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Early psychosis intervention service for children and youth: a retrospective chart review of the first four years

2009· article· en· W2065530660 on OpenAlexaff
Ashley Morris, Mary K. Nixon, Randy Keyes, Douglas Ashmore

Bibliographic record

VenueEarly Intervention in Psychiatry · 2009
Typearticle
Languageen
FieldMedicine
TopicSchizophrenia research and treatment
Canadian institutionsChildren's & Women's Health Centre of British Columbia
FundersNational Institute of Mental HealthNational Institutes of Health
KeywordsPsychosisIntervention (counseling)Early psychosisPsychiatryChartPsychologyService (business)Retrospective cohort studyMedicineClinical psychologyStatistics

Abstract

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AIMS: There are at present no published reports of outpatient Early Psychosis Intervention (EPI) service designed for children aged 16 years and under. The objectives of this study are to describe aspects of an outpatient paediatric EPI programme from the time period after the initial pilot and during its first 4 years of service with dedicated staffing. METHOD: This study employed a retrospective chart review model in which variables were operationalized and then extracted from existing patient medical records spanning a 4-year time period. Data were then analysed for frequency, mean and range values. RESULTS: Demographic characteristics and service profiles for 56 patients were collected. The majority were male (64.3%) and the mean age was 14.8 years (range: 9-17 years). The average number of days from referral to first in-person contact was 7.3 days. The most common discharge diagnosis was Bipolar Disorder (38.7%) followed by Psychosis Not Otherwise Specified (25.8%) in those with psychosis, whereas an anxiety disorder was the most common diagnosis in those who were not psychotic. The majority of discharged patients were able to be followed up by community-based services. Readmission and hospitalization rates for this EPI service were low. CONCLUSIONS: The findings of this study suggest that an EPI model of care extended to a younger age group can be implemented to provide early intervention to youth with a range of psychiatric disorders that present with psychotic symptoms.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.022
Threshold uncertainty score0.477

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

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.

Opus teacher head0.015
GPT teacher head0.303
Teacher spread0.287 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

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".

Quick stats

Citations5
Published2009
Admission routes1
Has abstractyes

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