Early Identification of people at risk of psychosis in Primary Care Services Mental and Behavioural Disorders
Conditions
Interventions
This is a multi-centre observational study. The study aims to: i) demonstrate whether P Risk can be implemented in primary care data systems
ii) investigate the accuracy of P Risk using real-world primary care data systems
and iii) investigate the acceptability of P Risk to practitioners, patients, and carers.
Study design:
Work package 1: Conversion of the P Risk statistical algorithm into a code that is compatible wi
Sponsors
University of Bristol
Eligibility
Sex/Gender
All
Age
18 Years to 80 Years
Inclusion criteria
Inclusion criteria: Work package 1: 1. GP practices which use EMIS clinical records software 2. All GP practices in the Bristol, North Somerset and South Gloucestershire CCG (BNSSGCCG) region use EMIS software Work package 3: GP practices which use EMIS clinical records software. Work package 4: 1. GPs from BNSSG and the London area 2. Clinicians from the Early Intervention Services within Avon and Wiltshire NHS Foundation Trust and the London area, who provide assessments for people at risk of psychosis 3. Patients who consulted their GP within the last six months for non-psychotic mental health problems 4. Patients' carers
Exclusion criteria
Exclusion criteria: Work package 1: There are no participant exclusion criteria Work package 3: Any patient with an existing coded diagnosis of psychosis either in primary or secondary care EHRs or any recorded prescription for anti-psychotic medication at a dosage appropriate for psychosis Work package 4: Inability to provide informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Coded incident diagnosis of First Episode Psychosis (FEP) or an At-Risk Mental State (ARMS) recorded in primary and/or secondary care EHRs measured using medical records at one timepoint 2. Patients' and clinicians' views on the acceptability and potential value and implications of using P Risk in general practice measured using interviews with GPs and focus groups/individuals at one timepoint | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Whether the P Risk threshold for high, medium or low is optimal 2. Calibration in two subsamples of patients measured using a coded diagnosis of psychosis at one time point: 2.1. Afro-Caribbean ethnicity 2.2 Older women (50-65 years of age)), where there is evidence that they are at increased risk | — |
Countries
England, United Kingdom
Contacts
Public ContactSarah Sullivan
Outcome results
None listed