Journal List > Korean J Schizophr Res > v.16(1) > 1057788

Korean J Schizophr Res. 2013 Apr;16(1):32-37. Korean.
Published online April 30, 2013.
Copyright © 2013 Korean Society for Schizophrenia
The Analysis of Community-Based Identification, Assessment and Allocation System for Early Psychosis
Myung-Soo Lee, MD, MPH,1,2 and So-Ra Ahn, PRN, MPH1,2
1Seoul Mental Health Center, Seoul, Korea.
2Yongin Mental Hospital, Yongin, Korea.

Address for correspondence: Myung-Soo Lee, Seoul Mental Health Center, Yongin Mental Hospital, ilyang B/D 5F, 6 Bongeunsa-ro 21-gil, Gangnam-gu, Seoul 135-010, Korea. Tel: 02-3444-9934, Fax: 02-3444-9961, Email:
Received April 07, 2013; Revised April 17, 2013; Accepted April 19, 2013.



The purpose of this study was to make empirical evidence of community based detection, assessment and allocation system for early psychosis.


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.


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.


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.

Keywords: Early psychosis; Community-based assessment and allocation


Fig. 1
Seoul mental health service spectrum of services for early psychosis.
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Fig. 2
Pathways and categorization after SIPS. CMHC : Community Mental Health Center, SEMIS : Seoul Early Management and Improvement System.
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Table 1
Referral outcomes of the patients
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