Mark van der Gaag1,2, Helga Ising2; 1VU University, 2Parnassia Psychiatric Institute
Objective: Present the implementation strategies in the Netherlands to implement CBT for UHR in mental health services Methods: Overview of the literature that has led to the Evidence Based status of detection and treatment of UHR patients. Results: CBT in UHR patients has proven effective in EDIE-NL, but also meta-analyses. The risk reduction is about 40% at twelve months and still 36% at 24-48-months follow-up. The four-year follow-up was also cost-saving. Budget Impact Analysis showed a 10 million cost saving in direct costs each year and a reduction of 15% of psychotic patients in the long term. The detection and treatment of UHR patients is now standard treatment in the Netherlands and national implementation is about to begin. The European guidelines on detection and implementation that reached the same conclusions. The PQ-16 is used to screen for potential UHR patients in all help-seeking patients. The CAARMS is the gold standard to detect the UHR patients and CBT therapists are being trained to do the preventive treatment. At the same time, it is clear that UHR is a risk profile for long-term treatment trajactories and treatment should also target multi-morbid disorders and preserve the social functioning at home, with friends, in school and at the workplace.
