Outreach and support in south London (OASIS): implementation of a clinical service for prodromal psychosis and the at risk mental state

  title={Outreach and support in south London (OASIS): implementation of a clinical service for prodromal psychosis and the at risk mental state},
  author={Matthew R. Broome and James Woolley and Louise C. Johns and Lucia R. Valmaggia and Paul Tabraham and Rafael Gafoor and Elvira Bramon and Philip K. McGuire},
  journal={European Psychiatry},
  pages={372 - 378}
Outreach and Support in South London (OASIS). Outcomes of non-attenders to a service for people at high risk of psychosis: the case for a more assertive approach to assessment
The size of the unengaged population of an ‘at-risk service’ is defined, to compare this group to those who did engage in terms of sociodemographic and clinical features and to assess the clinical outcomes of those whodid not engage with the service.
Establishing a clinical service to prevent psychosis: What, how and when? Systematic review
Health service knowledge summarised by the current study will facilitate translational efforts for implementation of CHR-P services worldwide and provide guidelines for translational implementation.
Access and Waiting Time Standard for Early Intervention in Psychosis: At Risk Mental State Identification and Interventions Accepted within a Routine Service
  • Vidyah Adamson
  • Psychology, Medicine
    Journal of Psychological Science and Research
  • 2021
A range of NICE and CBT informed interventions as well as individual psychological therapies appear to be acceptable to ARMS service users and many engaged in multiple interventions offered.
This model suggests that services that permit early detection of people at high risk of psychosis may be cost saving.
Detection of people at risk of developing a first episode psychosis: comparison of two different recruitment
The screening method detects more patients with at-risk mental states than the referral method, and manova showed significantly higher scores for the screened population on depression, social anxiety, distress with positive symptoms, and a higher rate of transition to psychosis within 12 months.
The ‘At-Risk Mental State’ for Psychosis in Adolescents: Clinical Presentation, Transition and Remission
Overall transition rates to psychosis were low at 24 months follow-up and many participants demonstrated a significant reduction in psychotic-like symptoms, whilst the generalisation of these findings may be limited due to the small sample size and require replication in a larger sample.
Public health primary prevention implemented by clinical high-risk services for psychosis
Public health preventive initiatives were systematically stratified according to core social determinants of mental disorders associated with the 2030 Sustainable Development Goals promoted by the United Nations Member States and good mental health outcomes.
Early intervention services in Greece: Time to focus on people at high risk.
Focusing on people at high risk of developing psychosis will promote public health and will help not only to prevent the onset of psychotic disorders but to enhance their prognosis as well.
Clinical predictors in young help-seeking people referred to the Lancashire Early Assessment and Detection Clinic : a service evaluation
The thesis found that both the Basic Symptom and UHR approaches are valid for use in routine clinical settings for the assessment of psychosis risk and a combination of both approaches could provide future opportunities research.


The Lambeth Early Onset (LEO) Team: randomised controlled trial of the effectiveness of specialised care for early psychosis
Limited evidence shows that a team delivering specialised care for patients with early psychosis is superior to standard care for maintaining contact with professionals and for reducing readmissions to hospital.
Ethnic variations in pathways to and use of specialist mental health services in the UK
There is strongEvidence of variation between ethnic groups for voluntary and compulsory admissions, and some evidence of variation in pathways to specialist care.
Identification of young people at risk of psychosis: validation of Personal Assessment and Crisis Evaluation Clinic intake criteria.
The results suggest that it is possible to accurately identify young people at imminent risk of psychosis within a short follow-up period and may lead the way to the development of preventive interventions for the ultra-high risk group.
Randomized controlled trial of interventions designed to reduce the risk of progression to first-episode psychosis in a clinical sample with subthreshold symptoms.
More specific pharmacotherapy and psychotherapy reduces the risk of early transition to psychosis in young people at ultra-high risk, although their relative contributions could not be determined.
Causes and consequences of duration of untreated psychosis in schizophrenia.
Longer DUP results partly from a pattern of symptoms and social functioning which reduces concern by the sufferer and relevant others, and has implications for targeting early intervention.
Diagnostic interview for genetic studies. Rationale, unique features, and training. NIMH Genetics Initiative.
The DIGS is designed to be employed by interviewers who exercise significant clinical judgment and who summarize information in narrative form as well as in ratings, and should be useful as part of archival data gathering for genetic studies of major affective disorders, schizophrenia, and related conditions.
Structured clinical interview for DSM-IV axis I disorders : SCID-I : clinical version : scoresheet
The SCID-I is an efficient, user-friendly instrument that covers those DSM-IV diagnoses most commonly seen by clinicians and includes the diagnostic criteria for these disorders with corresponding interview questions and provides extensive documentation of the diagnostic process.
Incidence of schizophrenia in south-east London between 1965 and 1997.
The incidence of schizophrenia has doubled in south-east London over the past three decades and was greatest in people under 35 years of age and was not gender-specific.