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Difusión y apoyo en el sur de Londres (OASIS): implantación de un servicio clínico para psicosis rodrómicas y el estado mental de riesgo

Published online by Cambridge University Press:  12 May 2020

Matthew R. Broome
Affiliation:
OASIS, PO 67, Instituto de Psiquiatría, De Crespigny Park, LondresSE5 8AF, Reino Unido
James B. Woolley
Affiliation:
OASIS, PO 67, Instituto de Psiquiatría, De Crespigny Park, LondresSE5 8AF, Reino Unido
Louise C. Johns
Affiliation:
Departamento de Psiquiatria y Neuropsicologia, Universidad de Maastricht, Maastricht, Países Bajos
Lucia R. Valmaggia
Affiliation:
OASIS, PO 67, Instituto de Psiquiatría, De Crespigny Park, LondresSE5 8AF, Reino Unido Departamento de Psiquiatria y Neuropsicologia, Universidad de Maastricht, Maastricht, Países Bajos
Paul Tabraham
Affiliation:
OASIS, PO 67, Instituto de Psiquiatría, De Crespigny Park, LondresSE5 8AF, Reino Unido
Rafael Gafoor
Affiliation:
OASIS, PO 67, Instituto de Psiquiatría, De Crespigny Park, LondresSE5 8AF, Reino Unido
Elvira Bramon
Affiliation:
OASIS, PO 67, Instituto de Psiquiatría, De Crespigny Park, LondresSE5 8AF, Reino Unido
Philip K. McGuire
Affiliation:
OASIS, PO 67, Instituto de Psiquiatría, De Crespigny Park, LondresSE5 8AF, Reino Unido
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Resumen

Antecedentes

Aunque la investigatión recieñte senala los beneficios potenciales de la interventión clínica antes del primer episodio de psicosis, la viabilidad logística de esto no esta clara.

Propósitos

Evaluar la viabilidad de proporcionar un servicio clínico para personas con síntomas prodrómicos en un área urbana deprimida donde el compromiso con los servicios de salud mental es malo por lo general.

Método

Después de un periodo de enlace con agencias locales para promover el servicio, se evaluó y trató las derivaciones en un entomo de atención primaria. La actividad del servicio se auditó durante 30 meses.

Resultados

Diversas agencias comunitarias derivaron a las personas con síntomas prodrómicos. Se vio a estas personas en la consulta de su médico de atención primaria local. Durante 30 meses, derivaron a 180 clientes; 50 (32,%) cumplían los criterios para estado mental de riesgo, teniendo la mayoría de ellos (67,2%) síntomas psicóticos atenuados. Se excluyó casi al 30% debido a enfermedad psicótica actual o anterior; dos tercios de ellos estaban en el primer episodio de psicosis. La compositión sociodemográfica del grupo “en situation de riesgo” reflejaba la de la población local, con una sobre-representación de clientes de una minoría étnica. Más del 90% de los clients apropiados mantenía el compromiso con el servicio después de 1 año.

Conclusión

Es posible proporcionar un servicio clínico para personas con síntomas pródromicos en un área urbana deprimida deficitaria con una gran población de minoría ertnica.

Type
Artículo original
Copyright
Copyright © European Psychiatric Association 2006

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Footnotes

Broome MR, Woolley JB, Johns LC, Valmaggia LR, Tabraham P, Gafoor R, Bramon E, McGuire PK. Outreach and support in south London (OASIS): implementation of a clinical service for prodromal psychosis and the at risk mental state. Eur Psychiatry 2005;20:372-378.

References

Bibliografía

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