title: Early psychosis intervention outpatient service of the 1st Psychiatric University Clinic in Athens: 3 Years of experience.
abstract: To present the 3-year experience of the early intervention in psychosis (EIP) service implementation of the 1st Psychiatric University Clinic in Athens. An overview of: (1) the purpose of our service, (2) the referral network, (3) the selection criteria, (4) the diagnostic procedures, (5) the therapeutic interventions and (6) the research activities. The service was established in 2012 and developed gradually aiming to provide information, early detection, treatment and support to people aged 15 to 40 years with psychotic manifestations, who are either at increased risk of developing psychosis (at-risk mental state [ARMS]) or with first episode psychosis (FEP). In order to assess individuals with ARMS, we used the comprehensive assessment of at-risk mental states interview and the Social and Occupational Functioning Assessment Scale The duration of untreated psychosis was estimated by using the Nottingham Onset Schedule. So far we have had 65 referrals, of which 26 were ARMS and 17 FEP. Based on the individual needs, they were offered psychotherapeutic and/or pharmacological treatment. After 3 years, the rate of transition to psychosis was 19.2% and the rate of psychosis relapse was 11.7%. The implementation of our service has had positive results, enabling young people with early psychosis to receive prompt and effective care. The rates of transition to psychosis are the first to be published from a Greek EIP service. Further development of our referral network and inter-hospital collaboration will allow us to address the needs of a wider part of the population.
authors.affiliation: 1st Department of Psychiatry, Athens University Medical School, Eginition Hospital, Athens, Greece.
authors.forename: Constantinos
authors.initials: C
authors.lastname: Kollias
authors.affiliation: 1st Department of Psychiatry, Athens University Medical School, Eginition Hospital, Athens, Greece.
authors.forename: Lida-Alkisti
authors.initials: LA
authors.lastname: Xenaki
authors.affiliation: 1st Department of Psychiatry, Athens University Medical School, Eginition Hospital, Athens, Greece.
authors.forename: Stefanos
authors.initials: S
authors.lastname: Dimitrakopoulos
authors.affiliation: 1st Department of Psychiatry, Athens University Medical School, Eginition Hospital, Athens, Greece.
authors.forename: Ioannis
authors.initials: I
authors.lastname: Kosteletos
authors.affiliation: 1st Department of Psychiatry, Athens University Medical School, Eginition Hospital, Athens, Greece.
authors.forename: Vassilis
authors.initials: V
authors.lastname: Kontaxakis
authors.affiliation: 1st Department of Psychiatry, Athens University Medical School, Eginition Hospital, Athens, Greece.
authors.forename: Nikos
authors.initials: N
authors.lastname: Stefanis
authors.affiliation: 1st Department of Psychiatry, Athens University Medical School, Eginition Hospital, Athens, Greece.
authors.forename: Charalampos
authors.initials: C
authors.lastname: Papageorgiou
mesh_terms: D000293:Adolescent; D000328:Adult; D000553:Ambulatory Care / Q000706:statistics & numerical data*; D042241:Early Diagnosis; D061345:Early Medical Intervention / Q000706:statistics & numerical data*; D005260:Female; D006115:Greece; D006801:Humans; D008297:Male; D016730:Program Development; D011618:Psychotic Disorders / Q000175:diagnosis / Q000188:drug therapy / Q000628:therapy; D012008:Recurrence; D012017:Referral and Consultation; D013333:Student Health Services / Q000706:statistics & numerical data*; D061665:Time-to-Treatment / Q000706:statistics & numerical data; D014495:Universities; D055815:Young Adult
keywords: Athens; at-risk mental state; early intervention; first episode psychosis; service implementation