Baby or bathwater? Referrals of "non-cases" in a targeted early identification intervention for psychosis.

TitleBaby or bathwater? Referrals of "non-cases" in a targeted early identification intervention for psychosis.
Publication TypeJournal Article
Year of Publication2018
AuthorsJordan G, Kinkaid M, Iyer SN, Joober R, Goldberg K, Malla A, Shah JL
JournalSoc Psychiatry Psychiatr Epidemiol
Date Published2018 Mar 14
ISSN1433-9285
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.

DOI10.1007/s00127-018-1502-5
Alternate JournalSoc Psychiatry Psychiatr Epidemiol
PubMed ID29541798


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