The Graduated Recovery Intervention Program for First Episode Psychosis: Treatment Development and Preliminary Data

Waldheter, Evan J.; Penn, David L.; Perkins, Diana O.; Mueser, Kim T.; Whaley, Owens, Leanne; Cook, Elizabeth

doi:10.1007/s10597-008-9147-6

Cited by 16 publications

(13 citation statements)

References 65 publications

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“…Seven of the articles showed mental health nurses to play an important role in psychosocial interventions aimed to support the social functioning of the patient (Gillam, 2002;Linszen et al, 1998;Meulenbroeks et al, 1998;Renwick et al, 2009;Roks, Sebregts, Roza, & Jansen, 2008;Sousa, 1998;Waldheter et al, 2008). The psychosocial interventions involved: life and social skills training, psycho-education, and/or coping abilities training.…”

Section: Enhanced Social Functioningmentioning

confidence: 99%

“…Waldheter and colleagues (2008) report significantly positive results of CBT conducted on an individual basis on symptom improvement, particularly for positive symptoms (i.e., delusions or hallucinations), adaption to illness, and increased quality of life. Given the documented potential of CBT, researchers have called for integration of CBT into the treatment services provided for early psychosis (see Waldheter et al, 2008). According to Sin et al (2009b) and Rogers (2006), mental health services and mental health nurses should work to help people with mental health problems gain access to local employment and educational and occupational opportunities as part of the 2009 NICE guidance for schizophrenia.…”

Section: Enhanced Social Functioningmentioning

confidence: 99%

“…Both psycho-education and the development of a relapse prevention plan are used by mental health nurses to stimulate greater patient insight into the illness and also adherence to medication (Linszen et al, 1998;van Meijel, 1996;van Meijel et al, 2006;Meulenbroeks et al, 1998;Sousa & Frazier, 2004). The literature also showed nurses to use two measurement instruments to assess the attitudes of patients toward their medication and later to discuss or stimulate the patients' medication adherence: the Brief Evaluation of Medication Influences and Beliefs (Waldheter et al, 2008) and the Liverpool University Neuroleptic Side Effect Rating Scale (Walker & MacAulay, 2005).…”

Section: Stimulation Of Medication Adherencementioning

confidence: 99%

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Mental Health Nursing and First Episode Psychosis

Dusseldorp

Goossens

Achterberg

2011

Issues in Mental Health Nursing

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The purpose of this literature review is to identify mental health nursing's contribution to the care and treatment of patients with a first episode of psychosis; A systematic literature review was undertaken, with 27 articles selected for study. Five domains were identified: development of therapeutic relation, relapse prevention, enhancement of social functioning, stimulation of medication adherence, and support of family members. The level of evidence of mental health nursing's contribution to the care and treatment of those undergoing their first episode of psychosis was low. Our review suggests that mental health nurses should reflect upon their own daily practices within the five domains.

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Section: Enhanced Social Functioningmentioning

confidence: 99%

Section: Enhanced Social Functioningmentioning

confidence: 99%

Section: Stimulation Of Medication Adherencementioning

confidence: 99%

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Mental Health Nursing and First Episode Psychosis

Dusseldorp

Goossens

Achterberg

2011

Issues in Mental Health Nursing

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“…Con el fin de conseguir esta óptima recuperación de los primeros episodios de psicosis en la última década se han ido desarrollando una serie de nuevas intervenciones psicologicas: Terapia de Orientación Cognitiva para el Primer Episodio de Psicosis (COPE) (Henry, Edwards, Jackson, Hulbert y McGorry, 2002); Terapia Cognitiva Interpersonal para la Recuperación y Prevención de Recaidas (Gumley y Schwannauer, 2006); Intervención para la Recuperación Cognitiva (CRI) (Jackcson et al, 2009); Terapia Cognitivo Conductual para la Recuperación Social de la Psicosis (SRCBT) (Fowler et al, 2009); Programa de Intervención para la Recuperación Gradual de la Psicosis Temprana (GRIP) (Waldheter et al, 2008); Terapia Cognitivo conductual para la Prevención de Recaída (RPT) (Gleeson et al, 2009).…”

Section: Nuevas Propuestas De Intervención En Psicosisunclassified

Bases Clínicas para un Nuevo Modelo de Atención a las Psicosis

et al. 2010

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Resumen. El objetivo de este artículo es resumir los conocimientos actuales sobre los tratamientos farmacológicos, psicosociales y otros procedimientos terapéuticos que se aplican a las psicosis. Si bien la medicación antipsicótica viene siendo el tratamiento de elección para las psicosis, y en especial para la esquizofrenia, la mejoría obtenida en los síntomas positivos es sólo moderada, y no ha demostrado eficacia en la mejora de los síntomas deficitarios persistentes. Incluso muchos pacientes continúan sufriendo los síntomas positivos y recaídas, especialmente cuando falla el cumplimiento del tratamiento farmacológico. Todo ello, pone en evidencia la necesidad de utilizar otros tratamientos adjuntivos, que ayuden al paciente a comprender y a manejar sus trastornos, a aliviar los síntomas, a mejorar el cumplimiento terapéutico, su funcionamiento social y su calidad de vida, y a resolver los problemas que no logran solución con la medicación. En la actualidad, el tratamiento de las psicosis requiere un enfoque amplio, multimodal, que incluya medicación, psicoterapia y tratamientos psicosociales (psicoeducación e intervenciones dirigidas a la solución de problemas, terapia cognitivo-conductual, rehabilitación cognitiva, entrenamiento en habilidades sociales y terapia asertiva comunitaria), así como ayuda en la búsqueda de alojamiento y recursos económicos que le permitan sobrevivir. En el futuro próximo, deberán desarrollarse intervenciones más adaptadas a las diferentes fases que presentan las psicosis. Palabras clave: psicosis, esquizofrenia, tratamientos psicológicos, intervención temprana, alto riesgo.Abstract. The purpose of this paper is to summarize our current knowledge about pharmacological, psychosocial, and other emerging treatments for psychoses. Although antipsychotic medications are the mainstay of treatment for psychoses, and particularly for schizophrenia, the degree of improvement in positive symptoms is moderate, and has no demonstrable efficacy against positive enduring or deficit negative symptoms. Indeed, many patients continue to suffer from persistent positive symptoms and relapses, particularly when they fail to adhere to prescribed medications. This underlines the need for additional treatment methods to help patients understand and manage their disorders, alleviate symptoms, improve adherence, social functioning and quality of life, and solve problems that do not fully respond to medication. Nowadays, comprehensive treatment entails a multi-modal approach, including medication, psychotherapy and social treatments (psychoeducation and coping-oriented interventions, cognitive behaviour therapy, cognitive remediation, social skills training and assertive community treatment), as well as assistance with housing and financial sustenance. In the foreseeable future, phase-specific interventions ought to be applied to different stages of psychoses.

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“…Following a thorough treatment development period (i.e., writing of the manual; obtaining feedback from clients, clinicians, and researchers; revising the manual) (Waldheter et al, 2008), we conducted an open-trial of GRIP with 10 individuals with first episode psychosis. Qualitative feedback and ratings indicated that GRIP was well-received by clients and clinicians, and it was associated with reduced positive symptoms at post-treatment (Waldheter et al, 2008).…”

Section: Introductionmentioning

confidence: 99%

A pilot investigation of the Graduated Recovery Intervention Program (GRIP) for first episode psychosis

Penn

Uzenoff

Perkins

et al. 2011

Schizophrenia Research

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The Graduated Recovery Intervention Program (GRIP) is a new individual cognitive-behavioral therapy program designed to facilitate functional recovery in people who have experienced an initial episode of psychosis. The purpose of this study was to evaluate the feasibility and tolerability of the GRIP intervention, and to compare the effectiveness of GRIP versus treatment as usual (TAU) for improving specific clinical and psychosocial outcomes. Forty-six individuals with first episode psychosis were randomized to GRIP + TAU or TAU alone. Primary outcomes focused on social and role functioning, and quality of life. Secondary outcomes included psychotic symptoms, depression, substance use, social support, attitudes toward medications, well-being, and hospitalizations. The results indicate that GRIP was well-tolerated, as evidenced by good attendance and low drop-out rates, and well-received (based on positive feedback from participants). Although the majority of mixed-model analyses were not statistically significant, examination of within-group changes and effect sizes suggest an advantage for GRIP over TAU in improving functional outcomes. These advantages and the fact that the GRIP intervention demonstrated feasibility and tolerability suggest that this intervention is worthy of further investigation.

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The Graduated Recovery Intervention Program for First Episode Psychosis: Treatment Development and Preliminary Data

Cited by 16 publications

References 65 publications

Mental Health Nursing and First Episode Psychosis

Mental Health Nursing and First Episode Psychosis

Bases Clínicas para un Nuevo Modelo de Atención a las Psicosis

A pilot investigation of the Graduated Recovery Intervention Program (GRIP) for first episode psychosis

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