the Epidemiological and Social Psychiatric Research institute
The research-infrastructure concerning studies in the area of applied social psychiatry is financed by the Epidemiological and Social Psychiatric Research institute (ESPRi). ESPRi is a network of organizations including Erasmus MC (Department of Psychiatry) together with mental health care organizations in the south-western part of the Netherlands and the municipality of Rotterdam. The aim of ESPRi is to perform studies directly related to the care for patients in the participating mental health organizations, and to public mental health of the wider Rotterdam region. Focus of the research is (1) (prevention of) coercion, and (2) pathways to prevention and recovery of severe mental illness.
(Prevention of) Coercion.
Based on our track record, we will further study the epidemiology of coercive interventions in the Netherlands and internationally (which is timely because of the introduction of new mental health law in the Netherlands in 2020). In addition preventive studies will be started using machine learning-based algorithms to predict and prevent coercive interventions, as well as other inventions to improve motivation for treatment and shared decision making for prevention of coercive measures.
Pathways to prevention and recovery.
Within the ESPRi consortium, we will continue two cohort studies. (A)The first cohort study, the iBerry Study, assesses risk and protective factors associated with progression to severe mental illness over a 10-year period in a group of 1000 adolescents from the general population, who were selected on the basis of scoring above a threshold level of emotional and behavioral problems on a screening device in preventive youth care. In 2019 the inclusion will be completed. (B) The second study, UP’s study, assesses determinants of personal, clinical and social recovery over a 10-year period in a group of 600 psychotic disorder patients treated in FACT-teams. In 2020, the inclusion will be completed. Both studies aim at finding factors associated with recovery, followed by testing interventions for improving recovery. In addition we will continue studies in adolescents and young adults related to prevention of psychosis, using data collected in the context of the iBerry Study and in patients from youth mental health care services.