Abstract:The Italian Guidelines on early intervention in schizophrenia are based on a comprehensive assessment of an updated, large-scale body of literature. They draw specific, evidence-based conclusions to assist clinicians and stakeholders in the planning and implementation of appropriate intervention programmes. Further research is needed to ascertain the effectiveness of early intervention in delaying or preventing the conversion to psychosis and improving prognosis in prodromal or at-risk patients. Further invest… Show more
“…[9][10][11][12][13] Although the model continues to be studied, there has been an international uptake in implementation, 14,15 along with a proliferation of local, national and international guidelines (e.g. United Kingdom, 16 Australia, 17 Italy, 18 International 19 ). Implementation studies are emerging to assess compliance with the guidelines, albeit using different indicators and measurement strategies as there is no agreement on the essential evidence-based components of EPI services or of measures and approaches for fidelity assessment.…”
Since the release of the Standards, the Ontario Ministry of Health has partnered with a provincial network of EPI stakeholders to support practice improvement. This survey identified components where more implementation support is needed, overall and for rural area delivery. Ultimately, systematic monitoring of programme fidelity and measuring client outcomes are key to advancing the quality of EPI programme delivery.
“…[9][10][11][12][13] Although the model continues to be studied, there has been an international uptake in implementation, 14,15 along with a proliferation of local, national and international guidelines (e.g. United Kingdom, 16 Australia, 17 Italy, 18 International 19 ). Implementation studies are emerging to assess compliance with the guidelines, albeit using different indicators and measurement strategies as there is no agreement on the essential evidence-based components of EPI services or of measures and approaches for fidelity assessment.…”
Since the release of the Standards, the Ontario Ministry of Health has partnered with a provincial network of EPI stakeholders to support practice improvement. This survey identified components where more implementation support is needed, overall and for rural area delivery. Ultimately, systematic monitoring of programme fidelity and measuring client outcomes are key to advancing the quality of EPI programme delivery.
“…Finally, all patients were retained in treatment according to the protocol for the whole duration of the study. These findings are promising in the perspective of spreading these programs over the country, as suggested by modern guidelines [45]. …”
The findings of this study need replication in larger samples and on a wider severity scale. Nevertheless, the heterogeneity of patients with FEP might impact on treatment. Policymakers should recognize the importance of the diagnostic and outcome assessment in the treatment of severe mental disorders.
“…This facility characteristic may therefore represent a serious obstacle to the care-seeking process. Recent guidelines aimed at enforcing early intervention care protocols, emphasise the need for user-friendly settings, which better appeal to young patients requiring treatment and their families [23,24]. …”
Background: To date, no studies have assessed in detail the characteristics, organisation, and functioning of Child and Adolescent Mental Health Services (CAMHS). This information gap represents a major limitation for researchers and clinicians because most mental disorders have their onset in childhood or adolescence, and effective interventions can therefore represent a major factor in avoiding chronicity. Interventions and mental health care are delivered by and through services, and not by individual, private clinicians, and drawbacks or limitations of services generally translate in inappropriateness and ineffectiveness of treatments and interventions: therefore information about services is essential to improve the quality of care and ultimately the course and outcome of mental disorders in childhood and adolescence. The present paper reports the results of the first study aimed at providing detailed, updated and comprehensive data on CAMHS of a densely populated Italian region (over 4 million inhabitants) with a target population of 633,725 subjects aged 0-17 years. Methods: Unit Chiefs of all the CAMHS filled in a structured 'Facility Form', with activity data referring to 2008 (data for inpatient facilities referred to 2009), which were then analysed in detail. Results: Eleven CAMHS were operative, including 110 outpatient units, with a ratio of approximately 20 child psychiatrists and 23 psychologists per 100,000 inhabitants aged 0-17 years. All outpatient units were well equipped and organized and all granted free service access. In 2008, approximately
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