|Titre de l’article||Early detection and intervention of psychosis in children and adolescents in Zurich, Switzerland: Clinical Data from 2017-2021|
|Forme de présentation||Poster|
The construct of a clinical high-risk (CHR) state of psychosis has been established to describe potentially prodromal symptoms which typically appear during adolescence and young adulthood. This is a very sensitive developmental period and the CHR is associated with increased functional impairment.
To address the special or better individualized demands and needs in the care for this patient population a specialized care unit for early intervention in psychosis at the Department of Child and Adolescent Psychiatry and Psychotherapy, Psychiatric University Hospital, of the University Zurich was established.The early intervention service offers specialized assessment, treatment and case management for minors with a first psychosis or CHR-state in an outpatient or inpatient setting.
The evaluation main objective was to get a better understanding about this vulnerable help seeking group. Therefore we analyzed the clinical data about CHR-state, comorbid diagnosis and treatment of the patients who entered the service for early intervention in psychosis.
In the five years (2017-2021) 220 patients (113 female, 51%; mean age 15.12, SD = 2.06) were assessed in the care unit for early detection and intervention.
As expected, the CHR group showed predominantly comorbid anxiety and mood disorders. The group with no increased risk showed a more even distribution of comorbidities. Although F90-F98 diagnosis were slightly more present. Finally, in the EOP group, patients showed more comorbid disorders due to use of psychoactive substances and F90-F98 diagnosis in comparison to the other two groups.
The data about the treatment will be analyzed for the congress.
Despite clinical implications, there is little data about early detection and early intervention in psychosis for children and adolescent. Therefore, the evaluation of the clinical data of the CAPS is of clinical importance and expected to add essential information in the fields of prevention and early intervention in psychosis.