Department of Psychiatry, University of California, Davis, Sacramento, California.
Department of Psychiatry, University of California, San Francisco, San Francisco, California.
Early Interv Psychiatry. 2020 Feb;14(1):130-136. doi: 10.1111/eip.12858. Epub 2019 Jul 9.
Duration of untreated psychosis, or the time between onset of psychosis symptoms and accurate diagnosis and treatment, is a significant predictor of both initial treatment response and long-term outcomes. As such, efforts to improve rapid identification are key. Because early signs of psychosis commonly emerge in adolescence, schools have the potential to play an important role in the identification of psychosis-spectrum disorders.
To illustrate the potential role of schools in this effort, the current paper describes implementation of a psychosis screening tool as part of a larger study focused on reducing the duration of untreated psychosis in Sacramento, CA.
Clinical considerations related to screening for psychosis in schools, including ethical concerns, logistics, screening population and stigma are addressed. Implementation strategies to address these concerns are suggested.
Early psychosis screening in the school system could improve early identification, reduce stigma and may represent an important further step towards an integrative system of mental health.
未治疗精神病的持续时间，或精神病症状出现到准确诊断和治疗之间的时间，是初始治疗反应和长期结果的重要预测因素。因此，努力提高快速识别能力是关键。由于精神病的早期迹象通常出现在青春期，学校有可能在识别精神病谱系障碍方面发挥重要作用。
为了说明学校在这方面的潜力，本文介绍了在加利福尼亚州萨克拉门托实施精神病筛查工具的情况，该研究的重点是缩短未治疗精神病的持续时间。
讨论了在学校进行精神病筛查的临床注意事项，包括伦理问题、后勤问题、筛查人群和污名化问题。提出了解决这些问题的实施策略。
在学校系统中进行早期精神病筛查可以提高早期识别能力，减少污名化，可能是朝着心理健康综合系统迈出的重要一步。
