Mobile Intensive Care Unit: A case management team dedicated to early psychosis in France
Laurent Lecardeur1,2,3, Sophie Meunier-Cussac2, Sonia Dollfus1,2,3
1UNICAEN, Normandie University, Caen, France.
Insights
A Mobile Intensive Care Unit in France provides specialized care for young adults experiencing at-risk mental states or first-episode psychosis (FEP). This service aims to reduce chronic illness risk and functional impairment through early intervention.
Area of Science:
- Psychiatry
- Mental Health Services
- Early Intervention
Background:
- First-episode psychosis (FEP) and at-risk mental states in young adults require timely and specialized care.
- Early intervention is crucial for improving long-term outcomes and reducing chronicity.
Purpose of the Study:
- To present the operational activities of a Mobile Intensive Care Unit (MICU) in France.
- To outline the recruitment, diagnostic, and therapeutic approaches for young adults with at-risk mental states or FEP.
Main Methods:
- Participant recruitment of individuals aged 16-30 within a defined geographic area.
- Clinical and neuropsychological assessments for diagnosis.
- Therapeutic interventions including medication, case management, and cognitive behavioral therapy (CBT).
Main Results:
- Since 2010, the MICU has recruited 266 individuals.
- Comprehensive diagnostic and therapeutic services are provided, including outreach for external patients.
- The unit offers mobile management over a 2-year period.
Conclusions:
- The MICU offers a high standard of care for young adults with at-risk mental states or FEP.
- Mobile management aims to prevent the transition to chronic mental illness.
- The service is designed to decrease functional impairment in this vulnerable population.
Aim:
To present the activities of a Mobile Intensive Care Unit in France.
Methods:
We summarize participant recruitment as well as the diagnostic procedures and therapeutic interventions offered to individuals with an at-risk mental state or first-episode psychosis (FEP).
Results:
Since its inception in 2010, 266 individuals from 16 to 30 years old living in an area of 120 000 citizens have been recruited by the Mobile Intensive Care Unit. Patients are evaluated by clinical and neuropsychological assessments, and therapeutic interventions include medication, individual case management and both individual and group cognitive behavioural therapy. Diagnostic assessments are also provided for the patients outside of our geographic area.
Conclusions:
The Mobile Intensive Care Unit is a functional unit enabling young adults with a high-risk mental state or FEP to receive high standard of care and mobile management over 2 years, aimed at diminishing the risk of transition to chronic disease and decreasing functional impairment.
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