Ten-year audit of clients presenting to a specialised service for young people experiencing or at increased risk for psychosis

摘要: Despite strong research interest in psychosis risk identification and the potential for early intervention, few papers have sought to document implementation evaluation of specialised related services. Assessment Ultra High Risk (UHR) has been given priority, but it is equally as important identify appropriate comparison groups other baseline differences. This largely descriptive service paper focuses on `baseline characteristics’ referred clients (i.e., previously assessed characteristics or those identified within first two months following presentation). Data are reported from a 10-year layered audit all presentations `Psychological Assistance Service’ young people (PAS, Newcastle, Australia). Baseline socio-demographic clinical (N =1,997) described (including clients’ UHR status, previous contacts, hospitalisation rates, diagnostic comorbidity profiles). Key comparisons made between who received ongoing treatment were primarily elsewhere. Clients averaged 19.2 (SD =4.5) years age 59% male. One-tenth (9.6%) categorised UHR, among whom there relatively high rates attenuated psychotic symptoms (69.1%), comorbid depression (62.3%), anxiety (42.9%), attentional problems (67.5%). Overall, one-fifth (19.8%) experienced recent episode, while further 14.5% having an existing (46.7% with schizophrenia diagnosis), amongst substance misuse (52.9%), psychosocial (70.2%) physical health (37.7%) problems. The largest group presenting PAS non-psychotic disorders (43.7%), provide valuable against which contrast trajectories psychosis. Ongoing by was preferentially experiencing at reporting greater current distress dysfunction. Whether not transition psychosis, they displayed presentation, half receiving PAS. Although international similar services difficult, patterns observed here viewed consistent