title: School-based approaches to reducing the duration of untreated psychosis.
abstract: Students with emerging psychosis often experience delays in diagnosis and treatment that impact mental health and academic outcomes. School systems have tremendous potential to improve early identification and treatment of adolescent psychosis. As a community-based resource, schools can support outreach, education, and screening for adolescents with psychosis and engage identified students and their families for treatment. The concept of duration of untreated psychosis (DUP; the gap between symptom onset and treatment initiation) in adolescent psychosis and the potential role of schools in reducing DUP are reviewed. Future directions for clinical care and research needed to support school-based interventions are proposed.
authors.affiliation: Department of Psychology, University of Maryland, 1000 Hilltop Circle, Baltimore County, Baltimore, MD 21250, USA. Electronic address: schiffma@umbc.edu.
authors.forename: Jason
authors.initials: J
authors.lastname: Schiffman
authors.affiliation: Division of Child and Adolescent Psychiatry, Department of Psychiatry, University of Maryland School of Medicine, 701 Pratt Street, Baltimore, MD 21201, USA.
authors.forename: Sharon Hoover
authors.initials: SH
authors.lastname: Stephan
authors.affiliation: Department of Psychiatry, Maryland Psychiatric Research Center, University of Maryland School of Medicine, MPRC - Tawes, PO Box 21247, Baltimore, MD 21228, USA.
authors.forename: L Elliot
authors.initials: LE
authors.lastname: Hong
authors.affiliation: Division of Child and Adolescent Psychiatry, Department of Psychiatry, University of Maryland School of Medicine, 701 Pratt Street, Baltimore, MD 21201, USA.
authors.forename: Gloria
authors.initials: G
authors.lastname: Reeves
mesh_terms: D000293:Adolescent; D061345:Early Medical Intervention; D006801:Humans; D010342:Patient Acceptance of Health Care; D011618:Psychotic Disorders / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy; D012572:School Health Services
keywords: Duration of untreated psychosis; Early identification; Early intervention; Psychosis; Schools; Stigma