Clinical Service for At-Risk Mental State – The Singapore Experience

Presentation First Author: 
Swapna Verma

Introduction: The Support for Wellness Achievement Programme (SWAP) was established in in March 2008 within the remit of the Singapore Early Psychosis Intervention Programme to provide a comprehensive and integrated assessment and treatment service for those experiencing At Risk Mental States (ARMS). The management of these individuals is done within a multidisciplinary framework with focus on psychosocial interventions. Methods:From March 2008 to March 2014, 240 patients were accepted into the service. Socio demographic information was taken at baseline and all patients were evaluated using the Comprehensive Assessment of At Risk Mental State (CAARMS). Severity of psychopathology was assessed by Positive and Negative Syndrome Scale for Schizophrenia (PANSS) and social and occupational functioning was assessed using the Social and Occupational Functioning Assessment Scale (SOFAS) and Global Assessment of Functioning Scale (GAF).Results:The mean (SD) age of patients was 20.8 (3.4) years and 65.7 % were males. The majority of patients (51.9%) belonged to the attenuated psychosis symptoms (APS) group. The mean (SD) total score at baseline for PANSS was 57.6 (7.9) and SOFAS was 53.06(9.9) indicating moderate impairment in social and occupational functioning. Of the 240 patients, 30 (12.5%) made the transition to psychosis within 2 years. Conclusion: Although the transition rates have been low and similar to other ARMS programmes internationally, it is crucial that individuals with ARMS who are help-seeking, distressed or disabled by their symptoms, have access to a service where assessment, monitoring and psychosocial interventions are offered.

Conference Name: 
Presentation Date: 
January, 2015
Additional Authors: 
Sujatha Rao - Lye Poon
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