Douglas Mental Health University Institute, McGill University, Montréal, Quebec, Canada.
Encephale. 2010 Mar;36 Suppl 3:S38-45. doi: 10.1016/S0013-7006(10)70029-4.
Specialized early intervention (SEI) approach to treatment of a First Episode of Psychosis (FEP) consists of two equally important components, namely, a phase specific treatment program and early case identification. In this article we report a brief update on our knowledge about both aspects of SEI services. We then provide a description of a prototypical SEI service within the Canadian context, examine the pathways to care for patients with FEP and report on different methods of reducing delay in treatment. We also provide a description of a novel method of reducing delay in treatment using principles of academic detailing targeting all health care and educational services within a defined catchment area in combination with quick access to the SEI service.
针对首次发作精神病（FEP）的特殊早期干预（SEI）方法包括两个同等重要的组成部分，即特定阶段的治疗方案和早期病例识别。本文简要介绍了我们对 SEI 服务这两个方面的最新认识。然后，本文描述了加拿大特有的典型 SEI 服务，探讨了 FEP 患者的就诊途径，并介绍了不同的减少治疗延误的方法。本文还描述了一种新颖的方法，通过针对特定范围内所有医疗和教育服务的以学术细化为基础的原则来减少延误，并结合 SEI 服务的快速通道。
