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Intervention Programmes for First-Episode Psychosis: A Scoping Review.

Marta Gouveia^1,2,3, Tânia Morgado^3,4,5,6,7, Tiago Costa^3,8,9

¹Local Health Unit of Viseu Dão-Lafões, 3504-509 Viseu, Portugal.

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Summary

This scoping review maps early intervention programs for first-episode psychosis, finding diverse approaches and settings globally. Tailoring these interventions to varied contexts is crucial for improving recovery outcomes.

Keywords:

early intervention mental health psychosis psychotic disorders review

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Area of Science:

Psychiatry and Mental Health
Public Health Interventions
Clinical Psychology

Background:

Early intervention is crucial for improving recovery outcomes in first-episode psychosis.
Despite program expansion, access barriers and variations persist.
Duration of untreated psychosis (DUP) reduction is a key goal.

Purpose of the Study:

To map intervention programs for first-episode psychosis.
Identify program characteristics, participant profiles, and implementation contexts.
Provide a resource for adapting interventions to diverse social and cultural settings.

Main Methods:

Scoping review following Joanna Briggs Institute (JBI) methodology.
Utilized the Participants, Concept, and Context (PCC) framework.
Included 47 studies published between 2002 and 2023.

Main Results:

Identified significant diversity in program characteristics, from single-component (CBT, CRT) to multicomponent approaches.
Intervention objectives included improving cognitive function, coping skills, and reducing caregiver burden.
Program delivery varied widely in frequency, duration, and setting (community, outpatient, hospital, home).

Conclusions:

Early intervention programs for first-episode psychosis show considerable global diversity.
Findings highlight the need for tailored interventions adaptable to different social and cultural contexts.
Future research should focus on optimizing intervention delivery across diverse settings.