L'Information Psychiatrique
MENUEarly treatment of emergent psychoses in France: Inventory and description of activities and needs in 2018 Volume 96, issue 7, Août-Septembre 2020
- Key words: first psychotic episode, treatment, psychiatric care organization, case management
- DOI : 10.1684/ipe.2020.2150
- Page(s) : 569-76
- Published in: 2020
Early intervention programs (EIPs) have been developed in many countries. In France, current national policies in the field of mental health promote the development of early intervention, but France has not yet met national standards of care for EIPs.
A preliminary study conducted in 2017 showed a strong dynamic in France, with many ongoing projects. A second study was conducted in May–October 2018, looking at 69 EIP teams involved in this dynamic throughout France. An online self-administered survey was sent to the identified teams, asking about attachment structure, dedicated teams, funding, target population, activity in 2017, issues, and prospects. Of these 69, 35 teams were operational and 34 were in the planning or early-implementation phases.
All programs reported multidisciplinary teams, including at least one psychiatrist. The mean number of dedicated full-time-equivalent workers was 5.9. Half of the programs offered case management (48.6%).
Nevertheless, most programs were not specialized in early intervention; they had a mix of activities, including patients with chronic schizophrenia. Most programs (77.1%) offered outpatient in-home follow-up care for some patients.
EIPs are growing in number throughout France. This study will help to shed light on the programs discussed here and to harmonize and ensure a high level of care.