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Improving Pathways to Care for Patients at High Psychosis Risk in Switzerland: PsyYoung Study Protocol
Caroline Conchon1, Elodie Sprüngli-Toffel1, Luis Alameda1,2,3
1General Psychiatry Service, Treatment and Early Intervention in Psychosis Program (TIPP-Lausanne), Lausanne University Hospital and University of Lausanne, 1003 Lausanne, Switzerland.
Journal of Clinical Medicine
|July 29, 2023
Summary
The PsyYoung project optimizes early detection of at-risk mental states (ARMS) and first episode psychosis (FEP) in young people. It implements service changes to improve referrals and outcomes, aiming for national harmonization of clinical practices in Switzerland.
Area of Science:
- Psychiatry
- Clinical Psychology
- Public Health
Background:
- Psychotic disorders cause significant chronic disability in young individuals.
- An at-risk mental state (ARMS) precedes the first episode of psychosis (FEP).
- Early intervention is crucial for improving outcomes in emerging psychoses.
Purpose of the Study:
- To optimize the detection of ARMS and reduce unnecessary psychiatric treatments in young people.
- To investigate the impact of service changes on referrals and outcomes for youth with ARMS or FEP.
- To harmonize clinical practices for early psychosis intervention nationwide.
Main Methods:
- Six psychiatric outpatient clinics across three Swiss cantons participated.
- Implementation of service changes and a standardized stepped care model.
- Measures included professional training, networking, and awareness campaigns.
Main Results:
- All participating cantons entered the implementation phase.
- By March 2023, 619 referrals were received.
- 163 patients and 15 relatives completed assessments; 26 patients participated in interviews.
Conclusions:
- The PsyYoung project facilitates early intervention for emerging psychoses in Switzerland.
- It fosters collaboration and reflection among professionals.
- The ultimate goal is to standardize early psychosis intervention practices nationally.
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