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  • Title: Long-term effects of a community intervention for early identification of first-episode psychosis.
    Author: Cassidy CM, Schmitz N, Norman R, Manchanda R, Malla A.
    Journal: Acta Psychiatr Scand; 2008 Jun; 117(6):440-8. PubMed ID: 18479319.
    Abstract:
    OBJECTIVE: To assess whether an Early Case Identification Program (ECIP) for first-episode psychosis (FEP), which showed no significant short-term effects, has a delayed impact on duration of untreated psychosis (DUP). METHOD: Using a historical control design, FEP patients were assessed on clinical variables over three consecutive phases, 2 years prior, 2 years during and 3 years after implementation of the ECIP. Additional analyses were conducted on non-affective and schizophrenia spectrum psychoses cases only. RESULTS: There was no overall significant difference in DUP across the three phases. For cases treated within the first year of illness a nonsignificant reduction in DUP to less than 2 months observed during the active phase was sustained post-ECIP. CONCLUSION: In some jurisdictions community-wide early case detection may fail to have an immediate or delayed effect on DUP, especially for cases who normally present for treatment with DUP >1 year.
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