Psychosis screening in schools: Considerations and implementation strategies

Monet S. Meyer, Adi Rosenthal, Khalima A. Bolden, Rachel L. Loewy, Mark Savill, Ruth Shim, Jacqueline Rodriguez, Victoria Flores, Earl Pavao, Tara A Niendam

Research output: Contribution to journalArticle

Abstract

Aim: Duration of untreated psychosis, or the time between onset of psychosis symptoms and accurate diagnosis and treatment, is a significant predictor of both initial treatment response and long-term outcomes. As such, efforts to improve rapid identification are key. Because early signs of psychosis commonly emerge in adolescence, schools have the potential to play an important role in the identification of psychosis-spectrum disorders. Methods: To illustrate the potential role of schools in this effort, the current paper describes implementation of a psychosis screening tool as part of a larger study focused on reducing the duration of untreated psychosis in Sacramento, CA. Results: Clinical considerations related to screening for psychosis in schools, including ethical concerns, logistics, screening population and stigma are addressed. Implementation strategies to address these concerns are suggested. Conclusions: Early psychosis screening in the school system could improve early identification, reduce stigma and may represent an important further step towards an integrative system of mental health.

Original languageEnglish (US)
JournalEarly Intervention in Psychiatry
DOIs
StatePublished - Jan 1 2019

Fingerprint

Psychotic Disorders
Mental Health
Therapeutics
Population

Keywords

  • duration of untreated psychosis
  • early identification
  • early psychosis
  • mental health screening
  • school mental health

ASJC Scopus subject areas

  • Phychiatric Mental Health
  • Psychiatry and Mental health
  • Biological Psychiatry

Cite this

Psychosis screening in schools : Considerations and implementation strategies. / Meyer, Monet S.; Rosenthal, Adi; Bolden, Khalima A.; Loewy, Rachel L.; Savill, Mark; Shim, Ruth; Rodriguez, Jacqueline; Flores, Victoria; Pavao, Earl; Niendam, Tara A.

In: Early Intervention in Psychiatry, 01.01.2019.

Research output: Contribution to journalArticle

Meyer, Monet S. ; Rosenthal, Adi ; Bolden, Khalima A. ; Loewy, Rachel L. ; Savill, Mark ; Shim, Ruth ; Rodriguez, Jacqueline ; Flores, Victoria ; Pavao, Earl ; Niendam, Tara A. / Psychosis screening in schools : Considerations and implementation strategies. In: Early Intervention in Psychiatry. 2019.
@article{212038f88dd74dc2881a26e6010271eb,
title = "Psychosis screening in schools: Considerations and implementation strategies",
abstract = "Aim: Duration of untreated psychosis, or the time between onset of psychosis symptoms and accurate diagnosis and treatment, is a significant predictor of both initial treatment response and long-term outcomes. As such, efforts to improve rapid identification are key. Because early signs of psychosis commonly emerge in adolescence, schools have the potential to play an important role in the identification of psychosis-spectrum disorders. Methods: To illustrate the potential role of schools in this effort, the current paper describes implementation of a psychosis screening tool as part of a larger study focused on reducing the duration of untreated psychosis in Sacramento, CA. Results: Clinical considerations related to screening for psychosis in schools, including ethical concerns, logistics, screening population and stigma are addressed. Implementation strategies to address these concerns are suggested. Conclusions: Early psychosis screening in the school system could improve early identification, reduce stigma and may represent an important further step towards an integrative system of mental health.",
keywords = "duration of untreated psychosis, early identification, early psychosis, mental health screening, school mental health",
author = "Meyer, {Monet S.} and Adi Rosenthal and Bolden, {Khalima A.} and Loewy, {Rachel L.} and Mark Savill and Ruth Shim and Jacqueline Rodriguez and Victoria Flores and Earl Pavao and Niendam, {Tara A}",
year = "2019",
month = "1",
day = "1",
doi = "10.1111/eip.12858",
language = "English (US)",
journal = "Early Intervention in Psychiatry",
issn = "1751-7885",
publisher = "Wiley-Blackwell",

}

TY - JOUR

T1 - Psychosis screening in schools

T2 - Considerations and implementation strategies

AU - Meyer, Monet S.

AU - Rosenthal, Adi

AU - Bolden, Khalima A.

AU - Loewy, Rachel L.

AU - Savill, Mark

AU - Shim, Ruth

AU - Rodriguez, Jacqueline

AU - Flores, Victoria

AU - Pavao, Earl

AU - Niendam, Tara A

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Aim: Duration of untreated psychosis, or the time between onset of psychosis symptoms and accurate diagnosis and treatment, is a significant predictor of both initial treatment response and long-term outcomes. As such, efforts to improve rapid identification are key. Because early signs of psychosis commonly emerge in adolescence, schools have the potential to play an important role in the identification of psychosis-spectrum disorders. Methods: To illustrate the potential role of schools in this effort, the current paper describes implementation of a psychosis screening tool as part of a larger study focused on reducing the duration of untreated psychosis in Sacramento, CA. Results: Clinical considerations related to screening for psychosis in schools, including ethical concerns, logistics, screening population and stigma are addressed. Implementation strategies to address these concerns are suggested. Conclusions: Early psychosis screening in the school system could improve early identification, reduce stigma and may represent an important further step towards an integrative system of mental health.

AB - Aim: Duration of untreated psychosis, or the time between onset of psychosis symptoms and accurate diagnosis and treatment, is a significant predictor of both initial treatment response and long-term outcomes. As such, efforts to improve rapid identification are key. Because early signs of psychosis commonly emerge in adolescence, schools have the potential to play an important role in the identification of psychosis-spectrum disorders. Methods: To illustrate the potential role of schools in this effort, the current paper describes implementation of a psychosis screening tool as part of a larger study focused on reducing the duration of untreated psychosis in Sacramento, CA. Results: Clinical considerations related to screening for psychosis in schools, including ethical concerns, logistics, screening population and stigma are addressed. Implementation strategies to address these concerns are suggested. Conclusions: Early psychosis screening in the school system could improve early identification, reduce stigma and may represent an important further step towards an integrative system of mental health.

KW - duration of untreated psychosis

KW - early identification

KW - early psychosis

KW - mental health screening

KW - school mental health

UR - http://www.scopus.com/inward/record.url?scp=85068778405&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85068778405&partnerID=8YFLogxK

U2 - 10.1111/eip.12858

DO - 10.1111/eip.12858

M3 - Article

AN - SCOPUS:85068778405

JO - Early Intervention in Psychiatry

JF - Early Intervention in Psychiatry

SN - 1751-7885

ER -