Mindmap: a complex intervention to reduce regional Duration of Untreated Psychosis

Prolonged delays from psychosis onset to care (or DUP) can imperil the benefits even of evidence-based Coordinated Specialty Care (CSC) clinics. Early detection efforts to shorten DUP are thus a necessary component of modern early intervention services for schizophrenia. The NIMH funded Mindmap campaign reported the first successful demonstration of DUP reduction in a U.S. region. Details of the design and implementation of Mindmap will be presented with lessons for future early intervention efforts. Vinod Srihari, MD is a staff psychiatrist at the Connecticut Mental Health Center, Professor of Psychiatry at Yale University and the founding Director of the Program for Specialized Treatment Early in Psychosis (STEP). STEP completed the first U.S. based RCT of specialty team based care for early psychosis, and followed this with the first successful replication of the Scandinavian TIPS study of DUP reduction. The Program delivers a care pathway that integrates early detection with CSC and within a population health framework that targets geographically defined populations.