Feasibility of an Early Detection Program for Early Psychosis on a College Campus

项目总结 尽管基于社区的早期检测(ED)计划的证据旨在减少 未经治疗的精神病(DUP)的持续时间很长，而且还在增长，目前还知之甚少。 关于美国大学校园教育服务的有效性。这一差距在 文献有问题是因为，精神病的第一个症状最有可能是 在大学年龄的年轻人中，大学校园是一个年龄段的人的中心 增加首发精神病(FEP)的风险。我们计划的长期目标是 研究旨在改善早期糖尿病大学生的临床和功能结果 通过减少DUP而导致的精神错乱阶段。我们建议的研究的目标是确定 旨在：(I)识别临床高危大学生(CHR)的ED计划的可行性 精神病或FEP，以及(Ii)有效地将它们与协调的专科护理(CSC)联系起来 第二阶段筛查、临床评估和适当治疗的服务。我们还将 提供干预效果的初步估计。我们的ED计划 将包括两个组织级别的变化。首先，我们将实施全民筛查(即， 大学生精神障碍的前驱问卷调查 在一所大学的咨询中心。二是实施协同共建、以人为本、 向CSC快速推荐流程(&lt；2周)。转诊过程中以人为本的要素 包括共同决策和热情交接。我们的中心假设是我们的多个- 教育水平方案将是可行，初步数据将显示人数有所增加 将大学生转介到CSC。此外，DUP将更短，DUP将更少 通过我们的教育向CSC咨询的大学生的护理步骤和感知障碍 该计划与从其他推荐来源向CSC提交报告的大学生进行比较。我们的 假设将通过追求两个具体目标来检验：1)确定(I)病例识别， 和(Ii)推荐相关障碍是大学教育项目的重要目标 2)从不同的角度评估我们的教育项目的可行性 利益相关者。这项拟议的研究意义重大，因为它将在 DUP科学领域通过增加1)DUP的变化机制方面的知识 大学生，以及2)在大学咨询中嵌入ED计划的可行性 中心与CSC项目合作。这项研究还将阐明CSC的障碍 人种和种族多元化的年轻成年人口。归根结底，这种知识具有 有可能提供新的机会，减少全国年轻人的DUP。

PROJECT SUMMARY Although evidence on community-based early detection (ED) programs aimed to reduce prolonged durations of untreated psychosis (DUP) is large and growing, very little is known about the effectiveness of ED services on college campuses in the United States. This gap in the literature is problematic because, with the first symptoms of psychosis being most likely to surface among college age young adults, college campuses are hubs for individuals at an age of increased risk of first episode psychosis (FEP). The long-term goal of our program of research is to improve clinical and functional outcomes among college students with early stages of psychosis by reducing DUP. The objective of our proposed study is to determine the feasibility of an ED program that aims to: (i) identify college students at clinical high risk (CHR) of psychosis or with FEP, and (ii) efficiently link them to coordinated specialty care (CSC) services for a 2nd stage screen, a clinical assessment, and appropriate treatment. We will also provide preliminary estimates of effectiveness with respect to the intervention. Our ED program will include two organizational level changes. First, we will implement universal screening (i.e., the Prodromal Questionnaire Brief) for psychosis among college students who are seeking help at a college counseling center. Second, we will implement a collaborative, person-centered, and rapid referral process (<2 weeks) to CSC. Person-centered elements of the referral process include shared-decision making and a warm handoff. Our central hypotheses are that our multi- level ED program will be feasible, and that preliminary data will show an increase in the number of referrals of college students to CSC. Furthermore, DUP will be shorter and there will be fewer steps and perceived barriers to care among college students referred to CSC through our ED program compared to college students who present to CSC from other referral sources. Our hypotheses will be tested by pursing two specific aims: 1) Identify whether (i) case identification, and (ii) referral-related barriers to CSC are important targets for ED programs on college campuses; and 2) Evaluate the feasibility of our ED program from the perspectives of various stakeholders. The proposed study is significant because it will produce a vertical step in the DUP scientific field by increasing knowledge on the 1) mechanisms of change for DUP among college students, and 2) feasibility of an ED program embedded within a college counseling center in partnership with a CSC program. The study will also elucidate barriers to CSC among an ethnic and racial diverse young adult population. Ultimately, such knowledge has the potential of offering new opportunities to reduce DUP among young adults nationwide.