Implementing organicity investigations in early psychosis: Spreading expertise.

<h4>Background</h4>Many medical disorders may contribute to adolescent psychoses. Although guidelines for thorough organicity investigations (OI) exist, their dissemination appears scarce in nonacademic healthcare facilities and some rare disorders remain undiagnosed, many of them presen...

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Autores principales:	Jean-Luc Kurukgy, Julie Bourgin, Jean-Pierre Benoit, Sélim Benjamin Guessoum, Laelia Benoit
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/501d8835ed1343bb8f1f987e7577789e
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spelling	oai:doaj.org-article:501d8835ed1343bb8f1f987e7577789e2021-12-02T20:07:10ZImplementing organicity investigations in early psychosis: Spreading expertise.1932-620310.1371/journal.pone.0252610https://doaj.org/article/501d8835ed1343bb8f1f987e7577789e2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0252610https://doaj.org/toc/1932-6203<h4>Background</h4>Many medical disorders may contribute to adolescent psychoses. Although guidelines for thorough organicity investigations (OI) exist, their dissemination appears scarce in nonacademic healthcare facilities and some rare disorders remain undiagnosed, many of them presenting without easily recognized phenotypes. This study aims to understand the challenges underlying the implementation of OI in non-academic facilities by practitioners trained in expert centers.<h4>Methods</h4>Sixteen psychiatrists working at French non-academic facilities were interviewed about their use of OI for adolescents suspected of early psychosis. Interviews were analyzed with Grounded Theory.<h4>Results</h4>Organicity investigations were found to be useful in rationalizing psychiatric care for the young patient all the while building trust between the doctor and the patient's parents. They also are reassuring for psychiatrists confronted with uncertainty about psychosis onset and the consequences of a psychiatric label. However, they commonly find themselves facing the challenges of implementation alone and thus enter a renunciation pathway: from idealistic missionaries, they become torn between their professional ethics and the non-academic work culture. Ultimately, they abandon the use of OI or delegate it to expert centers.<h4>Conclusion</h4>Specific hindrances to OI implementation must be addressed.Jean-Luc KurukgyJulie BourginJean-Pierre BenoitSélim Benjamin GuessoumLaelia BenoitPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 6, p e0252610 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Jean-Luc Kurukgy Julie Bourgin Jean-Pierre Benoit Sélim Benjamin Guessoum Laelia Benoit Implementing organicity investigations in early psychosis: Spreading expertise.
description	<h4>Background</h4>Many medical disorders may contribute to adolescent psychoses. Although guidelines for thorough organicity investigations (OI) exist, their dissemination appears scarce in nonacademic healthcare facilities and some rare disorders remain undiagnosed, many of them presenting without easily recognized phenotypes. This study aims to understand the challenges underlying the implementation of OI in non-academic facilities by practitioners trained in expert centers.<h4>Methods</h4>Sixteen psychiatrists working at French non-academic facilities were interviewed about their use of OI for adolescents suspected of early psychosis. Interviews were analyzed with Grounded Theory.<h4>Results</h4>Organicity investigations were found to be useful in rationalizing psychiatric care for the young patient all the while building trust between the doctor and the patient's parents. They also are reassuring for psychiatrists confronted with uncertainty about psychosis onset and the consequences of a psychiatric label. However, they commonly find themselves facing the challenges of implementation alone and thus enter a renunciation pathway: from idealistic missionaries, they become torn between their professional ethics and the non-academic work culture. Ultimately, they abandon the use of OI or delegate it to expert centers.<h4>Conclusion</h4>Specific hindrances to OI implementation must be addressed.
format	article
author	Jean-Luc Kurukgy Julie Bourgin Jean-Pierre Benoit Sélim Benjamin Guessoum Laelia Benoit
author_facet	Jean-Luc Kurukgy Julie Bourgin Jean-Pierre Benoit Sélim Benjamin Guessoum Laelia Benoit
author_sort	Jean-Luc Kurukgy
title	Implementing organicity investigations in early psychosis: Spreading expertise.
title_short	Implementing organicity investigations in early psychosis: Spreading expertise.
title_full	Implementing organicity investigations in early psychosis: Spreading expertise.
title_fullStr	Implementing organicity investigations in early psychosis: Spreading expertise.
title_full_unstemmed	Implementing organicity investigations in early psychosis: Spreading expertise.
title_sort	implementing organicity investigations in early psychosis: spreading expertise.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/501d8835ed1343bb8f1f987e7577789e
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Implementing organicity investigations in early psychosis: Spreading expertise.

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