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Innovations in Practice: Identifying young people at ultra‐high risk of psychosis in a Child and Adolescent Mental Health Service

BACKGROUND
The Psychosis Pathway was introduced in a London Child and Adolescent Mental Health Service (CAMHS) with an aim to identify and manage those at ultra-high risk of psychosis (UHR).


METHOD
A service evaluation was conducted to review the clinical impact of this arm of the Psychosis Pathway over a 2-year period.


RESULTS
We found decreased time for psychiatric review, reduction in DUP with reduced inpatient admissions and therefore reduction in morbidity. Transition rate from UHR to psychotic illness was 56% in 2 years.


CONCLUSION
There is much utility in identifying and managing those at UHR in a CAMHS settings.