Commentary: Service System Perspectives on Early Intervention Research

The last decade has witnessed an expanding interest in the concept of early intervention (EI) in psychotic disorders, notably schizophrenia. This is supported by the well-established association between prolonged untreated illness duration and poor outcome, as well as some evidence of progressive neurobiological changes in the early course of schizophrenia, both in the prepsychotic and psychotic phases as evidenced by brain imaging studies in schizophrenia. Increasingly, mental health service systems around the world have been incorporating specialized EI programs. Controlled effectiveness studies in recent years have yielded encouraging data. Several questions in regard to the timing, choice of interventions, and the populations most likely to benefit from EIs still remain. More evidence-based data are needed to place the EI models in schizophrenia on firm footing in order to effectively implement them in the resource-strapped community mental health service settings.

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“…Do all relevant stakeholders "buy into" the proposed models (public and private payers, family members, and consumers) [23]?…”

Section: What Next: Translating Ei In Service Settingsmentioning

confidence: 99%

Early intervention in schizophrenia: Current and future perspectives

Keshavan

Amirsadri²

2007

Curr Psychiatry Rep

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“…[6667] Thus therapeutic interventions need to be adapted to integrate biomedical illness models with culturally accepted models. [68]…”

Section: Introductionmentioning

confidence: 99%

Early intervention in psychotic disorders: Challenges and relevance in the Indian context

Keshavan

Shrivastava

Gangadhar

2010

Indian J Psychiatry

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Over the last two decades, there has been an increasing interest in the concept of early intervention (EI) in psychotic disorders, notably schizophrenia. Several lines of research underlie this emerging paradigm shift: (a) an increasingly well-established association between the duration of prolonged untreated illness and poor outcome; (b) evidence of progressive neurobiological changes in the early course of schizophrenia both in the pre-psychotic and psychotic phases, as evidenced by brain imaging studies in schizophrenia; and (c) emerging data, albeit preliminary, suggesting the efficacy and effectiveness of EI programs in improving the outcome in these patients. Mental health service systems across the globe, including Asian countries, have been incorporating specialized early intervention programs. However, literature on EI in the Indian setting is relatively sparse. In this article, we will review the rationale and approaches to EI and the application of these approaches to the Indian context, in light of the available literature. We also examine the constraints in the implementation of EI. Controlled data are needed to evaluate EI and the roadblocks to them, in order to implement EI in the resource-strapped mental health service settings in India.

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“…Results suggest that reducing stigma through providing mental health education is a crucial issue. The importance of early intervention for people with mental ill health disorders has been emphasised by many (Blyler, 2003; Reid, Littlefield and Hammond, 2008). Diagnosis during the early phase of the illness can help to minimise distress and disruption to the lives of individuals and their families (Rethink, 2010).…”

Section: Results Analysis and Discussionmentioning

confidence: 99%

Attitudes of students towards people with mental ill health and impact on learning and well‐being

Aggarwal

2011

Research in Spec Educ Needs

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This study, which was conducted within a college of further education in London, explored students' attitudes towards people with mental ill health, and examined whether these impact on the learning and well‐being of students with mental illness. The study was carried out in response to complaints about negativity about mental illness within the college. A combination of quantitative and qualitative methods were employed, which consisted of semantic differential surveys and semi‐structured interviews. Analysis of the results of the latter revealed the presence of stereotypes and prejudice, which had the potential to impact negatively upon learners with mental disorders. The article makes a number of recommendations for future teaching practice, which includes a need to raise awareness of mental health issues, and challenge stereotypes and negative attitudes relating to mental illness, within the classroom.

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Commentary: Service System Perspectives on Early Intervention Research

Abstract: The views expressed in this article are solely those of the author and do not necessarily reflect the official views of CMHS, SAMHSA, or any other branch of the U.S. Department of Health and Human Services.

Cited by 4 publications

References 12 publications

Early intervention in schizophrenia: Current and future perspectives

Early intervention in schizophrenia: Current and future perspectives

Early intervention in psychotic disorders: Challenges and relevance in the Indian context

Attitudes of students towards people with mental ill health and impact on learning and well‐being

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