2022
DOI: 10.1038/s41398-022-01805-4
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Public health primary prevention implemented by clinical high-risk services for psychosis

Abstract: Clinical High Risk for Psychosis (CHR-P) services have been primarily developed to support young people with attenuated symptoms (indicated prevention). No evidence-based appraisal has systematically investigated to what extent these clinics may implement other preventive approaches. PRISMA 2020-compliant systematic review of Web of Science, Cochrane Central Register of Reviews, and Ovid/PsychINFO, from inception until 14th June 2021, identifying original studies describing public health strategies: (a) servic… Show more

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Cited by 20 publications
(13 citation statements)
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“…Furthermore, our PAF analysis suggests that preventing psychosis in young people at clinical high risk can produce physical health benefits in terms of reduced cardiovascular and cancer mor-tality, in addition to improved mental health outcomes [158][159][160][161][162][163][164][165] (indicated prevention).…”
Section: Discussionmentioning
confidence: 99%
“…Furthermore, our PAF analysis suggests that preventing psychosis in young people at clinical high risk can produce physical health benefits in terms of reduced cardiovascular and cancer mor-tality, in addition to improved mental health outcomes [158][159][160][161][162][163][164][165] (indicated prevention).…”
Section: Discussionmentioning
confidence: 99%
“…Importantly, most CHR-P services have been implemented in areas with higher levels of socioeconomic deprivation, highlighting a window of opportunities for impacting core social factors determining the onset of psychosis ( 13 ). In a recent review study, we highlighted that CHR-P services have the potential to deliver several public-health preventive approaches for the local community that target these factors ( 47 ). Regarding role composition, CHR-P services require the synergy of a diverse team of professionals responsible for conducting specialized assessments, delivering psychosocial and pharmacological treatments, implementing outreach and service promotion activities and, potentially, coordinating and conducting clinical research ( 31 33 ).…”
Section: Discussionmentioning
confidence: 99%
“…An electronic audit of CHR-P services was developed, based on previous collaborative work conducted by the Pan-London Network for Psychosis-Prevention (PNP) ( 33 ), leveraging current clinical guidelines ( 41 , 42 ) and global healthcare research ( 30 , 31 , 47 ). The audit was implemented using REDCap electronic data capture tools ( 48 ), hosted at King's College London.…”
Section: Methodsmentioning
confidence: 99%
“…Primary prevention strategies for mental health problems can be classified into three categories: (1) universal prevention, which targets the general population and is not directed at a specific risk group, (2) selective prevention, which targets individuals considered to be at potential risk for mental illness as based on the presence of an identified risk factor such as parental mental illness and (3) indicated prevention which targets individuals who are screened for already having early signs or subthreshold symptoms of mental illness. [18][19][20][21] There are theoretical and practical reasons why universal prevention can be more appropriate for the workplace. 22 As universal prevention can reach more individuals, including selected and indicated groups without the need for screening which is a costly process to implement, 18 22 23 and can reach individuals who disclose symptoms for fear of its perceived negative effects on work, the universal prevention of the nurses' mental health problems is a high-priority strategy for mental health management in nursing workplaces.…”
Section: Strengths and Limitations Of This Studymentioning
confidence: 99%
“…Primary prevention strategies for mental health problems can be classified into three categories: (1) universal prevention, which targets the general population and is not directed at a specific risk group, (2) selective prevention, which targets individuals considered to be at potential risk for mental illness as based on the presence of an identified risk factor such as parental mental illness and (3) indicated prevention which targets individuals who are screened for already having early signs or subthreshold symptoms of mental illness 18–21. There are theoretical and practical reasons why universal prevention can be more appropriate for the workplace 22.…”
Section: Introductionmentioning
confidence: 99%