van der Ven Els, Yang Xinyu, Mascayano Franco, Weinreich Karl J, Chen Eric Yh, Tang Charmaine Yz, Kim Sung-Wan, Burns Jonathan K, Chiliza Bonginkosi, Mohan Greeshma, Iyer Srividya N, Rangawsamy Thara, de Vries Ralph, Susser Ezra S
Department of Clinical, Neuro- and Developmental Psychology, Vrije Universiteit Amsterdam, Amsterdam, Netherlands.
Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA.
Glob Ment Health (Camb). 2025 Jan 6;12:e3. doi: 10.1017/gmh.2024.78. eCollection 2025.
While early intervention in psychosis (EIP) programs have been increasingly implemented across the globe, many initiatives from Africa, Asia and Latin America are not widely known. The aims of the current review are (a) to describe population-based and small-scale, single-site EIP programs in Africa, Asia and Latin America, (b) to examine the variability between programs located in low-and-middle income (LMIC) and high-income countries in similar regions and (c) to outline some of the challenges and provide recommendations to overcome existing obstacles.
EIP programs in Africa, Asia and Latin America were identified through experts from the different target regions. We performed a systematic search in Medline, Embase, APA PsycInfo, Web of Science and Scopus up to February 6, 2024.
Most EIP programs in these continents are small-scale, single-site programs that serve a limited section of the population. Population-based programs with widespread coverage and programs integrated into primary health care are rare. In Africa, EIP programs are virtually absent. Mainland China is one of the only LMICs that has begun to take steps toward developing a population-based EIP program. High-income Asian countries (e.g. Hong Kong and Singapore) have well-developed, comprehensive programs for individuals with early psychosis, while others with similar economies (e.g. South Korea and Japan) do not. In Latin America, Chile is the only country in the process of providing population-based EIP care.
Financial resources and integration in mental health care, as well as the availability of epidemiological data on psychosis, impact the implementation of EIP programs. Given the major treatment gap of early psychosis in Africa, Latin America and large parts of Asia, publicly funded, locally-led and accessible community-based EIP care provision is urgently needed.
虽然全球各地越来越多地实施了早期精神病干预（EIP）项目，但来自非洲、亚洲和拉丁美洲的许多举措并不广为人知。本次综述的目的是：（a）描述非洲、亚洲和拉丁美洲基于人群的小规模单站点EIP项目；（b）研究低收入和中等收入（LMIC）国家与高收入国家在类似地区的项目之间的差异；（c）概述一些挑战并提供克服现有障碍的建议。
通过来自不同目标地区的专家确定非洲、亚洲和拉丁美洲的EIP项目。我们在截至2024年2月6日的Medline、Embase、APA PsycInfo、Web of Science和Scopus中进行了系统检索。
这些大陆的大多数EIP项目都是小规模的单站点项目，服务的人群有限。覆盖范围广泛的基于人群的项目以及纳入初级卫生保健的项目很少见。在非洲，几乎没有EIP项目。中国大陆是少数几个开始朝着发展基于人群的EIP项目迈出步伐的低收入和中等收入国家之一。亚洲高收入国家（如中国香港和新加坡）为早期精神病患者制定了完善的综合项目，而其他经济类似的国家（如韩国和日本）则没有。在拉丁美洲，智利是唯一正在提供基于人群的EIP护理的国家。
财政资源、精神卫生保健的整合以及精神病流行病学数据的可用性会影响EIP项目的实施。鉴于非洲、拉丁美洲和亚洲大部分地区早期精神病的主要治疗差距，迫切需要由公共资金资助、由当地主导且易于获得的社区EIP护理服务。
