The study investigators hypothesize that the intervention of case managers specifically trained in case management of early psychosis will change the paradigm of care of a first psychotic episode from the current organization of the care system. Indeed, the creation of specific services for emerging psychotic disorders cannot easily be generalized throughout the country and requires specific funding. The intervention of case managers according to the recommendations of good practices will make it possible to propose the fundamental principles of early intervention to young patients and their families on a large scale throughout the territory, namely: personalized and proactive accompaniment, psycho-education of the pathology and treatments, involvement and support of the families, and support for socio-professional reintegration
The patient or their close relative must have given their free and informed consent and signed the consent form
The patient must be a member or beneficiary of a health insurance plan
The patient is available for a 3-year follow-up.
Presence of positive psychotic symptoms (delusion(s) and/or hallucination(s) and/or conceptual disorganization) evolving for at least one week, either daily or at least 3 times per week for at least one hour per occasion ;
The subject is participating in another category I interventional study, or is in a period of exclusion determined by a previous study
The subject, or one of the parents for minor patients, refuses to sign the consent
It is impossible to give the subject informed information
The patient is under safeguard of justice or state guardianship
Parallel
Case management
Other interventionRegular and personalized follow-up by a case manager using a "case management" approach, updated every 3 months
Rate of patients with recurrence of psychotic episode at least once between groups
Recurrence of the psychotic episode will be defined as psychiatric hospitalization with a diagnosis of psychotic disorder and/or the presence of positive psychotic symptoms according to the Positive and Negative Symptom Scale (PANSS) ≥ 4 for item P1 (delusions) and/or P2 (conceptual disorganization) and/or P3 (hallucination)) over a period of at least one week.
Evaluate the impact of the intervention on the number of recurrences of psychiatric hospitalization per patient
number
Evaluate the impact of the intervention on the number of recurrences of psychiatric hospitalization per patient
number
Evaluate the impact of the intervention on the number of recurrences of psychiatric hospitalization per patient
number
Evaluate the impact of the intervention on the number of psychiatric hospitalizations per patient
number
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