Jeune, urbain… mais psychotique : l’importance du travail de proximité
Bibliographic record
Abstract
Untreated psychosis causes a lot of suffering and its impact echoes on different aspects of the affected individual's functioning. In city centers, youths presenting early psychosis face additional challenges because many of them live in precarious, unstable conditions and are isolated. Reorganisation of mental health care access and delivery is necessary to avoid delay for psychosis identification and treatment initiation. This article describes possible solutions which have been applied at Clinique JAP, a specialized early psychosis intervention clinic at the CHUM, which offers integrated services to optimize outcome. To increase engagement and adherence to treatment, treatment setting must include a welcoming and youth-friendly atmosphere, individualized and flexible interventions, and nourishing optimistic but realistic hope. Intensive interventions by a specialized interdisciplinary team, in collaboration with community organizations, must be offered in a proactive way to reduce delay in treatment and therefore avoid disastrous consequences of psychosis.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.005 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.001 |
| Science and technology studies | 0.008 | 0.010 |
| Scholarly communication | 0.005 | 0.003 |
| Open science | 0.001 | 0.002 |
| Research integrity | 0.002 | 0.005 |
| Insufficient payload (model declined to judge) | 0.003 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".