Pathways to care in youth and young adults at clinical high risk for psychosis in Switzerland: Current situation and clinical implementation of the PsyYoung project

Aim We aim to give an insight into the current situation in Switzerland concerning the pathways to care of young people with clinical high risk of psychosis. In a second step we propose a procedure of optimizing pathways to care developed within the project PsyYoung. Methods A qualitative survey der...

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Detalles Bibliográficos
Autores: Bailey, Barbara, Solida, Alessandra, Andreou, Christina, Plessen, Kerstin Jessica, Conus, Philippe, Mercapide, Mathieu, Kasparidi, Afrodite, Conchon, Caroline, Sprüngli-Toffel, Elodie, Genoud, Davina, Caron, Camille, Golay, Philippe, Curtis, Logos, Herbrecht, Evelyn, Huber, Christian G., Alameda, Luis, Armando, Marco
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:España
Institución:Consejo Superior de Investigaciones Científicas (CSIC)
Repositorio:DIGITAL.CSIC. Repositorio Institucional del CSIC
OAI Identifier:oai:digital.csic.es:10261/387176
Acceso en línea:http://hdl.handle.net/10261/387176
https://api.elsevier.com/content/abstract/scopus_id/85191703995
Access Level:acceso abierto
Palabra clave:PsyYoung
Clinical high risk for psychosis
Early detection
Early intervention
Pathways to care
Descripción
Sumario:Aim We aim to give an insight into the current situation in Switzerland concerning the pathways to care of young people with clinical high risk of psychosis. In a second step we propose a procedure of optimizing pathways to care developed within the project PsyYoung. Methods A qualitative survey derived and adapted from Kotlicka-Antczak et al. (2020) was conducted in large early detection services of three Swiss cantons (Geneva, Basel-Stadt, Vaud) focusing on pathways to care. More specifically, using questionnaires delivered to the heads of participating services, information was collected on referral sources, on activities to implement outreach campaigns and on the use of a pre-screening tool. Results Main results on referral source indicated that sources were variable but seemed to come primarily from the medical sector and more so from the psychiatric sector. Very few referrals came from non-medical sectors. Outreach activities included the contact to other clinics as well as through brochures and posters. All services but one used the Prodromal Questionnaire – 16 as pre-screening tool. Conclusions All in all, the results indicate a referral and care pathway system implemented mostly within the medical and particularly mental health sector. Accordingly, the PsyYoung project proposes a procedure for pathways to care which could help overcome the obstacle of referrals being restrained to a narrow field of mental health and to harmonize the referral process within services dedicated to the same aim of helping young people at high risk of developing a psychosis.