The Taiwan National Coordinated Early Psychosis Intervention Service: Comprehensive Overview and Early Outcomes

IF 2.1 4区医学 Q3 PSYCHIATRY

Early Intervention in Psychiatry Pub Date : 2025-03-25 DOI:10.1111/eip.70032

Yu-Ju Shih, Ching-Hong Tsai, Ke-Wei Lee, Hsiao-Yu Yang, Frank Huang-Chih Chou, Chao-Wei Hsu

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引用次数: 0

Abstract

Objective

To provide an overview of Taiwan's first national Coordinated Early Psychosis Intervention Service (CEPIS), analyse baseline characteristics of first-episode psychosis (FEP) and at-risk mental state (ARMS) participants, and assess 6-month clinical outcomes.

Methods

This study analysed data from nationwide 172 participants enrolled in CEPIS between March and September 2024. Baseline assessments included socio-demographic characteristics and clinical measures: the Positive and Negative Syndrome Scale (PANSS), Clinical Global Impression-Severity (CGI-S) and Personal and Social Performance (PSP) scale. Follow-up assessments were completed for 54 participants at 6 months.

Results

FEP participants were significantly older than ARMS participants (20.24 ± 6.19 vs. 17.77 ± 4.79 years, p = 0.004). Referral patterns differed significantly (p = 0.007), with more FEP participants referred through hospitals and more ARMS participants referred through schools. At baseline, FEP participants had higher PANSS scores (p = 0.004), but similar CGI-S and PSP scores. Six-month follow-up showed significant improvements in PANSS (p < 0.001), CGI-S (p = 0.020) and PSP scores (p = 0.033).

Conclusions

This study demonstrates the initial implementation of CEPIS in Taiwan, with preliminary clinical improvements observed over 6 months. The findings also highlight the importance of diverse referral pathways and characteristics in both ARMS and FEP populations and suggest the need for longer-term follow-up studies.

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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.