Screening for psychosis risk in primary mental health care services - Implementation, prevalence and recovery trajectories.
Authors: Newman-Taylor, K., Maguire, T., Smart, T., Bayford, E., Gosden, E., Addyman, G., Bullard, P., Simmons-Dauvin, M., Margoum, M., Smart, B., Graves, E.
Journal: Br J Clin Psychol
Publication Date: 11/2024
Volume: 63
Issue: 4
Pages: 589-602
ISSN: 0144-6657
DOI: 10.1111/bjc.12490
Abstract:OBJECTIVES: Early interventions improve outcomes for people at high risk of psychosis and are likely to be cost saving. This group tends to seek help for emotional problems - depression and anxiety - via primary care services, where early detection methods are poor. We sought to determine prevalence rates of high risk for psychosis in UK primary care mental health services and clinical outcomes following routinely delivered psychological therapies. METHODS: We used a brief screen designed for settings with low base rates and significant time constraints to determine prevalence of high risk for psychosis in UK 'Talking Therapies' services. We examined socio-demographic characteristics, presenting problems and recovery trajectories for this group, compared with people not at risk of psychosis. RESULTS: A 2-item screen selected for specificity yielded a prevalence rate of 3% in primary care mental health services. People at elevated risk of psychosis were younger and more likely to report at least one long-term physical condition. This group presented with higher levels of depression, anxiety and trauma symptoms at assessment and were less likely to have recovered at the end of treatment, compared to people not at risk. CONCLUSIONS: Very brief screening tools can be implemented in busy health care settings. The 3% of referrals to UK primary care psychological therapies services at elevated risk of psychosis typically present with more severe symptoms and greater levels of comorbidity and may require augmented interventions to recover fully.
Source: PubMed
Screening for psychosis risk in primary mental health care services - Implementation, prevalence and recovery trajectories
Authors: Newman-Taylor, K., Maguire, T., Smart, T., Bayford, E., Gosden, E., Addyman, G., Bullard, P., Simmons-Dauvin, M., Margoum, M., Smart, B., Graves, E.
Journal: BRITISH JOURNAL OF CLINICAL PSYCHOLOGY
Publication Date: 11/2024
Volume: 63
Issue: 4
Pages: 589-602
eISSN: 2044-8260
ISSN: 0144-6657
DOI: 10.1111/bjc.12490
Source: Web of Science
Screening for psychosis risk in primary mental health care services - Implementation, prevalence and recovery trajectories.
Authors: Newman-Taylor, K., Maguire, T., Smart, T., Bayford, E., Gosden, E., Addyman, G., Bullard, P., Simmons-Dauvin, M., Margoum, M., Smart, B., Graves, E.
Journal: The British journal of clinical psychology
Publication Date: 11/2024
Volume: 63
Issue: 4
Pages: 589-602
ISSN: 0144-6657
DOI: 10.1111/bjc.12490
Abstract:Objectives
Early interventions improve outcomes for people at high risk of psychosis and are likely to be cost saving. This group tends to seek help for emotional problems - depression and anxiety - via primary care services, where early detection methods are poor. We sought to determine prevalence rates of high risk for psychosis in UK primary care mental health services and clinical outcomes following routinely delivered psychological therapies.Methods
We used a brief screen designed for settings with low base rates and significant time constraints to determine prevalence of high risk for psychosis in UK 'Talking Therapies' services. We examined socio-demographic characteristics, presenting problems and recovery trajectories for this group, compared with people not at risk of psychosis.Results
A 2-item screen selected for specificity yielded a prevalence rate of 3% in primary care mental health services. People at elevated risk of psychosis were younger and more likely to report at least one long-term physical condition. This group presented with higher levels of depression, anxiety and trauma symptoms at assessment and were less likely to have recovered at the end of treatment, compared to people not at risk.Conclusions
Very brief screening tools can be implemented in busy health care settings. The 3% of referrals to UK primary care psychological therapies services at elevated risk of psychosis typically present with more severe symptoms and greater levels of comorbidity and may require augmented interventions to recover fully.Source: Europe PubMed Central