Symptomatic and Functional Outcomes Among Individuals at High Risk for Psychosis Participating in Step-Based Care

• Published in: Psychiatric services (Washington, D.C.) Vol. 75; no. 5; pp. 496 - 499
• Main Authors: Hamilton, Sarah A., Wastler, Heather M., Moe, Aubrey M., Cowan, Henry R., Lundin, Nancy B., Guirgis, Hossam H., Parris, Craig J., Stearns, Walter H., Manges, Margaret E., Holmes, Anne C., Blouin, Alexandra M., Breitborde, Nicholas J. K.
• Format: Journal Article
• Language: English
• Published: United States American Psychiatric Publishing, Inc 01.05.2024
• Subjects: Adolescent; Adult; Community health care; Female; Health disparities; Humans; Initiatives; Male; Mental health care; Outcome Assessment, Health Care; Psychosis; Psychotic Disorders - therapy; Young Adult; Clinical high risk for psychosis; Psychoses; Outcome and clinical measurement; Stepped care
• ISSN: 1075-2730; 1557-9700; 1557-9700
• DOI: 10.1176/appi.ps.20230188

Validated, multicomponent treatments designed to address symptoms and functioning of individuals at clinical high risk for psychosis are currently lacking. The authors report findings of a study with such individuals participating in step-based care-a program designed to provide low-intensity, non-psychosis-specific interventions and advancement to higher-intensity, psychosis-specific interventions only if an individual is not meeting criteria for a clinical response. Among individuals with symptomatic or functional concerns at enrollment, 67% met criteria for a symptomatic response (median time to response=11.1 weeks), and 64% met criteria for a functional response (median time to response=8.9 weeks).