{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T01:19:37Z","timestamp":1792545577841,"version":"4.5.0"},"reference-count":30,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2018,7,3]],"date-time":"2018-07-03T00:00:00Z","timestamp":1530576000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Early Intervention Psych"],"published-print":{"date-parts":[[2018,12]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>Naval Medical Center San Diego's Psychiatric Transition Program is a specialized first episode psychosis treatment program that delivers coordinated specialty care to military service members with psychotic disorders. Due to the unique military environment, military service members with first episode psychosis are hypothesized to receive care very early after the emergence of first psychotic symptoms, resulting in significantly reduced duration of untreated psychosis. This study's aim is to calculate the duration of untreated psychosis for patients enrolled in Naval Medical Center San Diego's Psychiatric Transition Program (NMCSD PTP) from 01JUL2014\u201031DEC2016.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients included in this study had a diagnosis of schizophreniform disorder (13.04%), schizophrenia (43.48%), schizoaffective disorder (8.70%), other specified schizophreniform disorder (30.43%), or brief psychotic disorder (4.35%) upon discharge from military service and NMCSD PTP. Duration of untreated psychosis was defined as the interval from emergence of positive psychotic symptoms to antipsychotic medication initiation. Duration of untreated psychosis was measured through retrospective review of the electronic medical record. A total of 69 subjects in the Naval Medical Center San Diego's Psychiatric Transition Program met inclusion criteria. Mean and median values as well as standard deviations were calculated for all included subjects.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean duration to scheduled (non\u2010PRN) neuroleptic medication was 37\u2009days (median: 4 days). The mean duration to PRN neuroleptic medication was 21\u2009days (median: 2 days).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>These data support our view that the structure of the military and military healthcare system markedly shortens the DUP for military service members who experience first episode psychosis.<\/jats:p><\/jats:sec>","DOI":"10.1111\/eip.12709","type":"journal-article","created":{"date-parts":[[2018,7,3]],"date-time":"2018-07-03T09:00:18Z","timestamp":1530608418000},"page":"1243-1249","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Early interventions in a US military FIRST episode psychosis program"],"prefix":"10.1111","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3191-8044","authenticated-orcid":false,"given":"Michael C.","family":"Hann","sequence":"first","affiliation":[{"name":"Directorate for Medical Services United States Naval Hospital  Yokosuka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evan","family":"Caporaso","sequence":"additional","affiliation":[{"name":"Directorate for Mental Health Naval Medical Center  San Diego California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George","family":"Loeffler","sequence":"additional","affiliation":[{"name":"California Men's Colony  San Luis Obispo California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adrian","family":"Cuellar","sequence":"additional","affiliation":[{"name":"Directorate for Mental Health Naval Medical Center  San Diego California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Herrington","sequence":"additional","affiliation":[{"name":"Directorate for Mental Health Naval Medical Center  San Diego California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Marrone","sequence":"additional","affiliation":[{"name":"Directorate for Mental Health Naval Medical Center  San Diego California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jong","family":"Yoon","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences Stanford University  Stanford California"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,7,3]]},"reference":[{"key":"e_1_2_7_2_1","first-page":"362","article-title":"Duration of untreated psychosis in community treatment settings in the United States","volume":"173","author":"Addington J.","year":"2015","journal-title":"Psychiatric Services"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291703001156"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0920-9964(00)00187-0"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2010.03.022"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.65.7.762"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.112.125500"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2012.08.017"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2012.10.010"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.38246.594873.7C"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2009.10.014"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.0050225"},{"key":"e_1_2_7_13_1","unstructured":"Hagel C&the Office of the Secretary of Defense(2014). 2014 Demographics: Profile of the Military Community. 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