When compared to countries with national health care, the U.S. delays early intervention in first-episode psychotic disorders. Several articles in the November issue of Psychiatric Services discuss strategic differences in responses as well as model programs for doing so. The delay for African-Americans is "significantly longer" (median 24.5 weeks), write authors who studied barriers to services in urban settings. The number of referrals to a local community mental health center in New Haven, Conn. (200 in 24 months), convinced the authors that the early intervention services were necessary. They are now engaged in an analysis of data to evaluate different outcomes and their impact. Authors of yet another article about services in Britain, for people between 14 and 35, discussliaisons to work across traditional boundaries and enhance services with a minimum of disruption.
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by Phyllis Vine
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