PORT (Programme of Recognition and Therapy): the first Polish recognition and treatment programme for patients with an at-risk mental state
ABSTRACT AimTo present the activities of the first early intervention centre in Poland and the Programme of Recognition and Therapy (PORT) run by the centre.Methods
An overview of the admission process, diagnostic procedures and therapeutic interventions offered to individuals with an at-risk mental state.ResultsThe PORT programme, developed in 2010, included 81 individuals, aged 15–29 years so far. The diagnostic procedures consists of evaluation of symptoms with the use of the Comprehensive Assessment of At-Risk Mental State (CAARMS), assessment of premorbid and current personality traits and the evaluation of cognitive functions. Therapeutic interventions include cognitive behavioural therapy, diet supplementation with omega-3 fatty acids and pharmacological treatment. Overall rate of conversion into psychosis within the years 2010–2103 was 18.5%. The programme has also been a source of research in the field of early psychosis.Conclusions
The PORT programme enables young people with an ARMS an easy access to the specialized service offering treatment tailored to their specific needs.
- SourceAvailable from: Mark van der Gaag[Show abstract] [Hide abstract]
ABSTRACT: The aim of this guidance paper of the European Psychiatric Association is to provide evidence-based recommendations on the early detection of a clinical high risk (CHR) for psychosis in patients with mental problems. To this aim, we conducted a meta-analysis of studies reporting on conversion rates to psychosis in non-overlapping samples meeting any at least any one of the main CHR criteria: ultra-high risk (UHR) and/or basic symptoms criteria. Further, effects of potential moderators (different UHR criteria definitions, single UHR criteria and age) on conversion rates were examined. Conversion rates in the identified 42 samples with altogether more than 4000 CHR patients who had mainly been identified by UHR criteria and/or the basic symptom criterion 'cognitive disturbances' (COGDIS) showed considerable heterogeneity. While UHR criteria and COGDIS were related to similar conversion rates until 2-year follow-up, conversion rates of COGDIS were significantly higher thereafter. Differences in onset and frequency requirements of symptomatic UHR criteria or in their different consideration of functional decline, substance use and co-morbidity did not seem to impact on conversion rates. The 'genetic risk and functional decline' UHR criterion was rarely met and only showed an insignificant pooled sample effect. However, age significantly affected UHR conversion rates with lower rates in children and adolescents. Although more research into potential sources of heterogeneity in conversion rates is needed to facilitate improvement of CHR criteria, six evidence-based recommendations for an early detection of psychosis were developed as a basis for the EPA guidance on early intervention in CHR states. Copyright © 2015 Elsevier Masson SAS. All rights reserved.European Psychiatry 03/2015; 30:405-416. DOI:10.1016/j.eurpsy.2015.01.010 · 3.21 Impact Factor