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Brief Report
Published Date: 6 February 2025

Reducing Duration of Untreated Psychosis: Strengthening the Case for Early Detection Campaigns

Ashley Weiss, D.O., M.P.H., Serena Chaudhry, D.S.W., M.P.H., Wasef Atiya, B.S., Sydney Long slong7@tulane.edu, Robert Roy, M.S., and Ramin Mojtabai, M.D., Ph.D. https://orcid.org/0000-0002-2134-4043Authors Info & Affiliations
Publication: Psychiatric Services
In Advance
https://doi.org/10.1176/appi.ps.20240061
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Abstract

Objective:

The Clear Answers to Louisiana Mental Health (CALM) campaign’s objective is to reduce the duration of untreated psychosis (DUP) of patients experiencing first-episode psychosis in the New Orleans community.

Methods:

CALM used mass transit and digital marketing and local community engagement strategies to reduce DUP in referrals to the Early Psychosis Intervention Clinic–New Orleans. DUP measures were collected for clinic referrals pre- and post-CALM launch (N=116). Analytics from marketing strategies were used to evaluate campaign success.

Results:

In the first 12 months of CALM, the mean DUP from onset of psychotic symptoms to clinic entry decreased from a median of 6.6 (interquartile range [IQR]=2.5–14.9) to 2.1 (IQR=1.1–10.7) months. Time from onset of psychotic symptoms to first antipsychotic treatment decreased from a median of 2.0 (IQR=0.5–8.6) to 0.2 (IQR=0.0–0.7) months.

Conclusions:

The CALM campaign produced promising results for reducing DUP in referrals to a coordinated specialty care program.

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Information & Authors

Information

Published In

Go to Psychiatric Services
Go to Psychiatric Services
Psychiatric Services
In Advance
Pages: 00

History

Received: 5 February 2024
Revision received: 7 November 2024
Accepted: 21 November 2024
Published online: 6 February 2025

Keywords

  1. Psychosis
  2. Public health
  3. Schizoaffective disorders
  4. Schizophrenia
  5. Clear Answers to Louisiana Mental Health (CALM)
  6. Duration of untreated psychosis

Authors

Details

Ashley Weiss, D.O., M.P.H.
Early Psychosis Intervention Clinic–New Orleans, New Orleans (Weiss, Chaudhry, Roy); Department of Psychiatry, School of Medicine (Weiss, Chaudhry, Atiya, Mojtabai), and School of Science and Engineering (Long), Tulane University, New Orleans.
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Serena Chaudhry, D.S.W., M.P.H.
Early Psychosis Intervention Clinic–New Orleans, New Orleans (Weiss, Chaudhry, Roy); Department of Psychiatry, School of Medicine (Weiss, Chaudhry, Atiya, Mojtabai), and School of Science and Engineering (Long), Tulane University, New Orleans.
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Wasef Atiya, B.S.
Early Psychosis Intervention Clinic–New Orleans, New Orleans (Weiss, Chaudhry, Roy); Department of Psychiatry, School of Medicine (Weiss, Chaudhry, Atiya, Mojtabai), and School of Science and Engineering (Long), Tulane University, New Orleans.
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Sydney Long slong7@tulane.edu
Early Psychosis Intervention Clinic–New Orleans, New Orleans (Weiss, Chaudhry, Roy); Department of Psychiatry, School of Medicine (Weiss, Chaudhry, Atiya, Mojtabai), and School of Science and Engineering (Long), Tulane University, New Orleans.
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Robert Roy, M.S.
Early Psychosis Intervention Clinic–New Orleans, New Orleans (Weiss, Chaudhry, Roy); Department of Psychiatry, School of Medicine (Weiss, Chaudhry, Atiya, Mojtabai), and School of Science and Engineering (Long), Tulane University, New Orleans.
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Ramin Mojtabai, M.D., Ph.D. https://orcid.org/0000-0002-2134-4043
Early Psychosis Intervention Clinic–New Orleans, New Orleans (Weiss, Chaudhry, Roy); Department of Psychiatry, School of Medicine (Weiss, Chaudhry, Atiya, Mojtabai), and School of Science and Engineering (Long), Tulane University, New Orleans.
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Notes

Send correspondence to Ms. Long (slong7@tulane.edu).
This study was presented at the International Early Psychosis Association Conference, July 10–12, 2023, Lausanne, Switzerland.

Competing Interests

Dr. Mojtabai reports receiving royalties and consulting fees from UpToDate, Medscape, and MindMed, as well as providing consultation regarding social media litigation on behalf of plaintiffs. The other authors report no financial relationships with commercial interests.

Funding Information

Dr. Mojtabai’s work was supported by the Louisiana Board of Regents Endowed Chairs for Eminent Scholars program.

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