Early intervention in psychosis: From clinical intervention to health system implementation

Csillag, Cláudio; Nordentoft, Merete; Mizuno, Masafumi; McDaid, David; Arango, Celso; Smith, Jo; Lora, Antonio; Verma, Swapna; Fiandra, Teresa Di; Jones, Peter

doi:10.1111/eip.12514

Cited by 52 publications

(55 citation statements)

References 47 publications

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“…To decrease the burden and functional disability caused by psychotic disorders, early intervention has been used across the world over the last decades (Bird et al, 2010;Csillag et al, 2018). The main aims are to provide evidence-based diagnostic and therapeutic interventions during the early period of the disorder, which is critical for preventing further negative impact (Amminger et al, 2011;McGorry, Killackey, & Yung, 2008;McGorry, Ratheesh, & O'Donoghue, 2018).…”

Section: Introductionmentioning

confidence: 99%

PROFIP: A Portuguese early intervention programme for first‐episode psychosis in Lisbon

Coentre

Mendes

Rebelo

et al. 2019

Early Intervention Psych

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Aim There is currently no national plan for early intervention in first‐episode psychosis in Portugal. Consequently, there is some heterogeneity in the evaluation and treatment of first‐episode psychosis across the country. The aim of this article is to provide a complete description of the early intervention programme Programa de Intervenção nas Fases Iniciais da Psicose (PROFIP) in Lisbon, a pioneering team in Portugal for treating first‐episode psychosis (FEP) patients. We also describe the baseline socio‐demographic and clinical data obtained from new patients over a 1‐year period. PROFIP programme accepts all cases of FEP, taking a transdiagnostic approach. Methods Description of PROFIP programme and baseline socio‐demographic and clinical data obtained from new patients over a 1‐year period. Results The team was constituted to provide early detection, treatment and support to people aged 16 to 35 years with affective and non‐affective FEP. Over a 1‐year period, 39 patients were included in the PROFIP programme. The majority of patients were young male patients with a diagnosis of non‐affective psychosis, and with 56% of patients reporting cannabis use. Patients received pharmacological and psychosocial interventions based on evidence and individual needs. Conclusions Our team allowed young people with early psychosis to receive effective care. We do need improvements, namely in referrals and the education of health professionals. More teams in our country should be constituted, allowing larger numbers of patients with early psychosis to be treated by specialized teams.

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Section: Introductionmentioning

confidence: 99%

PROFIP: A Portuguese early intervention programme for first‐episode psychosis in Lisbon

Coentre

Mendes

Rebelo

et al. 2019

Early Intervention Psych

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“…As a movement, EIP began nearly three decades ago with 'beacon' services such as the Early Psychosis Prevention and Intervention Centre in Melbourne Australia (1992), the Birmingham EIP service (1994), the Prevention and Early Intervention in Psychosis Programme in London, Ontario (1996), the Treatment and Intervention in Psychosis Study programme in Norway (1997), the Recognition and Prevention programme in New York (1998) and the Lambeth Early Onset service (2000) in London (Omer et al 2010). In the last two decades, hundreds of EIP services have been rolled out across England, Canada, Australia, New Zealand, Denmark, parts of the Italy and USA, as well as many other individual examples in Europe, Iceland, South America, Mexico, Scandinavia, Singapore, Hong Kong, South Korea and Japan (Edwards & McGorry, 2002;McGorry et al 2008;Cocchi et al 2015;McDaid et al 2016;Csilag et al 2018;Niendam et al 2019). By 2014 in England, 150 EIP teams were up and running in the National Health Service (McDaid et al 2016).…”

Section: The History Of Eip Servicesmentioning

confidence: 99%

Early intervention services for psychosis in Ireland: are we there yet?

Power

2019

Ir. j. psychol. Med.

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Early intervention in psychosis (EIP) services are now a priority for Ireland’s Health Service Executive (HSE). A Model of Care for EIP services has been completed after wide consultation. It has just been launched by the Minister for Mental Health and the aim now is to roll out EIP services throughout the country. The Model of Care outlines the rational, configuration, resources, governance, and quality assurance required to operate EIP services. Two models are recommended. The first is a Hub & Spoke service model for rural and smaller urban areas. The second is a Stand-Alone service model for large urban and metropolitan areas. Introducing EIP services is going to be a challenge but there are plenty of good examples overseas. They have been shown to greatly enhance local services’ ability to meet the needs of people developing psychotic disorders. They bring with them better outcomes, service satisfaction and cost savings.

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“…Las dos primeras características amplían la población diana tanto a los individuos en riesgo que presentan síntomas prodrómicos o EMARs pero no un PEP (Humiston et al, 2004) como a las personas con un PEP que no están siendo tratadas adecuadamente (Wyatt y Henter, 2001). La tercera característica transversal pone de relieve la importancia de que estos servicios estén formados por equipos multidisciplinares orientados al seguimiento asertivo comunitario (Alameda et al, 2016) y con cargas asistenciales inferiores a la de los equipos de salud mental comunitaria convencionales (Csillag et al, 2017).…”

Section: Intervención Temprana En Psicosis (Itp)unclassified

Actualización en La Prevención De Los Trastornos Del Espectro Psicótico

Fonseca‐Pedrero¹,

Inchausti²

2018

Pap. Psicol.

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El objetivo de este trabajo fue realizar una actualización en el campo de la prevención de los trastornos del espectro psicótico, concretamente en detección precoz e intervención temprana. En primer lugar, se aborda la conceptualización del síndrome de psicosis y su prevención. A continuación, se comentan los diferentes procedimientos e instrumentos de medida para la evaluación de la supuesta condición de riesgo. Seguidamente, se revisan las intervenciones tempranas disponibles en psicosis, se expone el modelo de estadificación, se examina la eficacia de tales intervenciones y se comentan algunas limitaciones y propuestas de modificación. Se dibujan algunas debilidades y fortalezas en este campo así como sus perspectivas futuras. Finalmente, a modo de conclusión, se realiza una breve recapitulación.

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Early intervention in psychosis: From clinical intervention to health system implementation

Cited by 52 publications

References 47 publications

PROFIP: A Portuguese early intervention programme for first‐episode psychosis in Lisbon

PROFIP: A Portuguese early intervention programme for first‐episode psychosis in Lisbon

Early intervention services for psychosis in Ireland: are we there yet?

Actualización en La Prevención De Los Trastornos Del Espectro Psicótico

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