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[Early intervention in psychosis: concepts, current knowledge and future directions]
Srividya N Iyer1, Ashok K Malla2
1Département de psychiatrie, Université McGill, Institut universitaire en santé mentale Douglas, Montréal.
Sante Mentale Au Quebec
|January 16, 2015
Summary
Early intervention for psychosis, based on the critical period hypothesis, improves outcomes by providing specialized, phase-specific treatment. This movement is transforming youth mental healthcare, though its full cost-effectiveness and implementation require further study.
Area of Science:
- Psychiatry and Mental Health
- Public Health
- Developmental Psychology
Context:
- The burden of psychosis necessitates effective treatment strategies.
- The early intervention movement for psychosis emerged from recognition of critical illness periods.
- Foundational literature highlights the impact of untreated psychosis on prognosis.
Purpose:
- To overview the early intervention movement for psychosis, including its motives, rationale, and literature.
- To review the current status, developments, and trends in early intervention for psychosis.
- To examine the movement's influence on transforming youth mental healthcare.
Summary:
- Early intervention for psychosis is guided by the critical period hypothesis and the duration of untreated psychosis.
- Specialized, phase-specific treatment, including case management and family intervention, improves outcomes compared to routine care.
- Access is facilitated through open referral, rapid response, and public/practitioner education.
Impact:
- The early intervention movement is informing broader efforts to transform youth mental healthcare.
- The availability and policy of early intervention services vary across Western nations, with the UK leading.
- Further research and investment are recommended, particularly in contexts like Quebec and Canada.
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