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Psychosis screening in schools: Considerations and implementation strategies
Monet S Meyer1, Adi Rosenthal1, Khalima A Bolden1
1Department of Psychiatry, University of California, Davis, Sacramento, California.
Early Intervention in Psychiatry
|July 10, 2019
Summary
Early psychosis screening in schools can help identify youth with psychosis-spectrum disorders sooner. This approach aims to reduce the duration of untreated psychosis, improving long-term outcomes.
Area of Science:
- Child and Adolescent Psychiatry
- Mental Health Services Research
Background:
- Duration of untreated psychosis (DUP) significantly impacts treatment response and long-term outcomes in psychosis-spectrum disorders.
- Early identification and intervention are crucial for improving outcomes.
- Adolescence is a critical period for the onset of psychosis symptoms, highlighting the potential role of educational settings.
Purpose of the Study:
- To explore the feasibility and implications of implementing psychosis screening tools in schools.
- To demonstrate the potential of schools in reducing the duration of untreated psychosis.
Main Methods:
- Description of the implementation of a psychosis screening tool within a larger study.
- Focus on a study conducted in Sacramento, CA, aimed at reducing DUP.
- Consideration of clinical factors, ethical concerns, logistics, and stigma associated with school-based screening.
Main Results:
- Identification of key clinical considerations for psychosis screening in schools.
- Development of suggested implementation strategies to address identified concerns.
- Exploration of ethical considerations, logistical challenges, target populations, and stigma reduction.
Conclusions:
- School-based early psychosis screening can enhance the early identification of psychosis-spectrum disorders.
- Implementing screening in schools may help reduce stigma associated with mental health conditions.
- This initiative represents a potential advancement toward integrated mental health systems.
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