Psychosis screening in schools: Considerations and implementation strategies
Psychosis screening in schools: Considerations and implementation strategies
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DOI：
10.1111/eip.12858
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发表时间：
2020-02-01
影响因子：
2
通讯作者：
Niendam, Tara A.
中科院分区：
文献类型：
--
作者：
Meyer, Monet S.;Rosenthal, Adi;Niendam, Tara A.
目标未经治疗的精神病的持续时间，或精神病症状发作与准确诊断和治疗之间的时间，是初始治疗反应和长期结果的重要预测因素。因此，改进快速识别的努力是关键。由于精神病的早期症状通常出现在青春期，因此学校有可能在精神病谱系障碍的识别中发挥重要作用。方法 为了说明学校在这项工作中的潜在作用，本文描述了精神病筛查工具的实施，作为一项大型研究的一部分，该研究的重点是减少加利福尼亚州萨克拉门托未经治疗的精神病的持续时间。结果 解决了与学校精神病筛查相关的临床考虑因素，包括伦理问题、后勤工作、筛查人群和耻辱感。提出了解决这些问题的实施策略。结论 在学校系统中进行早期精神病筛查可以改善早期识别，减少耻辱感，并可能代表着迈向心理健康综合系统的重要一步。
Aim Duration of untreated psychosis, or the time between onset of psychosis symptoms and accurate diagnosis and treatment, is a significant predictor of both initial treatment response and long-term outcomes. As such, efforts to improve rapid identification are key. Because early signs of psychosis commonly emerge in adolescence, schools have the potential to play an important role in the identification of psychosis-spectrum disorders. Methods To illustrate the potential role of schools in this effort, the current paper describes implementation of a psychosis screening tool as part of a larger study focused on reducing the duration of untreated psychosis in Sacramento, CA. Results Clinical considerations related to screening for psychosis in schools, including ethical concerns, logistics, screening population and stigma are addressed. Implementation strategies to address these concerns are suggested. Conclusions Early psychosis screening in the school system could improve early identification, reduce stigma and may represent an important further step towards an integrative system of mental health.