Full Program »
101. To Help in a Handbasket; Summary and Qualitative Analysis of Care for Those at Clinical/Ultra High-Risk for Psychosis Around the World. What is Actually Being Implemented?
The quickening pace with which the Ultra/Clinical High Risk (CHR) paradigm has spread across continents has exposed a number of ethical issues. This expansion is occurring before empirical consensus on what/whom to treat with which interventions, and how new cultural contexts moderate assessment and intervention paradigms primarily imported from Western contexts. Because risk syndromes are still diagnostically pleiotropic, new programs face major choices in developing or modifying programming within their systems and philosophies of mental health care and in how psychosis-specific to be. The current study is a descriptive content analysis of summaries of psychosis-risk programs gathered from around the world. Aims are to characterize common and disparate components, in both new and well-characterized programs, and to compare these with guidelines for evidence-based programming from the European Psychiatric Association (CHR) and the First Episode Psychosis Services Fidelity Scale (FEP). Barriers and typical pathways to care will also be coded and presented. Summaries are currently collected from 11 programs in North America (Canada, Northeast and Southwest United States), South America (Brazil), Africa (Nigeria), Asia (China, India), Australia, and Europe (Denmark, Spain, Germany). Results will inform a discussion of ethical concerns elucidated in the rush to answer the promise of possibly preventive treatment.