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This Month in Archives of General Psychiatry
June 2, 2008

This Month in Archives of General Psychiatry

Arch Gen Psychiatry. 2008;65(6):619. doi:10.1001/archpsyc.65.6.619

Kessler et al (page 625) traced, interviewed, and compared the adult outcomes of alumni of a model private foster care program with alumni of 2 public programs who were not selected for the model program because of limited openings. The model program alumni had significantly better mental and physical health outcomes, suggesting that public sector investment in expanded services for children in this vulnerable segment of the population could substantially improve their long-term health.

There is an association between the duration of untreated psychosis and poor outcome for schizophrenia spectrum disorders. The introduction of an intensive early-detection program in a catchment area was followed by reductions in the duration of untreated psychosis and a better clinical status at the start of treatment. In the 2-year follow-up of the sample, Melle et al(page 634) found an effect on the course of negative symptoms, suggesting secondary prevention of the negative psychopathologies.