{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T21:22:31Z","timestamp":1791580951325,"version":"4.3.4"},"reference-count":62,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2023,1,13]],"date-time":"2023-01-13T00:00:00Z","timestamp":1673568000000},"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":[[2023,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>From January 2016, the Parma Department of Mental Health developed a specialized care protocol \u2013 the \u2018Parma At\u2010Risk Mental States\u2019 (PARMS) program \u2013 as a diffused service for early intervention in individuals at Clinical High Risk for Psychosis (CHR\u2010P). The aims of this investigation were (1) to describe the PARMS structural organization and (2) to examine specific process indicators during the first 5\u2009years of its clinical activity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>All participants were adolescent and young adult help\u2010seekers (aged 12\u201325\u2009years) at CHR\u2010P in accordance with well\u2010defined psychometric criteria.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>At entry, 52 subjects were provided with a dedicated protocol of care and only 14 dropped out during the first year of treatment. The Duration of Untreated Illness (DUI) overall decreased over time. Most of CHR\u2010P participants suffered from \u2018Attenuated Psychotic Symptoms\u2019 and \u2018Brief, Limited, Intermittent Psychotic Symptoms\u2019 in the same percentage (48.1% [<jats:italic>n<\/jats:italic>\u00a0=\u200925]). The most common DSM\u2010IV\u2010TR diagnosis was schizotypal personality disorder, followed by borderline personality disorder and brief psychotic disorder.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>A specialized, evidence\u2010based care protocol for CHR\u2010P individuals within Italian adult and child\/adolescent psychiatric services is feasible, also in adolescents, who have a high risk of falling through the child\/adult service gap.<\/jats:p><\/jats:sec>","DOI":"10.1111\/eip.13399","type":"journal-article","created":{"date-parts":[[2023,1,14]],"date-time":"2023-01-14T00:43:35Z","timestamp":1673657015000},"page":"625-635","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":26,"title":["The \u2018Parma <scp>At\u2010Risk<\/scp> mental states\u2019 (<scp>PARMS<\/scp>) program: General description and process analysis after 5\u2009years of clinical activity"],"prefix":"10.1111","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4746-2061","authenticated-orcid":false,"given":"Lorenzo","family":"Pelizza","sequence":"first","affiliation":[{"name":"Department of Mental Health and Pathological Addiction Azienda USL di Parma  Parma Italy"},{"name":"Department of Biomedical and NeuroMotor Sciences, \u201cAlma Mater Studiorum\u201d Universit\u00e0 degli Studi di Bologna  Bologna Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emanuela","family":"Leuci","sequence":"additional","affiliation":[{"name":"Department of Mental Health and Pathological Addiction Azienda USL di Parma  Parma Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emanuela","family":"Quattrone","sequence":"additional","affiliation":[{"name":"Department of Mental Health and Pathological Addiction Azienda USL di Parma  Parma Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppina","family":"Paulillo","sequence":"additional","affiliation":[{"name":"Department of Mental Health and Pathological Addiction Azienda USL di Parma  Parma Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pietro","family":"Pellegrini","sequence":"additional","affiliation":[{"name":"Department of Mental Health and Pathological Addiction Azienda USL di Parma  Parma Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,1,13]]},"reference":[{"key":"e_1_2_9_2_1","volume-title":"Diagnostic and statistical manual of mental disorders, IV edition, text revised","author":"American Psychiatric Association (APA)","year":"2000"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2021.12.025"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/eip.13095"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpp.13322"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/eip.12277"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-013-0736-5"},{"key":"e_1_2_9_8_1","volume-title":"Checklist per la Valutazione dell'Esordio Psicotico (CVEP)","author":"Feo C.","year":"2007"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/eip.12788"},{"key":"e_1_2_9_10_1","volume-title":"Structured clinical interview for DSM\u2010IV\u2010TR Axis I disorders (SCID\u2010I)","author":"First M. 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