Gerald Jordan1,2, Miriam Kinkaid1,2, Srividya N Iyer1,2,3, Ridha Joober1,2,3, Karen Goldberg1, Ashok Malla1,2,3, Jai L Shah4,5,6. 1. Prevention and Early Intervention Program for Psychoses, Douglas Mental Health University Institute, Verdun, Canada. 2. Department of Psychiatry, McGill University, 6875 Boulevard LaSalle, Verdun, QC, Canada. 3. ACCESS Open Minds, Verdun, Canada. 4. Prevention and Early Intervention Program for Psychoses, Douglas Mental Health University Institute, Verdun, Canada. jai.shah@mcgill.ca. 5. Department of Psychiatry, McGill University, 6875 Boulevard LaSalle, Verdun, QC, Canada. jai.shah@mcgill.ca. 6. ACCESS Open Minds, Verdun, Canada. jai.shah@mcgill.ca.
Abstract
PURPOSE: To explore the unintended impact of a targeted case identification (TCI) campaign for first episode psychosis (FEP) on people not experiencing FEP ("non-cases") with respect to referral patterns and reasons for being a non-case. METHODS: Sources of referral, reasons for being a non-case, and subsequent referral destinations of non-cases were examined before and after a TCI. RESULTS: Following the TCI, a greater proportion of non-cases lived outside the study catchment area. A smaller proportion was referred by the parent hospital's emergency room or had a substance-induced psychosis. CONCLUSIONS: TCIs for FEP may have unintended effects, with implications for early case identification and early intervention services.
PURPOSE: To explore the unintended impact of a targeted case identification (TCI) campaign for first episode psychosis (FEP) on people not experiencing FEP ("non-cases") with respect to referral patterns and reasons for being a non-case. METHODS: Sources of referral, reasons for being a non-case, and subsequent referral destinations of non-cases were examined before and after a TCI. RESULTS: Following the TCI, a greater proportion of non-cases lived outside the study catchment area. A smaller proportion was referred by the parent hospital's emergency room or had a substance-induced psychosis. CONCLUSIONS: TCIs for FEP may have unintended effects, with implications for early case identification and early intervention services.
Entities:
Keywords:
Early case identification; Early intervention services; First episode psychosis; Non-cases
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