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Early Intervention in Psychiatry

Warwick Smith, Michael Sitas, Pradeep Rao, Craig Nicholls, Polly McCann, Tony Jonikis, Julian James, Stephen Cohen, Jason Ellis, Flavie Waters
BACKGROUND: Multiple services are often needed to address the needs of young people with complex emotional or behavioural needs. The Youth Wraparound model of service aims to provide all health and supportive services from one coordinating agency. While this has been researched overseas, there are currently few examples of this described in the Australian psychiatric context. AIM: To document the implementation and evaluation of a Youth Wraparound service which was provided to a young person with exceptionally complex and challenging needs for 6 months...
September 6, 2018: Early Intervention in Psychiatry
Tomoyuki Kawada
No abstract text is available yet for this article.
September 4, 2018: Early Intervention in Psychiatry
Eric F C Cheung, Simon S Y Lui, Ya Wang, Amy C Y Liu, William W H Chui, Hera K H Yeung, Tian-Xiao Yang, David H K Shum, Raymond C K Chan
AIM: The present study aimed to explore the two-year naturalistic trajectory of time- and event-based prospective memory (PM) in patients with first-episode schizophrenia. METHODS: We administered a computer-based dual-task PM paradigm to 57 individuals with first-episode schizophrenia at baseline and after 6 months, 12 months and 24 months. Forty-eight healthy controls were also recruited and completed all the measures at baseline. We compared the trajectories between time-based and event-based PM in first-episode schizophrenia patients using repeated measures ANOVAs, and examined the relationship between PM and clinical symptoms using Spearman's correlation...
September 3, 2018: Early Intervention in Psychiatry
Ying Zhao, Michelle L Munro-Kramer, Shenxun Shi, Jing Wang, Qi Zhao
AIM: High-risk pregnant women with antenatal depression are prone to postpartum depression. The purpose of this study was to evaluate the effectiveness of an antenatal depression screening and intervention among Chinese high-risk pregnant women with medically defined complications. METHODS: Using a randomized controlled trial design, we enrolled 352 pregnant women with obstetrical complications and an Edinburgh postnatal depression scale (EPDS) ≥9 or postpartum depression screen scale (PDSS) ≥60...
August 30, 2018: Early Intervention in Psychiatry
Carsten Schley, Nicholas Pace, Rhianna Mann, Catherine McKenzie, Alison McRoberts, Alexandra Parker
AIM: Timely access to treatment in the early stages of mental illness is pivotal to recovery and prevention of longer-term disablement. Yet, this can be challenging at times of growing service demands. The headspace Brief Interventions Clinic (BIC) is an innovative treatment model aiming to promote quick access to evidence-based interventions for young people presenting with early signs of mental disorders. METHODS: The BIC treatment package comprises eight skill-building and behavioural intervention modules that young people can choose from...
August 30, 2018: Early Intervention in Psychiatry
Shelly Ben-David, Andrea Cole, Gary Brucato, Ragy R Girgis, Michelle R Munson
AIM: Research has shown that young adults at clinical high risk (CHR) for developing psychosis have the capability to recognize that they have a problem and initiate mental health services, yet there is a paucity of theoretically based research examining this decision-making process. This is critical to study because there are high rates of underutilization of mental health services among these young people. The following study explored the decision-making process among young adults at CHR in order to understand mental health services utilization at a CHR clinic...
August 28, 2018: Early Intervention in Psychiatry
Jordan E DeVylder
Epidemiological evidence suggests that psychosis occurs along a continuum of severity in the general population. Although clinical psychotic symptoms are associated with distress and impairment, less is known about sub-threshold delusion-like experiences. The present paper conceptually explores the possibility that fixed ideas or mildly illogical thinking may be adaptive at low to moderate severity levels. Strongly held beliefs that are resistant to reality checking may facilitate identification with particular social groups...
August 24, 2018: Early Intervention in Psychiatry
Lene H Hastrup, Merete Nordentoft, Dorte Gyrd-Hansen
AIM: Coupling data on future resource consumption with baseline characteristics can provide vital information of future consumption patterns for newly diagnosed patients. This study tested whether higher need (as measured by severity of illness) and other baseline characteristics of newly diagnosed patients were associated with higher future service costs. METHOD: Five hundred forty-seven patients between 18 and 45 years randomized to the OPUS trial was analysed in the study...
August 22, 2018: Early Intervention in Psychiatry
Alexandra Stainton, Katharine Chisholm, Nathalie Kaiser, Marlene Rosen, Rachel Upthegrove, Stephan Ruhrmann, Stephen J Wood
AIM: Resilience is rapidly gaining momentum in mental health literature. It provides a new understanding of the highly variable trajectories of mental illness, and has consistently been linked with improved mental health outcomes. The present review aims to clarify the definition of resilience and to discuss new directions for the field. METHODS: After discussing the definition of resilience, this narrative review synthesizes evidence that identifies the specific protective factors involved in this process...
August 20, 2018: Early Intervention in Psychiatry
Matti Joensuu, Pauliina Mattila-Holappa, Kirsi Ahola, Mika Kivimäki, Katinka Tuisku, Aki Koskinen, Jussi Vahtera, Marianna Virtanen
AIM: Mental disorders are the leading cause of work disability among young adults in the industrialized world. Factors predicting employment after long-term psychiatric work disability are largely unknown. METHODS: We linked personal and clinical information from the benefit applications and medical certificates of 1163 young adults (18-34 years) with a new-onset fixed-term psychiatric disability pension in 2008 with employment records between 2005 and 2013. The outcomes were starting employment during and being employed at the end of follow-up...
August 20, 2018: Early Intervention in Psychiatry
Sarah Woodward, Sandra Bucci, Dawn Edge, Katherine Berry
AIM: Transition from early intervention in psychosis services (EIPS) to ongoing care can be challenging for staff and service users. This study aims to explore staff views of the barriers and facilitators to transition from EIPS. METHODS: Eighteen EIPS staff were interviewed about their experiences of discharge processes and interviews were analysed thematically. RESULTS: Four themes were identified: (1) "nowhere to go": illustrated how service users remained in EIPS because other teams lacked capacity to take them; (2) "collaboration between agencies" highlights the challenges of working across boundaries; (3) "therapeutic relationships": reflects the loss service users and staff experienced at discharge; (4) "advanced planning" relates to the necessity for advanced planning and service user empowerment to facilitate the discharge process...
July 27, 2018: Early Intervention in Psychiatry
Lauren E Brooke, Ashleigh Lin, Nikos Ntoumanis, Daniel F Gucciardi
AIM: The objective of this narrative review is to address the question: Should sport-based life skills interventions be developed for young people recovering from first episode psychosis? METHODS: A prose was developed through a broad, critical narrative review of literatures on (1) first episode psychosis recovery (FEP); and (2) life skills and sport, highlighting the conceptual (and limited empirical) links between the two. This style of review allowed for a critical examination of evidence from seemingly distinct literatures to address a question yet to be explored empirically...
July 24, 2018: Early Intervention in Psychiatry
Raimo K R Salokangas, Paul Patterson, Jarmo Hietala, Markus Heinimaa, Tiina From, Tuula Ilonen, Heinrich Graf von Reventlow, Frauke Schultze-Lutter, Georg Juckel, Don Linszen, Peter Dingemans, Max Birchwood, Joachim Klosterkötter, Stephan Ruhrmann
AIM: Depression and suicidal ideation (SUI) and behaviour are more prevalent in females than males, and common in clinical high-risk (CHR) patients. Childhood adversities and trauma (CAT) are associated with adult depression and SUI. The role of gender as a moderator and depression as a mediator for the effect of CAT on SUI has not been explored in CHR patients. METHODS: In all, 245 young help-seeking CHR patients were assessed for SUI (thoughts of killing themselves) with the Beck Depression Inventory at baseline, 9-month and 18-month follow-ups...
July 23, 2018: Early Intervention in Psychiatry
Brian O'Donoghue, Shona M Francey, Barnaby Nelson, Aswin Ratheesh, Kelly Allott, Jessica Graham, Lara Baldwin, Mario Alvarez-Jimenez, Andrew Thompson, Alex Fornito, Andrea Polari, Michael Berk, Craig Macneil, Kingsley Crisp, Christos Pantelis, Hok P Yuen, Susy Harrigan, Patrick McGorry
AIM: It is now necessary to investigate whether recovery in psychosis is possible without the use of antipsychotic medication. This study will determine (1) whether a first-episode psychosis (FEP) group receiving intensive psychosocial interventions alone can achieve symptomatic remission and functional recovery; (2) whether prolonging the duration of untreated psychosis (DUP) in a sub-group according to randomisation will be associated with a poorer outcome and thereby establish whether the relationship between DUP and outcome is causative; and (3) whether neurobiological changes observed in FEP are associated with the psychotic disorder or antipsychotic medication...
July 19, 2018: Early Intervention in Psychiatry
Emma Caruana, Kelly Allott, John Farhall, Emma M Parrish, Christopher G Davey, Andrew M Chanen, Eoin Killackey, Susan M Cotton
AIM: Most mental disorders have their onset by age 25, disrupting normative vocational engagement. Factors associated with vocational disengagement at first contact with specialist treatment are important for service planning. The aim of this paper was to investigate the association between theoretically important factors and vocational disengagement for youth entering mental health treatment. METHODS: A file audit was used to extract vocational data of 145 young people aged 15 to 25 years entering treatment in 2011 at a public youth mental health service in Melbourne, Australia...
July 18, 2018: Early Intervention in Psychiatry
David Peralta, Erich Studerus, Christina Andreou, Katharina Beck, Sarah Ittig, Letizia Leanza, Laura Egloff, Anita Riecher-Rössler
AIM: Ultrahigh risk (UHR) criteria, consisting of brief limited intermittent psychotic symptoms (BLIPS), attenuated psychotic symptoms (APS) and genetic risk and deterioration (GRD) syndrome are the most widely used criteria for assessing the clinical high-risk state for psychosis (CHR-P). The Basel Screening Instrument for Psychosis (BSIP) includes a further risk category, the unspecific risk category (URC). However, little is known about the predictive power of this risk category compared to other risk categories...
July 18, 2018: Early Intervention in Psychiatry
Rami Bou Khalil
AIMS: The "concept-reality mismatch" in the globalization era is a novel conceptualization of psychosocial stress due to difficulties in experiencing five of the most important positive emotions for psychological well-being. These emotions are love, trust, faith, pleasure and self-esteem. METHODS: a narrative overview of the literature using the terms "positive emotions," "positive psychology," "globalization" and "self-discrepancy" has been done...
July 16, 2018: Early Intervention in Psychiatry
Kristen Thien, Brian O'Donoghue
AIM: While the majority of individuals with a first episode of psychosis (FEP) achieve symptomatic remission with the appropriate treatment, there is a small but significant proportion who do not achieve remission of symptoms despite adequate treatment with at least two antipsychotic medications (termed treatment resistance). Clozapine is indicated in individuals who fulfil the criteria for treatment-resistant schizophrenia, however, despite it being the most effective antipsychotic medication, there can be delays in the commencement of clozapine in eligible patients...
July 9, 2018: Early Intervention in Psychiatry
Michael C Hann, Evan Caporaso, George Loeffler, Adrian Cuellar, Lisa Herrington, Laura Marrone, Jong Yoon
AIM: Naval Medical Center San Diego's Psychiatric Transition Program is a specialized first episode psychosis treatment program that delivers coordinated specialty care to military service members with psychotic disorders. Due to the unique military environment, military service members with first episode psychosis are hypothesized to receive care very early after the emergence of first psychotic symptoms, resulting in significantly reduced duration of untreated psychosis. This study's aim is to calculate the duration of untreated psychosis for patients enrolled in Naval Medical Center San Diego's Psychiatric Transition Program (NMCSD PTP) from 01JUL2014-31DEC2016...
July 3, 2018: Early Intervention in Psychiatry
Barnaby Nelson, Emily Li, David C Cicero, Łukasz Gawęda, Jessica A Hartmann, Danny Koren, Andrea Polari, Thomas J Whitford, Suzie Lavoie
AIM: The Inventory of Psychotic-Like Anomalous Self-Experiences (IPASE) is a self-report measure of minimal self-disturbance. The aim of the current report was to assess the construct validity of the scale by examining its convergent validity with the gold-standard measure of minimal self-disturbance, the Examination of Anomalous Self-Experience (EASE), and its discriminant validity. METHOD: The sample consisted of 46 participants (21 ultra-high risk for psychosis patients, 14 first episode psychosis patients, 11 healthy controls)...
July 3, 2018: Early Intervention in Psychiatry
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