Early Psychosis Prevention and Intervention: Evolution of a Comprehensive Community-Based Specialised Service

Edwards, Jane; Francey, Shona; McGorry, Patrick D.; Jackson, Henry

doi:10.1017/s0813483900004496

Cited by 44 publications

(30 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This is because, until recently, there have been few effective treatments available and ongoing disability has been seen as inevitable. However, over the last 10–15 years, there has been growing international interest in early intervention in schizophrenia and related psychotic disorders, with the aim of reducing or preventing secondary morbidity and improving symptomatic and functional outcomes 1–6 . One strand of early intervention is to attempt to detect the first episode of psychosis sooner and encourage earlier effective help seeking.…”

Section: Introductionmentioning

confidence: 99%

Identification and treatment of the prodromal phase of psychotic disorders: perspectives from the PACE Clinic

Yung

2007

Early Intervention Psych

View full text Add to dashboard Cite

Aim: To describe the development of the field of prodromal intervention in psychotic disorders and to summarize the findings from the PACE Clinic, the inaugural service devoted to this area. Method:A review of the PACE Clinic studies, with reference to the work of other groups. Results:The aims of intervention before the onset of psychosis are to alleviate current distress and impairment and to either prevent, delay or ameliorate the onset of more severe psychotic disorder. To do this, it is necessary to be able to first accurately identify those in the earliest stages of a potentially serious psychotic disorder, and second to effectively slow or prevent progression to more advanced illness. Criteria have been developed which have predicted onset of psychotic disorder in over 30% of so-called 'ultra high risk' individuals. Treatment trials have been promising, and to date have examined the effects of antipsychotic medication, cognitive therapy and a combination of the two. Recently, omega-3 fatty acids have also been shown to be effective. However, there are also pitfalls of working in the prodromal area, including ethical concerns and more recently the possibility that there is a decline in the rate of transition from ultra-high-risk state to first-episode psychosis. Conclusions:The field of prodromal intervention in psychotic disorders is an exciting one as it offers the possibility of prevention of full-blown disorder and its related negative sequelae. However, there are many issues that need to be dealt with in order to achieve this goal, and ongoing evaluation of methods to identify and treat such individuals is needed.

show abstract

Section: Introductionmentioning

confidence: 99%

Identification and treatment of the prodromal phase of psychotic disorders: perspectives from the PACE Clinic

Yung

2007

Early Intervention Psych

View full text Add to dashboard Cite

show abstract

“…However, the participants' retrospective reports relied on their ability to recall experiences of social relationships. A review of the literature indicates little is known about young people's subjective experiences of their social relationships and the possible impact of changed relationships on their normal social development (Edwards, Francey, McGorry & Jackson, 1994). Guided by the Davidson, Stayner and Haglund (1998) assertion that ''to be most effective in supporting patients' efforts toward recovery, it seems advisable to place patients' perspective and experience at the centre of conceptualizations of treatment and rehabilitation' ' (pp.…”

mentioning

confidence: 99%

What happens to social relationships in early psychosis? A phenomenological study of young people's experiences

MacDonald

Sauer

Howie

et al. 2005

Journal of Mental Health

103

View full text Add to dashboard Cite

Background: Although social relationships have been studied regarding psychotic illness and developmental stages, little is known about the social experiences of adolescents and young adults with recent-onset psychosis. Aims: The purpose of this phenomenological study was to explore young people's experiences of social relationships during the recovery phase of first-episode psychosis in order to facilitate their social relations. Method: Six young people recovering from a first episode of psychosis and attending a Recovery Group Program in an early psychosis treatment facility were interviewed regarding their subjective experiences of social relationships. Results: Five themes highlighted participants' experiences of losing contact with friends they had prior to their illness, valuing being with people who are understanding, and receiving support from family members and other young people who had also experienced psychosis. The participants also described feeling and being perceived as different, yet building new relationships in the recovery phase of their illness. Conclusion: The findings suggest the need for psychosocial programs that provide young people with environments that support them to cope with the direct implications of psychosis and to engage in behaviors and activities typical of young adults, thereby supporting the integrative processes following the onset of psychosis. Declaration of Interest: None.

show abstract

“…One key principle underpinning the evolution of such sub-specialist semces is a belief that the specific needs of patients with a recently diagnosed psychosis, and the prevention of secondary disability arising from such an illness, are Merent from those of patients with more established illnesses. Thus, specialisation of services is aimed at enhancing interventions that are based on an understanding of the special needs of the targeted p u p [4].…”

Section: Discussionmentioning

confidence: 99%

“…evaluating the evidence concerning the relative effectiveness of early interventions [4]; and determining the impact on long term health outcomes for young persons who are treated assertively in the early stages of psychosis [3].…”

mentioning

confidence: 99%

Discussing the Impact of First Onset Psychosis Programs on Public Sector Health Services

Tobin

Hickie

Yeo

et al. 1998

Australas Psychiatry

View full text Add to dashboard Cite

Early Psychosis Prevention and Intervention: Evolution of a Comprehensive Community-Based Specialised Service

Cited by 44 publications

References 29 publications

Identification and treatment of the prodromal phase of psychotic disorders: perspectives from the PACE Clinic

Identification and treatment of the prodromal phase of psychotic disorders: perspectives from the PACE Clinic

What happens to social relationships in early psychosis? A phenomenological study of young people's experiences

Discussing the Impact of First Onset Psychosis Programs on Public Sector Health Services

Contact Info

Product

Resources

About