Integrated Programs for Early Recognition of Severe Mental Disorders
Recommendations From an Italian Multicenter Project
Bibliographic Data
| ID | 15529536 |
|---|---|
| Authors | Alberto Parabiaghi (0000-0002-2898-5134, Mario Negri Institute for Pharmacological Research), Linda Confalonieri (Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda), Nadia Magnani (0000-0001-7486-8169, Azienda Usl Toscana Centro), Antonio Lora (0000-0002-6806-5199, Aziende Socio Sanitarie Territoriali di Lecco), Emanuela Butteri (ASST Fatebenefratelli Sacco), Katia Prato (Aziende Socio Sanitaria Territoriale Rhodense), Marco Vaggi (University of Genoa), Mauro Percudani (Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda, corresponding author) |
| Year | 2019 |
| Volume | 10 |
| Pages | 844-844 |
| Publication date | 2019-11-15 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Frontiers in Psychiatry (JOURNAL) |
| Journal identifiers | ISSN: 1664-0640 • E-ISSN: 1664-0640 |
| Publisher | Frontiers Media (PUBLISHER • CH) |
| DOI | 10.3389/fpsyt.2019.00844 |
| PMID | 31803086 |
| OpenAlex | W2988288870 |
| Language | EN |
| Citations received | 1 |
| References cited | 5 |
The onset of mental disorders often occurs in adolescence or young adulthood, but the process of early diagnosis and access to timely effective and appropriate services can still be a challenge. The goal of this paper is to describe a pilot case of implementation of the ultra-high-risk (UHR) paradigm in six Italian departments of mental health employing an integrated approach to address clinical practice and service organization for youth in a broader preventive perspective. This approach entailed the integration of the UHR paradigm with a service provision model which prioritizes prevention and the promotion of local community coalitions to improve youth service accessibility. The multicenter Italian project "Integrated programs for recognition and early treatment of severe mental disorders in youths" funded by the National Centre for Disease Prevention and Control (CCM2013 Project) implemented in three Italian regions will be described. As a result of synergic actions targeting accessibility of young individuals to innovative youth mental health teams, a total of 376 subjects aged 15-24 years were recruited by integrated youth services within 12 months. Subjects have been screened by integrated multidisciplinary mental health youth teams employing standardized procedure and evidence-based clinical assessment instruments for at-risk mental states in young subjects [e.g., Comprehensive Assessment of At-Risk Mental States (CAARMS)]. Considering the three UHR categories included in CAARMS, the percentage of UHR subjects was 35% (n = 127) of the sample. In conclusion, future strategies to improve the organization of youth mental health services from a wider preventive perspective will be proposed
Business · Health care · Integrated care · Mental health · Mental health service · Multidisciplinary approach · Political science · Promotion (chess · Psychiatry · Service (business · Child and Adolescent Psychosocial and Emotional Development · Medicine · Mental Health Treatment and Access · Psychology · Schizophrenia research and treatment
| Citations per year | 0.25 |
|---|---|
| Citation span | 2022 - 2022 (1) |
| Highly cited | No |