Trauma and Trauma-Informed Care in Early Intervention in Psychosis: State of Implementation and Provider Views on Challenges

Wood, Helen; Babusci, Christina; Bendall, Sarah; Sarpal, Deepak; Jones, Nev

doi:10.1176/appi.ps.20220624

Cited by 3 publications

(1 citation statement)

References 25 publications

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“…Such a perspective could (a) account more "smoothly" for the psychotic symptoms encountered in patients with PD; (b) encourage rigor, exhaustivity, and the consideration of multiple contributive factors (e.g., latent psychotic vulnerability, PD traits, trauma, substance use) in clinical assessment; and (c) promote the organization and delivery of services more aligned with the state of scientific knowledge (e.g., combining psychotherapy and pharmacology, conveying a sense of safety before treating trauma). Some challenges will have to be addressed initially, such as providing better knowledge transmission and implementation of recommended practices (Wood et al, 2023).…”

Section: Future Directionsmentioning

confidence: 99%

Time to put aside the false dichotomy between personality disorders and psychotic symptoms

Leclerc,

Gamache,

Cailhol

2024

J Clin Psychol

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Unlike internalizing and externalizing symptoms, psychotic symptoms (e.g., hallucinations, delusions) are manifestations of personality disorders (PDs) that are more controversial and poorly understood. This leaves clinicians with very little guidance for clinical practice, especially for diagnosis. What is more, most reviews have focused strictly on the links between psychotic symptoms and the categorically defined borderline PD, which contrasts with the growing movement that emphasizes a dimensional perspective (especially in psychology). Thus, the objectives of this critical review will be to (a) expose typical cases where PDs and psychotic symptoms might cooccur; (b) assess the state of scientific knowledge surrounding PD and psychotic symptoms; and (c) provide clinicians and researchers with recommendations to keep the field moving forward. We conclude that researchers and clinicians should move past the false “PD or psychosis” dichotomy since they often cooccur, avoid (as far as possible) making psychotic symptoms an exclusion criterion in PD research to enhance ecological validity, and consider dimensional PD diagnosis as a potential unifying solution to the dilemma posed by this cooccurrence.

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Section: Future Directionsmentioning

confidence: 99%

Time to put aside the false dichotomy between personality disorders and psychotic symptoms

Leclerc,

Gamache,

Cailhol

2024

J Clin Psychol

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Adapting the Parent Connector program for caregivers of adults with SMI: the Family Connector experience

Cervantes,

Gendler,

Markowitz

et al. 2024

npj Mental Health Res

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Caregivers play an essential role in the recovery of their adult loved ones with serious mental illness (SMI). Promoting caregiver empowerment and well-being is critical but has often been overlooked. Family peer interventions are well-suited to fill this need; however, research is limited supporting their use with caregivers of adults with SMI. Our team is currently engaged in a study evaluating an adapted version of the evidenced-based Parent Connectors program 1 , 2 , renamed Family Connectors (FC), for caregivers of young adults recently discharged from the First Episode Psychosis program in New York (OnTrackNY). This paper, written collaboratively with family peer professionals, describes the adaptation process we followed to systematically document the family peer professional experience one year into delivering the FC program to this novel population. Modifications made to improve intervention fit included tailoring the content of the intervention, incorporating an outside approach into the program, lengthening the service in some cases, and adding a weekly peer supervision meeting. We hope that these insights are used to inform future efforts to advance support for families of loved ones with SMI, and more broadly, that our approach serves as a model for effective collaboration to improve the application of peer support services for unique groups.

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Over 30 years of STEP: The Pittsburgh experience with first‐episode psychosis

Wood,

Jones,

Eack

et al. 2024

Early Intervention Psych

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AimsFor over 30 years, combined research and treatment settings in the US have been critical to conceptualizing care for first‐episode psychosis (FEP). Here we describe an early example of such a context, the Services for the Treatment of Early Psychosis (STEP) clinic, which is affiliated with the University of Pittsburgh.MethodsWe describe STEP's historical roots and establishment in the early 1990s; STEP's research and treatment contributions, alongside its growth and ongoing leadership.ResultsResearch‐based clinics, like STEP, preceded and helped pave the way for the Recovery After an Initial Schizophrenia Episode project in the US and the ensuing Coordinated Specialty Care (CSC) approach, now widely adopted in the US. Early clinic‐based research at STEP helped establish protocols for psychopharmacology, the relevance of effective early treatment, including psychosocial approaches, and highlighted disparities in treatment outcomes across race/ethnicity. Multidisciplinary collaboration and dialogue with consumers contributed to early treatment, combining psychosocial and pharmacological approaches. STEP adopted CSC and is situated within a bi‐state Learning Health System. STEP has retained a relatively unique 5‐year treatment model and exists within continuum of care ideally suited to studying psychotic illness and treatment outcomes.ConclusionsSTEP remains the largest academic FEP clinic in Pennsylvania. Academic FEP clinics like STEP will have a critical role within Learning Health Systems nationally to model participatory approaches, sustain early intervention treatment quality and ongoing treatment developments.

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Trauma and Trauma-Informed Care in Early Intervention in Psychosis: State of Implementation and Provider Views on Challenges

Cited by 3 publications

References 25 publications

Time to put aside the false dichotomy between personality disorders and psychotic symptoms

Time to put aside the false dichotomy between personality disorders and psychotic symptoms

Adapting the Parent Connector program for caregivers of adults with SMI: the Family Connector experience

Over 30 years of STEP: The Pittsburgh experience with first‐episode psychosis

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