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Social Psychiatry and Psychiatric Epidemiology

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01-07-2018 | Brief report

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

Authors: Gerald Jordan, Miriam Kinkaid, Srividya N. Iyer, Ridha Joober, Karen Goldberg, Ashok Malla, Jai L. Shah

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 7/2018

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.

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Title: Baby or bathwater? Referrals of “non-cases” in a targeted early identification intervention for psychosis
Authors: Gerald Jordan
Miriam Kinkaid
Srividya N. Iyer
Ridha Joober
Karen Goldberg
Ashok Malla
Jai L. Shah
Publication date: 01-07-2018
Publisher: Springer Berlin Heidelberg
Published in: Social Psychiatry and Psychiatric Epidemiology / Issue 7/2018
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI: https://doi.org/10.1007/s00127-018-1502-5

At a glance: The STEP trials

Springer Medicine

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

Abstract

Purpose

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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