Early Intervention in Psychiatry最新文献

{"title":"An Overview of Early Psychosis Care in New Zealand—A Need for Culturally Adapted Service Models","authors":"Rebecca E. Grattan,&nbsp;Amanda Clifford,&nbsp;Sophie M. London,&nbsp;Joanna Cowland","doi":"10.1111/eip.70009","DOIUrl":"10.1111/eip.70009","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>It has been over 20 years since a review of early psychosis services in New Zealand was completed, and it is unclear if services now meet international best practice. Furthermore, significant disparities in psychosis experiences exist in New Zealand, and it is unclear whether service structure might contribute to such disparities. Given the current restructuring of the health system in New Zealand, now is the optimal time to understand strengths and weaknesses in early psychosis care provision.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>All early psychosis services in New Zealand (<i>n</i> = 12) were surveyed. Leads from each service completed a survey on the general elements of their service, alongside the First-Episode Psychosis Services Fidelity Scale, which allows comparison with international early psychosis services.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Specific services are provided across 11/20 districts, leaving 9 without any dedicated early psychosis care. Service strengths included short wait lists, comprehensive assessments, good provision of case managers, team managers and psychiatrists and good length of care. Relative weaknesses included provision of therapy, limited age ranges, high numbers of inpatient referrals, poor Clozapine usage and limited family participation. There was also a lack of services for people at risk for psychosis. Lack of cultural support staff, models and confidence in meeting cultural needs was also evident.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>While New Zealand early psychosis services are relatively comparable to international services, certain areas of weakness need to be addressed by decreasing variability in service eligibility, increasing care for those at-risk, wider availability of therapy and family involvement and improved cultural services.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 2","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11780188/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143064430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Argument for More High-Quality Research Focused on Mental Health in the Post-Secondary Context","authors":"Nicola Byrom,&nbsp;Julia Pointon-Haas,&nbsp;Rebecca Upsher,&nbsp;Frank Iorfino,&nbsp;Sarah McKenna,&nbsp;Emma McCann,&nbsp;Michael Priestley,&nbsp;Hannah Rachael Slack,&nbsp;Kristin Cleverley","doi":"10.1111/eip.70002","DOIUrl":"10.1111/eip.70002","url":null,"abstract":"<div>\u0000 \u0000 <p>We argue that while a substantial proportion of emerging adults are in post-secondary education, there is relatively little consideration of this context within research and policy around youth mental health. The unique challenges young adults face in post-secondary education overlay underlying risk factors experienced by emerging adults. While post-secondary education facilitates social mobility, it also introduces stressors such as academic demands, financial insecurity and social isolation. As we increasingly appreciate the social determinants of mental health and the influence of institutional systems, understanding the post-secondary context offers promise in transforming mental health in emerging adulthood. There are pockets of great practice. However, we argue that targeted efforts are now needed to bring together students, practitioners, policymakers and researchers to drive evidence-informed improvements in mental health within the post-secondary context.</p>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 2","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143064425","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating Response to a Cognitive Behavioural Therapy for Psychosis-Informed Family Intervention at Variable Duration of a Psychotic Illness","authors":"Bryan J. Stiles,&nbsp;Adam M. Kuczynski,&nbsp;Victoria Shepard,&nbsp;Jennifer Blank,&nbsp;Sarah L. Kopelovich","doi":"10.1111/eip.70003","DOIUrl":"10.1111/eip.70003","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Early intervention in psychosis is associated with favourable outcomes. We investigated whether loved ones' illness duration moderated caregiver outcomes following a Cognitive Behavioural Therapy-informed Family Intervention for psychosis (FIp).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted a secondary analysis of measures of FIp participants' depression and anxiety symptoms, caregiver appraisals, expressed emotion and foundational psychotherapeutic competencies at pre-, post- and 4-month follow-up. Our primary aim was to evaluate whether duration of illness moderated participant outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Relative to pre-intervention, all caregivers reported lower depression, anxiety and expressed emotion, as well as higher positive attitudes and mastery of cognitive behavioural skills, at post-intervention and 4-month follow-up. Outcomes were not moderated by their loved one's illness duration.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Families may benefit equally from FIp regardless of illness duration. Although we recommend that FIp are offered as early as possible, modifications for families with lengthier illness courses are not implicated by our findings.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 2","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11774687/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143058453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the Effect of Brief Preventive Videos on Mental Health Help-Seeking for Early Psychosis in a Young Community Sample","authors":"Clément Dondé,&nbsp;Louise Jambon,&nbsp;Marie-Claire Wilhelm,&nbsp;Catherine Bortolon","doi":"10.1111/eip.70007","DOIUrl":"10.1111/eip.70007","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>A key factor influencing the duration of untreated psychosis is that young individuals typically do not seek help during their initial psychotic experiences. This online study aimed to explore the efficacy of preventive video interventions providing information on psychosis on the attitudes towards seeking mental health care among young adults from the general population.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Participants (<i>N</i> = 147) were randomised to one of the following online conditions: a short 3-min video of an empowered patient or of a psychiatrist describing different aspects of mental illness, a short control video or no video. Then, participants answered the Inventory of Attitudes to Seeking Mental Health Services (IARSSM) to measure attitudes towards seeking mental health.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A Kruskal–Wallis one-way ANOVA on the total IARSSM score revealed no significant effect of the group on attitude towards mental health care (χ2₍₃₎ = 6.52, <i>p</i> = 0.09). A small but statistically significant effect was found for the IARSSM factor “indifference to stigma” (χ2₍₃₎ = 8.50, <i>p</i> = 0.04), with slightly lower levels of indifference to stigma in the patient video group (<i>M</i> = 20.5, SD = 6.50) compared to the psychiatry video group (<i>M</i> = 24.5, SD = 4.35).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Emphasising nonconformity with mental health stereotypes, portraying positive aspects and utilising short video formats on social media platforms can potentially reduce stigma in the short term. Long-term effectiveness and identification of specific factors optimising attitudes towards mental health help-seeking warrant further investigation.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 2","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11775318/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143058458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the Implementation of Cognitive Screening in First-Episode Psychosis Settings: The CogScreen Implementation Study","authors":"Isabel Zbukvic,&nbsp;Evangeline Fisher,&nbsp;Alexandra Stainton,&nbsp;Shayden Bryce,&nbsp;Dzenana Kartal,&nbsp;Marina Kunin,&nbsp;Jennifer Nicholas,&nbsp;Craig Hamilton,&nbsp;Desiree Smith,&nbsp;Mackenzie Murphy,&nbsp;Joshua Llerena,&nbsp;Lee Unsworth,&nbsp;Nicholas Cheng,&nbsp;Stephen C. Bowden,&nbsp;Symphony Chakma,&nbsp;Scott Richard Clark,&nbsp;Shona Francey,&nbsp;Caroline Gao,&nbsp;Donna Gee,&nbsp;Elle Gelok,&nbsp;Anthony Harris,&nbsp;Lilianne Hatfield,&nbsp;Liza Hopkins,&nbsp;Rachel Morell,&nbsp;Chris O'Halloran,&nbsp;Scot Purdon,&nbsp;K. Oliver Schubert,&nbsp;Alana Scully,&nbsp;Hejun Tang,&nbsp;Adrian Thomas,&nbsp;Andrew Thompson,&nbsp;Jacqueline Uren,&nbsp;Stephen J. Wood,&nbsp;Wendi Zhao,&nbsp;Kelly Allott","doi":"10.1111/eip.70004","DOIUrl":"10.1111/eip.70004","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Accurate and appropriate cognitive screening can significantly enhance early psychosis care, yet no screening tools have been validated for the early psychosis population and little is known about current screening practices, experiences, or factors that may influence implementation. CogScreen is a hybrid type 1 study aiming to validate two promising screening tools with young people with first episode psychosis (primary aim) and to understand the context for implementing cognitive screening in early psychosis settings (secondary aim). This protocol outlines the implementation study, which aims to explore the current practices, acceptability, feasibility and determinants of cognitive screening in early psychosis settings from the perspective of key stakeholders.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Young people with first episode psychosis (<i>n</i> = 350), caregivers (minimum <i>n</i> = 10) and service providers (minimum <i>n</i> = 12) will be recruited from primary and specialist early psychosis services in Melbourne, Adelaide and Sydney, Australia. Two implementation science frameworks will inform data collection and analysis: the Theoretical Framework of Acceptability and the Consolidated Framework for Implementation Research. A mixed-methods design will be employed to collect and analyse data from questionnaires with young people, interviews with all stakeholder groups, and administrative processes. Quantitative data will be analysed using descriptive statistics. Qualitative data will be analysed through content analysis using deductive and inductive coding.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results and Discussion</h3>\u0000 \u0000 <p>This protocol paper presents the rationale and methods for the CogScreen implementation study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Together with accuracy findings, results from the implementation study will provide insights about the practices, experiences, enablers and barriers to cognitive screening in early psychosis services.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 2","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11771705/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143045978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding Participation in Integrated Youth Mental Health Service Research: Lessons Learned From a Feasibility Study With Jigsaw","authors":"Niall Mac Dhonnagáin,&nbsp;Aileen O'Reilly,&nbsp;Gillian O'Brien,&nbsp;Barbara Dooley","doi":"10.1111/eip.70000","DOIUrl":"10.1111/eip.70000","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Research with integrated youth mental health services (IYMHS) has been criticised for low quality, with difficulties in recruiting and retaining participants in studies which can introduce bias. This feasibility study aimed to investigate the “real-world research” barriers and facilitators to recruitment and retention arising in a longitudinal study with Jigsaw, the National Centre for Youth Mental Health in Ireland, and to provide recommendations for conducting IYMHS research in future.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A qualitative study was conducted to investigate recruitment and retention difficulties. Participants were young people attending Jigsaw (<i>n</i> = 14) and members of clinical staff (<i>n</i> = 29), who provided feedback on facilitators and barriers to recruiting and retaining participants in a wider youth mental health intervention study. Data were collected via online surveys. Content analysis was conducted on the findings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Facilitators included the prosocial motivation of young people to support others through research, providing incentives for participants, clear communication and information sharing, and the supportive role of parents/guardians. Identified barriers included the timing of recruitment, communication difficulties, gatekeeping, and reluctance to participate in research. Suggestions provided to address barriers in future were integrating research teams into services, addressing communication difficulties, and timing the recruitment of youth participants appropriately.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Where possible, IYMHS should conduct research in person in services to improve communication and reduce gatekeeping. In addition, services should consider remunerating participating young people in research and involve parents/guardians when designing research in this context.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 2","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11771643/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143045979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Criminal Offending and Incarceration in United States Adults With Early Phase Psychosis and Comorbid Substance Use Disorder","authors":"Kyle D. Webster,&nbsp;Tracy D. Gunter,&nbsp;Jenifer L. Vohs,&nbsp;Alan Breier","doi":"10.1111/eip.70005","DOIUrl":"10.1111/eip.70005","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Studies have shown that people experiencing early phase psychosis (EPP) are at increased risk for criminal conviction and incarceration. However, there is limited data looking at overall legal burden. To address these gaps in the literature, the goal of this study was to categorise criminal charges and convictions using the United States Federal Bureau of Investigation (FBI) uniform crime reporting (UCR) program, assess frequency of incarcerations, and describe the frequency of substance use disorder (SUD) diagnoses and its relationship to criminal offending and incarceration in a well categorised EPP population.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A sample of 309 adults experiencing EPP were enrolled in a specialty care clinic. The research team expanded upon prior work and collected data from three public databases to identify legal burden in this population.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Almost 50% (<i>n</i> = 155) of subjects had a history of a criminal charge, 34% (<i>n</i> = 104) of subjects had a history of criminal conviction, and 40% (<i>n</i> = 123) of subjects had at least one incarceration event. The most common typology of criminal offence were crimes against society. Lastly, a dual diagnosis was statistically associated with incarcerations (<i>χ</i>² = 10.152, <i>p</i> &lt; 0.0011), crimes against society (<i>χ</i>² = 13.172, <i>p</i> &lt; 0.0002), and crimes against persons (<i>χ</i>² = 9.136, <i>p</i> &lt; 0.0023).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>These data highlight the high legal burden people experiencing EPP face and the need for future work to examine the risks incarceration places on this population. This work also shows the need for specialty care clinics managing EPP to be proficient in treating a dual diagnosis or the need to partner with an appropriate clinic.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 2","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11771553/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143045977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Young Adult Perspectives on Treatment Engagement and Family Communication During Psychosis","authors":"Bediha Ipekci,&nbsp;Heather Thibeau,&nbsp;Jada Gibbs,&nbsp;Emily Barnard,&nbsp;Emily R. Kline","doi":"10.1111/eip.70006","DOIUrl":"10.1111/eip.70006","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Fostering positive relationships with mental health professionals and involving family in treatment can reduce untreated psychosis duration and prevent dropout.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>The present study explores the experiences of young adults with psychosis as they engage in mental health treatment and communicate with family caregivers. Describing their lived experiences would inform the clinical engagement process and pathways to clinical outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted qualitative interviews with 12 individuals who have been diagnosed with a psychotic disorder within the past 5 years.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Major themes include (1) Facilitators and barriers to robust treatment engagement, (2) Family involvement with treatment and communication about psychosis, and (3) Determinants of family communication quality.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>These themes highlight the pivotal role of the therapeutic alliance, measured family involvement, and positive family communication in facilitating treatment engagement. We discuss these qualitative findings in the context of patient-centered care and family interventions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 2","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143045980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating the Effects of Mental Health e-Learning on the Knowledge, Attitudes and Practices of Primary Healthcare Professionals in Mali. A Pilot Study","authors":"Lara Mroueh,&nbsp;Pierre-Emile Bruand,&nbsp;Oumar Poudiougou,&nbsp;Line Kleinebreil,&nbsp;Amy Fall Ndao,&nbsp;Driss Moussaoui,&nbsp;Pierre-Marie Preux,&nbsp;Cheick Oumar Bagayoko,&nbsp;Farid Boumediene","doi":"10.1111/eip.70001","DOIUrl":"10.1111/eip.70001","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Despite their high prevalence and significant burden, mental disorders remain grossly under-diagnosed and under-treated. In low-and-middle-income countries, such as Mali, integrating mental health services into primary care is the most viable way of closing the treatment gap. The aim of this study was to assess the effects of a mental health e-learning program on the knowledge, attitudes and practices of primary healthcare professionals in Mali.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>An e-learning platform including 12 interactive modules was used to train 46 healthcare professionals. Changes in knowledge, attitudes and practices, as well as in satisfaction with knowledge and in ability to diagnose and manage patients were evaluated by comparing data collected pre and post e-learning.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Outcomes</h3>\u0000 \u0000 <p>Knowledge and practices scores increased significantly post e-learning for all modules, except the practices score for anxiety disorders. Similarly, scores regarding satisfaction with knowledge and ability to diagnose and manage patients increased significantly, and more so than the knowledge and practices scores. Changes in attitudes however were not significant.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Despite the difficult conditions of implementation in isolated areas of rural Mali, preliminary results suggest a positive effect of the e-learning.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11744055/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143002042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predicting Reliable Improvements in Primary Care Youth Mental Health","authors":"Jeff Moore,&nbsp;Elizabeth Doyle,&nbsp;Eleanor Carey,&nbsp;Anna Blix,&nbsp;Ailbhe Booth,&nbsp;Joe Rossouw,&nbsp;Aileen O'Reilly,&nbsp;Siobhan O'Brien,&nbsp;Joseph Duffy","doi":"10.1111/eip.13637","DOIUrl":"10.1111/eip.13637","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Amid a youth mental health crisis, community-based early intervention services have shown promising outcomes. Understanding the specific factors that predict clinical outcomes is crucial for enhancing intervention efficacy, yet these factors remain insufficiently understood.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study examined the individual and service-related factors associated with reliable improvement for young people (<i>n</i> = 4565) aged 12–25 years attending a brief primary care youth talk therapy mental health service across 14 sites.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Reliable improvement was measured using the clinical outcomes in routine evaluation (YP-CORE and CORE-10) measure at baseline and follow up. Poisson regression was used to identify individual and service-related factors associated with reliable improvement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Higher initial distress levels predicted increased levels of reliable improvement (adjusted risk ratios ranged from 235.7 to 415.1, <i>p</i> &lt; 0.001), indicating that this intervention is particularly effective for individuals with higher initial distress levels. Conversely, extended wait times negatively affected therapeutic outcomes for young people aged 12–16, with waiting times exceeding 60 days associated with lower likelihoods of improvement (adjusted risk ratio = 89.2 for &gt; 60 days, <i>p</i> &lt; 0.01). Waiting times did not significantly impact individuals aged 17–25. Attending nine or more sessions was associated with a lower likelihood of reliable improvement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study underscores the critical importance of minimising wait times for young people and the importance of tailored approaches to early intervention services. Addressing these factors can enhance the efficacy of early intervention services and better support the mental well-being of young people.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11385,"journal":{"name":"Early Intervention in Psychiatry","volume":"19 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142978002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}