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Schizophr Res. 2015 Feb;161(2-3):184-7. doi: 10.1016/j.schres.2014.10.039. Epub 2014 Nov 28.

The efficacy of targeted health agents education to reduce the duration of untreated psychosis in a rural population.

Author information

1
Fundación de Lucha contra los Trastornos Neurológicos y Psiquiátricos en Minorías (FULTRA), Argentina; Hospital Neuropsiquiátrico Néstor Sequeiros, Ministerio de Salud, Provincia de Jujuy, Argentina.
2
Hospital Neuropsiquiátrico Néstor Sequeiros, Ministerio de Salud, Provincia de Jujuy, Argentina.
3
Fundación de Lucha contra los Trastornos Neurológicos y Psiquiátricos en Minorías (FULTRA), Argentina.
4
Roskamp Laboratory for Brain Development, Modulation and Repair, Morsani College of Medicine, University of South Florida, Tampa, FL, USA; Rutgers University School of Medicine, Piscataway, NJ, USA.
5
Fundación de Lucha contra los Trastornos Neurológicos y Psiquiátricos en Minorías (FULTRA), Argentina; Hospital Neuropsiquiátrico Néstor Sequeiros, Ministerio de Salud, Provincia de Jujuy, Argentina. Electronic address: gdeeraus@health.usf.edu.

Abstract

The duration of untreated psychosis (DUP) is a key determinant in the severity of symptoms in patients with schizophrenia. DUP is a modifiable factor that if reduced can improve patient outcome and treatment response. We sought to decrease DUP in rural Argentina by instituting annual training of local health agents to better identify signs of mental illness and offer earlier intervention. DUP was estimated using Schedules of Clinical Assessment in Neuropsychiatry (SCAN). Ongoing training was correlated with a reduction in DUP. Reducing DUP through better screening can decrease the psychosocial burden of disease and improve the trajectory of psychosis.

KEYWORDS:

Duration of untreated psychosis; Primary care intervention; Schedules of Clinical Assessment in Neuropsychiatry; Schizophrenia

PMID:
25439394
PMCID:
PMC4308442
DOI:
10.1016/j.schres.2014.10.039
[Indexed for MEDLINE]
Free PMC Article

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