Initiatives to shorten duration of untreated psychosis: systematic review
Artikkel i The British Journal of Psychiatry som systematisk oppsummerer effektiviteten av 
tidlig oppdagelsesprogrammer som har som hensikt og redusere varighet av ubehandlet psykose (VUP)
Initiatives to shorten duration of untreated psychosis: systematic review. Brynmor Lloyd-Evans, Michelle Crosby, Sarah Stockton, Stephen Pilling, Lorna Hobbs, Mark Hinton and Sonia Johnson.
Abstract:
Background
Long duration of untreated psychosis (DUP) is common and associated with poor outcomes. Strategies to enhance early detection of first-episode psychosis have been advocated.
Aims
To evaluate initiatives for early detection of psychosis.
Method
Systematic review of available evidence on the effectiveness of early detection initiatives to reduce the DUP.
Results
The review included 11 studies which evaluated 8 early detection initiatives. Evidence suggests that general practitioner education campaigns and dedicated early intervention services do not by themselves reduce DUP or generate more treated cases. Evidence for multifocus initiatives is mixed: intensive campaigns targeting the general public as well as relevant professionals may be needed. No studies evaluated initiatives targeting young people or professionals from non-health organisations.
Conclusions
How early detection can be achieved is not clear. Evidence is most promising for intensive public awareness campaigns: these require organisation and resourcing at a regional or
national level. More good-quality studies are needed to address gaps in knowledge.
Declaration of interest
None.
