Azienda Ospedaliera, Ospedale Niguarda Ca' Granda, Dipartimento di Salute Mentale, Centro per l'individuazione e l'intervento precoce nelle psicosi-Programma2000, Milan, Italy.
Early Interv Psychiatry. 2010 Feb;4(1):97-103. doi: 10.1111/j.1751-7893.2009.00158.x.
The aim of this study was to describe a service operating in Milan, Italy, that provides early intervention for young people aged 17-30 years at the onset and at high risk of psychosis.
Following 2 years of preliminary study and organization, Programma2000 was launched in Milan in 1999. This programme was targeted at early detection and intervention in subjects at the onset of, at risk of, or showing 'prodromal' signs of psychosis. This paper contains data on the organization and activities of Programma2000.
The service has been active since its launch and has received 378 referrals as of March 2009, 342 of which were thoroughly evaluated. At entry, patients undergo a detailed evaluation of their psychopathology, personal and social role functioning, and cognitive status, with repeated testing over time in order to multidimensionally assess outcome. Treatment involves cognitive-behavioural psychotherapy, structured and unstructured psychosocial interventions, and pharmacotherapy when deemed necessary. Treatment appears effective in reducing morbidity and improving social functioning.
A team dedicated to the early identification and treatment of young people with early psychosis is a feasible and sustainable extension of the traditional methods of care for people with mental disorders in Italy.
本研究旨在描述意大利米兰的一项服务，该服务针对 17-30 岁的年轻人，为他们提供精神病早期干预。
经过两年的初步研究和组织，Programma2000 于 1999 年在米兰启动。该计划针对处于精神病发病初期、有发病风险或出现“前驱”症状的人群进行早期发现和干预。本文包含了 Programma2000 的组织和活动数据。
自成立以来，该服务一直很活跃，截至 2009 年 3 月已收到 378 份转介，其中 342 份进行了全面评估。患者在进入时接受详细的精神病理学、个人和社会角色功能以及认知状态评估，并随着时间的推移进行重复测试，以多维评估结果。治疗包括认知行为心理治疗、结构化和非结构化心理社会干预以及必要时的药物治疗。治疗似乎可以有效降低发病率并改善社会功能。
一个专门针对早期精神病患者的早期识别和治疗的团队，是意大利传统精神障碍护理方法的可行且可持续的扩展。
