Early Intervention Programme for Young Adults in Northern Italy: A 10-Year Analysis of Socio-Demographic and Clinical Characteristics

IF 2.1 4区医学 Q3 PSYCHIATRY

Early Intervention in Psychiatry Pub Date : 2024-12-02 DOI:10.1111/eip.13632

R. Pellegrino, C. Bonetto, P. Isaia, M. Barcella

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引用次数: 0

Abstract

Introduction

Early intervention represents an opportunity to contain psychological distress and intervene promptly on conditions that, otherwise, could assume a chronic course. Based on these observations, an early intervention programme for people 18–25 years old, the ‘Progetto Giovani’ (Youth Project), was implemented in two adult mental health services (AMHSs) in the northwest of Italy.

Methods

This study aims to describe the socio-demographic and clinical characteristics of the patients included in the Youth Project from 1 January 2013 to 31 December 2022. A retrospective observational design was used.

Results

In 10 years, 323 patients were taken into care. More than half (56.3%) were females; the mean age was 20.7 years (SD 2.3). The most frequent diagnosis was anxiety disorder (38%). Seventy per cent of subjects benefitted from psychological treatment, and 60.8% had a pharmacological prescription. In 87.8% of cases, the care pathway was ≤ 24 months, and more than two-thirds of the subjects did not go to another AMHS after discharge. More than 90% of subjects did not require hospitalisation in the psychiatric diagnostic and treatment service.

Conclusions

These findings suggest that early intervention programmes may be a valuable tool for AMHSs to improve patient outcomes and reduce the burden on the healthcare system.

查看原文本刊更多论文

意大利北部年轻人早期干预计划：10年社会人口统计学和临床特征分析。

早期干预提供了一个控制心理困扰和及时干预的机会，否则，可能会导致慢性病程。根据这些观察结果，在意大利西北部的两家成人精神卫生服务机构实施了一项针对18-25岁人群的早期干预方案，即“青年项目”。方法：本研究旨在描述2013年1月1日至2022年12月31日青年项目纳入患者的社会人口学和临床特征。采用回顾性观察设计。结果：10年共收治323例患者。半数以上（56.3%）为女性；平均年龄20.7岁（SD 2.3）。最常见的诊断是焦虑症（38%）。70%的受试者从心理治疗中受益，60.8%的受试者有药理学处方。87.8%的病例护理路径≤24个月，超过三分之二的受试者出院后没有再去AMHS。超过90%的受试者不需要住院接受精神病诊断和治疗服务。结论：这些发现表明，早期干预方案可能是AMHSs改善患者预后和减轻医疗保健系统负担的有价值的工具。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Early Intervention in Psychiatry 医学-精神病学

CiteScore

4.80

自引率

5.00%

发文量

112

审稿时长

6-12 weeks

期刊介绍： Early Intervention in Psychiatry publishes original research articles and reviews dealing with the early recognition, diagnosis and treatment across the full range of mental and substance use disorders, as well as the underlying epidemiological, biological, psychological and social mechanisms that influence the onset and early course of these disorders. The journal provides comprehensive coverage of early intervention for the full range of psychiatric disorders and mental health problems, including schizophrenia and other psychoses, mood and anxiety disorders, substance use disorders, eating disorders and personality disorders. Papers in any of the following fields are considered: diagnostic issues, psychopathology, clinical epidemiology, biological mechanisms, treatments and other forms of intervention, clinical trials, health services and economic research and mental health policy. Special features are also published, including hypotheses, controversies and snapshots of innovative service models.