Early Psychosis Care in Brazil: A Comparative Study of a Specialized University Center and Community-Based Services.

Abstract

Objective: To compare early intervention (EI) strategies for psychosis between community-based Psychosocial Care Centers (CAPS) and a specialized university service (GAPi) in Brazil, assessing EI fidelity, recovery-oriented practices (ROP), and professional stigma.

Methods: The FEPS-FS, RSA-R, and a stigma questionnaire evaluated EI fidelity, ROP, and stigma. Data from both services were analyzed to examine correlations.

Results: GAPi demonstrated greater adherence to EI strategies, whereas CAPS scored higher in ROP. Though demonstrating lower overall EI fidelity, CAPS already incorporated several EI components. No significant differences in stigma levels were observed. Higher ROP correlated with fewer negative stereotypes, while greater EI adherence correlated with fewer positive stereotypes.

Conclusions: The findings highlight the complementary strengths of both service models. Although improving EI fidelity in CAPS is a priority, their existing community-based structure and recovery orientation offer a strong platform for expanding these services. An integrated approach combining specialized EI strategies with robust ROP may optimize outcomes and reduce stigma.