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Aims: Psychotic disorders are one of the main causes of chronic disability in young people. An at-risk mental state (ARMS) is represented by subclinical symptoms that precede the first episode of psychosis (FEP). The PsyYoung project aims to optimize the detection of an ARMS while reducing unnecessary psychiatric treatments. It investigates the effects of service changes on the referrals and outcomes of young people with ARMS or a FEP. Methods: Six psychiatric outpatient clinics in three cantons (Basel-Stadt, Vaud, and Geneva) participated in the project. They passed through an implementation phase including service changes and the adaptation of a standardized stepped care model for diagnosis and assessment, in addition to measures for increasing the awareness, networking and training of local professionals. Preliminary results: All participating cantons had entered the implementation phase. By March 2023, there were 619 referrals to participating sites. A total of 163 patients (37% FEP and 31% ARMS) and 15 close relatives had participated in individual longitudinal assessments, and 26 patients participated in qualitative interviews. Conclusion: This national collaborative project addresses the issue of early intervention for emerging psychoses, and creates spaces for fruitful reflections and collaboration in Switzerland. The ultimate aim of PsyYoung is to harmonize clinical practices in early intervention of psychosis on a national level. [ABSTRACT FROM AUTHOR]

Although research on men's stress expression, coping strategies, and attitudes toward support has been accumulated, there is a lack of evaluation of men's stress expression and perception of their partners' supportiveness within the context of romantic relationships. This review summarizes findings related to factors that influence men's expression of stress and the ways in which they perceive the support provided by their romantic partners, as well as the resulting effects on men's well-being and that of the relationship itself. We searched four electronic databases using terms related to stress expression and perceived supportiveness in couples. Findings meeting inclusion criteria were classified in two conceptual categories: (a) Men's stress expression to their partner and (b) men's perception of their partner's support. Forty-four articles met inclusion criteria. Data were collected on 4,520 men from clinical/subclinical and healthy populations. Findings suggest that (a) men's stress expression and perceived supportiveness from their partner are linked to positive effects for men's well-being and that of the relationship; (b) stress and adherence to masculine norms negatively affect men's expression of stress to their romantic partner; and (c) men's perception of their romantic partner's support is negatively affected by stress and positively linked to men's stress expression. These results suggest that for men, stress expression and perceived supportiveness within the context of the romantic relationship parallel their general attitudes regarding self-disclosure and social support. The prescriptive role of masculine norms is highlighted as an important determinant of men's behavior toward their romantic partner. Public Significance Statement: This systematic review reveals the factors affecting men's stress expression and the ways in which they perceive the support provided by their romantic partner, as well as the effects on both men's and the relationship itself. It is hoped that this information will prove useful to clinicians working with men and couples, in assisting them to prepare and apply more adapted and targeted interventions. Future research may also benefit from better conceptualizations and definitions, providing thereby important empirical evidence and promoting healthier and more beneficial romantic relationships. [ABSTRACT FROM AUTHOR]