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Lee and Ahn: The Analysis of Community-Based Identification, Assessment and Allocation System for Early Psychosis
Original Article

Korean J Schizophr Res 2013;16(1):32-37.

Published online: 17 January 2013

DOI: https://doi.org/10.16946/kjsr.2013.16.1.32

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

Myung-Soo Lee, MD, MPH1, 2, , 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, Gang-nam-gu, Seoul 135-010, Korea Tel: 02-3444-9934, Fax: 02-3444-9961 E-mail: mslee1010@hanmail.net

      Revised 7 April 201317 April 2013       Accepted 19 April 2013

Copyright © 2013 Korean Society for Schizophrenia Research

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: Early psychosis, Community-based assessment and allocation

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Fig. 1.
Seoul mental health service spectrum of services for early psychosis.
kjsr-16-32f1.tif
Fig. 2.
Pathways and categorization after SIPS. CMHC : Community Mental Health Center, SEMIS : Seoul Early Management and Improvement System.
kjsr-16-32f2.tif
Table 1.
Referral outcomes of the patients
Psychotic by SOPS criteria Met SOPS criteria Other mental illness N (%)
Case management service 14 10 04 28 (35%)
Psychiatric hospital 09 08 12 29 (36%)
Other counseling service 01 00 01 02 (02%)
Patient's refusal 08 06 08 22 (27%)
Total 32 24 25 81

SOPS : Symptoms of the prodromal syndrome

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