Symp 4

Title Poster First Author Abstract or summary Type
Initiatives to reduce dup: what works? Max Birchwood

There have been a number of initiatives to reduce DUP in first episode psychosis. In this paper we present the findings of a systematic review by Lloyd-Evans et al (2010, British Journal of Psychiatry). Efforts to replicate the Norwegian TIPS findings have met with mixed results. We argue that this is may be due to the impact of different care pathways within different healthcare systems, which require a tailored approach.

Conference Presentations
Reducing DUP in first-episode psychosis requires a detailed understanding of care pathways in community and mental health service settings: data from Birmingham UK Charlotte Connor

This study described in this paper has two aims. First to understand the delays in the care pathway for first episode psychosis in a large multicultural city in the UK. Second, to target these delays in a public health intervention.DUP data from the Birmingham lead site of the National EDEN cohort study were analysed. One third of the sample were identified with a DUP exceeding 6 months, which previous findings suggest is the critical point at which full recovery is impeded.

Conference Presentations
Reducing DUP in Amsterdam: results from the top trial Don Linszen

Background: International early detection programs aiming to reduce the duration of untreated psychosis (DUP) show diverging effects resulting in identifying patients with shorter DUP, no effect and a long DUP. Methods: To examine the effects on the DUP for first-episode patients in Amsterdam as catchment area through the introduction of an early detection program (TOP), compared with historical cohorts in Amsterdam and Rotterdam without a TOP program.

Conference Presentations
Shortening the duration of untreated psychosis: experiences from the tips study. Ingrid Melle

The Scandinavian “Early Treatment and Intervention in Psychosis” (TIPS) study use a multifocused approach consisting of mass-media campaigns combined with focused education of key personnel (GPs, school nurses, teachers) and low-threshold assessment teams to recruit patients with first episode psychosis (FEP). The study included consecutive FEP from four Scandinavian health care sectors, half with the early detection program (ED) and half without (NoED). At start of first treatment, patients from the ED area had a statistically significantly shorter duration of untreated psychosis.

Conference Presentations