Korean J Schizophr Res.  2013 Apr;16(1):32-37. 10.16946/kjsr.2013.16.1.32.

The Analysis of Community-Based Identification, Assessment and Allocation System for Early Psychosis

• Lee MS
• Ahn SR

• KMID: 2288302
• DOI: http://doi.org/10.16946/kjsr.2013.16.1.32

Abstract

OBJECTIVES
The purpose of this study was to make empirical evidence of community based detection, assessment and allocation system for early psychosis.
METHODS
We analysed 222 youths who were referred to Seoul Early Management and Improvement Services (SEMIS) for early psychosis during six years from 2007 to 2012.
RESULTS
44% of referrals were from suicide hotline, 23% from web-based SEMIS assessment program, 20% from other service areas such as military services and 11% were self referred. Among 222 youths, 139 (62.6%) were completed Structured Interview for Prodromal Syndrome (SIPS). After SIPS, 23% had untreated or early psychosis, another 17% were found to be at high risk of psychosis and 18% of completed SIPS were found to have other mental illness such as depression, yielding an efficiency ratio of 58%. 70% of youths who were categorized as psychosis or high risk of psychosis or other mental illness were referred to psychiatric hospital or case management services.
CONCLUSION
This study shows the effectiveness and limitations of community-based assessment and intervention system for early psychosis. Integrated community program is necessary to improve the efficiency of early intervention and for the better outcomes.

Keyword

Early psychosis; Community-based assessment and allocation

MeSH Terms

Adolescent
Case Management
Depression
Early Intervention (Education)
Hospitals, Psychiatric
Hotlines
Humans
Military Personnel
Prodromal Symptoms
Psychotic Disorders
Referral and Consultation
Suicide