unintentionally affect individuals not experiencing FEP. These campaigns can alter referral patterns and the characteristics of individuals identified as non-cases.
Area of Science:
- Psychiatry
- Mental Health Services Research
Background:
- First episode psychosis (FEP) requires timely intervention.
- Targeted case identification (TCI) campaigns aim to improve early detection of FEP.
- Unintended consequences of TCI campaigns on individuals not experiencing FEP are not well understood.
Purpose of the Study:
- To investigate the unintended impact of a TCI campaign for FEP on individuals not experiencing FEP (non-cases).
- To analyze changes in referral patterns and reasons for non-case status following a TCI campaign.
Main Methods:
- Examined referral sources, reasons for non-case status, and referral destinations of non-cases.
- Compared data from before and after the implementation of a TCI campaign.
Main Results:
- Post-TCI, a higher proportion of non-cases resided outside the study catchment area.
- Referrals from the parent hospital's emergency room and cases of substance-induced psychosis decreased among non-cases after the TCI.
Conclusions:
- TCI campaigns for FEP can have unintended effects on the identification and referral of non-cases.
- These effects have implications for the efficiency of early case identification and early intervention services for psychosis.
Purpose:
To explore the unintended impact of a targeted case identification (TCI) campaign for first episode psychosis (FEP) on people not experiencing FEP ("non-cases") with respect to referral patterns and reasons for being a non-case.
Methods:
Sources of referral, reasons for being a non-case, and subsequent referral destinations of non-cases were examined before and after a TCI.
Results:
Following the TCI, a greater proportion of non-cases lived outside the study catchment area. A smaller proportion was referred by the parent hospital's emergency room or had a substance-induced psychosis.
Conclusions:
TCIs for FEP may have unintended effects, with implications for early case identification and early intervention services.