Towards Precision Psychiatry for Youth: the PRE-EMPT Centre of Research
Excellence Roadmap.
Abstract
Background. Mental illnesses mostly occur before 25 years of age
when early identification and intervention could delay, ameliorate, or
prevent lifelong disability. However, several challenges hinder optimal
psychiatric care in youth due to the diversity of presentations,
comorbidities, illness courses, and treatment responses. It is
increasingly clear that one-size-fits-all approaches will not be
effective and personalised approaches are needed to guide therapeutic
pathways for individuals. Following precedents in other medical fields,
machine learning approaches may address these needs by providing
decision support tools that predict diagnoses, prognoses, and therapies.
This paper outlines how such a future of augmented care may be
facilitated through the establishment of the world’s first ‘Prediction
of Early Mental Disorder and Preventative Treatment Centre of Research
Excellence’ (PRE-EMPT). Methods. Five key components of the
Centre will be addressed, including interdisciplinary collaboration,
data harmonization, methods sharing, development of decision support
tools, and capacity building. Conclusion. Implementation of
research methodology guidelines within the Centre will assist in the
production of reproducible, transparent, and open-source techniques and
models. When combined, this paper will address key challenges facing the
future of psychiatric care for youth and a roadmap of how to address
them.