Journal article

Declining transition rates to psychosis: the contribution of potential changes in referral pathways to an ultra-high-risk service

Suzanne Wiltink, Eva Velthorst, Barnaby Nelson, Patrick M McGorry, Alison R Yung

EARLY INTERVENTION IN PSYCHIATRY | WILEY | Published : 2015

Abstract

AIM: On the basis of applying 'ultra-high-risk' (UHR) criteria, initially high rates of transition to psychosis were reported. However, a decline in transition to psychosis has been observed in recent years. The current descriptive paper aims to investigate if this drop in transition rate may be due to potential changes in patterns of referral to a large UHR clinic. METHODS: One hundred fifty young people who were referred to the Personal Assessment and Crisis Evaluation (PACE) Clinic in Melbourne, Australia, between August 2000 and July 2004 were included. Their referral pathways were assessed using a semistructured interview. Results were compared with a similar study of a cohort referred ..

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