Portland identification and early referral: a community-based system for identifying and treating youths at high risk of psychosis.
Portland identification and early referral: a community-based system for identifying and treating youths at high risk of psychosis.
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DOI：
10.1176/appi.ps.61.5.512
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发表时间：
2010-05
期刊：
影响因子：
--
通讯作者：
Ruff A
中科院分区：
文献类型：
--
作者：
McFarlane WR;Cook WL;Downing D;Verdi MB;Woodberry KA;Ruff A
缅因州波特兰识别和早期转诊 (PIER) 计划成立于 2001 年，作为识别和治疗初次精神病发作高风险青少年的预防系统。六年来，来自教育、普通医疗和心理健康部门的 7,270 名专业人员获得了有关前驱症状和快速转诊高危青少年的方法的信息，最终转诊了 780 名符合资格标准的青少年。经过筛查，发现 37% 的社区转诊者患有精神病高风险，另有 20% 的人患有未经治疗的精神病，有效率为 57%。发现的前驱病例占该地区精神病预期发病率的 46%。社区教育演示与六个月后的推荐显着相关；一半的转诊来自精神卫生系统之外。基于社区的识别是一种有效的公共卫生策略，为预防性干预提供了机会。
The Portland [Maine] Identification and Early Referral (PIER) Program was established in 2001 as a prevention system for identifying and treating youths at high risk of an initial psychotic episode. During six years, 7,270 professionals from the educational, general medical, and mental health sectors were provided information on prodromal symptoms and means for rapid referral of at-risk youth, which resulted in referral of 780 youths who met eligibility criteria. After screening, 37% of the community referrals were found to be at high risk of psychosis, and another 20% had untreated psychosis, yielding an efficiency ratio of 57%. Prodromal cases identified were 46% of the expected incidence of psychosis in the catchment area. Community educational presentations were significantly associated with referrals six months later; half of referrals were from outside the mental health system. Community-based identification is an efficient public health strategy, offering the opportunity for preventive intervention.
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影响因子：
--
作者：
Kirkbride, JB;Fearon, P;Jones, PB
通讯作者：
Jones, PB
影响因子：
3.3
作者：
McFarlane, WR;Dushay, RA;Link, B
通讯作者：
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DOI：
10.1097/chi.0b013e318160c5b1
发表时间：
2008-03-01
影响因子：
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通讯作者：
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影响因子：
17.7
作者：
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通讯作者：
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影响因子：
6.6
作者：
Miller, TJ;McGlashan, TH;Woods, SW
通讯作者：
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