Early interventions in a US military FIRST episode psychosis program

Hann, Michael; Caporaso, Evan; Loeffler, George; Cuellar, Adrian; Herrington, Lisa; Marrone, Laura; Yoon, Jangho

doi:10.1111/eip.12709

Cited by 5 publications

(1 citation statement)

References 29 publications

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“…40,41 The significance of early intervention and development of prevention strategies for vulnerable populations are increasingly gaining ground in the military environment. 42 A recent study in the Greek army revealed that the duration of untreated psychosis is minimal for soldiers experiencing a first episode psychosis compared to the average time in the community. 21 This may be of particular importance for the later progression and course of the psychotic disorder.…”

Section: Discussionmentioning

confidence: 99%

The diathesis-stress model in the emergence of major psychiatric disorders during military service

Chasiropoulou¹,

Siouti²,

Mougiakos³

et al. 2020

Psychiatriki

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E xisting evidence and the diathesis-stress model hypothesis suggest that stress as an environmental factor may trigger the onset of psychiatric disorders, such as psychosis spectrum disorders, mood disorders, anxiety disorders, in people with an underlying vulnerability. The purpose of this study was to determine the period of time during military service at which symptomatology of clinical significance is more often developed, considering that stress of service and adaptation to its requirements is common to all army recruits. A retrospective file study for the years 2017-2018 was conducted in order to identify male soldiers who were hospitalized in the psychiatric clinic of 414 Athens Military hospital and diagnosed as F20-29, F30-39 and F40-48 according to ICD-10. The number of hospitalizations per clinical diagnosis and the time of onset relatively to the month of military service were examined. A total of 139 cases were screened, 119 of which had disorders falling into the diagnostic categories F20-29, F30-39 and F40-48. 53% of total hospitalizations took place within the first two months of a nine-month military service. It was found that the risk of disorder onset within the first two months of military service was statistically higher (OR=0.210, p=0.001) for a schizophrenic spectrum disorder (F20-29) compared to F30-39 and F40-48 disorders. After adjusting for potential confounders, such as heritability for psychiatric disorders, urbanicity, history of substance use or age, the risk for hospitalization within the first two months continued to be significantly predicted by F20-29 disorder (OR=0.255, p=0.022) compared to other diagnoses. Individuals vulnerable in developing a psychotic disorder appear to have lower stress tolerance and may manifest an earlier disease onset, when exposed to the stress of military service compared to subjects predisposed to develop mood or anxiety disorders. Stress during military service is of major importance for the emergence of the whole psychopathology spectrum, particularly in vulnerable individuals. The development of prevention and early intervention strate

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Section: Discussionmentioning

confidence: 99%

The diathesis-stress model in the emergence of major psychiatric disorders during military service

Chasiropoulou¹,

Siouti²,

Mougiakos³

et al. 2020

Psychiatriki

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Psychosis in Sports

Ho,

Stull,

Noordsy

2023

Sport and Mental Health

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Community Interventions to Promote Mental Health and Social Equity

Castillo

Ijadi-Maghsoodi

Shadravan³

et al. 2019

Curr Psychiatry Rep

174

108

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Purpose of Review We review recent community interventions to promote mental health and social equity. We define community interventions as those that involve multi-sector partnerships, emphasize community members as integral to the intervention, and/ or deliver services in community settings. We examine literature in seven topic areas: collaborative care, early psychosis, schoolbased interventions, homelessness, criminal justice, global mental health, and mental health promotion/prevention. We adapt the social-ecological model for health promotion and provide a framework for understanding the actions of community interventions. Recent Findings There are recent examples of effective interventions in each topic area. The majority of interventions focus on individual, family/interpersonal, and program/institutional social-ecological levels, with few intervening on whole communities or involving multiple non-healthcare sectors. Findings from many studies reinforce the interplay among mental health, interpersonal relationships, and social determinants of health. Summary There is evidence for the effectiveness of community interventions for improving mental health and some social outcomes across social-ecological levels. Studies indicate the importance of ongoing resources and training to maintain long-term outcomes, explicit attention to ethics and processes to foster equitable partnerships, and policy reform to support sustainable healthcare-community collaborations. Keywords Mental health (MeSH). Mental health intervention (MeSH). Community networks (MeSH). Social problems (MeSH). Community interventions (MeSH). Community-based interventions (MeSH). Social determinants of health. Mental health equity. Health disparities. Multi-sector interventions

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Early interventions in a US military FIRST episode psychosis program

Abstract: These data support our view that the structure of the military and military healthcare system markedly shortens the DUP for military service members who experience first episode psychosis.

Cited by 5 publications

References 29 publications

The diathesis-stress model in the emergence of major psychiatric disorders during military service

The diathesis-stress model in the emergence of major psychiatric disorders during military service

Psychosis in Sports

Community Interventions to Promote Mental Health and Social Equity

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