Foundation Leaders Discuss Early Intervention for Mental Illness Following Sandy Hook Tragedy

2012 ◽  
Keyword(s):  
Mental Illness ◽  
Early Intervention ◽  
Sandy Hook

Early intervention in psychosis: a new evidence based paradigm

2002 ◽  
Vol 11 (4) ◽  
pp. 237-247 ◽  
Author(s):  
Patrick D. McGorry ◽  
Eoin J. Killackey
Keyword(s):  
Mental Illness ◽  
Early Intervention ◽  
Evidence Based ◽  
Major Health ◽  
Indicated Prevention ◽  
The Individual ◽  
Early Intervention In Psychosis ◽  
New Evidence ◽  
Major Health Issue

SUMMARYObjective – Even in countries whose mental health services are comparatively well resourced, the care offered to those in the early stages of psychotic illnesses is not what it could be. Patients often have to progress to chronicity before receiving adequate interventions, by which stage there has been great potential for harm, not only through the psychosis, but also to the quality of life of the individual who has often missed or not completed adequately, several important developmental tasks. Further, evidence indicates that delay in treatment is positively associated with poorer outcome. This paper puts the case for early intervention in psychosis. Method – Based on the experience of the Early Psychosis Prevention and Intervention Centre in Melbourne, the paper reviews the evidence for and the criticisms of, early intervention. Using the concept of indicated prevention, it suggests ways in which clinicians can improve the interventions available to those experiencing the onset of psychosis and suggests that prepsychotic intervention may be possible. Results – Evidence discussed in this paper indicates that the development of mental illness is a major health issue in young people; that there is a positive correlation between duration of untreated psychosis and outcome; that it is possible to identify a proportion of those at high risk of developing mental illness; that through intervention it may be possible to reduce the transition rate to illness. Conclusion – Primary prevention is beyond the capacity of our present knowledge. Indicated prevention in the form of early intervention and optimal, sustained treatment is a paradigm for which there is increasing supportive evidence. It is a paradigm which is appealing to clinicians, patients, families and which has the potential to reduce the secondary impact of serious mental illness such as suicide, stigma, isolation and reduction in social status.

Perinatal and infant mental health in Australia: moving forward towards REAL prevention and early intervention – can we do it?

2017 ◽  
Vol 25 (3) ◽  
pp. 274-276 ◽  
Author(s):  
Anne E Sved Williams
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Early Intervention ◽  
Infant Mental Health ◽  
Future Directions ◽  
The United Kingdom ◽  
Maternal Mental Illness ◽  
The Face ◽  
Solid Foundation ◽  
Party Support

Objectives: Australia has been at the forefront of appropriate early intervention. Prevention of mental illness in infants by early identification and intervention in the mental health of their mothers has stalled since the cessation of funding through the National Perinatal Depression Initiative (NPDI, 2009–2015). Whilst screening for maternal mental illness has been widely implemented throughout Australia during the last two decades, services are now diminishing and great opportunities to ride the crest of a wave for appropriate mental illness intervention are receding. Reviews of history and interventions internationally may help guide future directions. Conclusions: Advocacy through across-agency and across-political-party support has been markedly successful for perinatal and infant mental health in the United Kingdom. A solid foundation exists in Australia. Australian psychiatrists have the ability to continue to change the face of prevention and early intervention.

scholarly journals The psychiatry of children aged 0–4: advances in assessment, diagnosis and treatment

2015 ◽  
Vol 21 (6) ◽  
pp. 377-386 ◽  
Author(s):  
David Foreman
Keyword(s):  
Mental Illness ◽  
Preschool Children ◽  
Early Intervention ◽  
Cost Effectiveness ◽  
Secondary Care ◽  
Psychiatric Illness ◽  
Psychiatric Services ◽  
Assessment Tools ◽  
Age Group ◽  
Very Young Children

SummaryMental illness in very young children is relatively rare and the number of 0- to 4-year-olds seen in secondary care psychiatric services has recently declined. Conceptualisation of mental illness in this age group is shifting towards a model that views disorders as part of the wider spectrum of diagnoses, rather than distinct, developmentally specific conditions. This article discusses the epidemiology of psychiatric illness in preschool children, evaluates assessment tools that have only recently been validated for use in secondary care and considers evidence of the efficacy and cost-effectiveness of early intervention using treatments encompassing pharmacological, psychological and social approaches.

Where next for early intervention programmes?

2019 ◽  
pp. 201-208
Author(s):  
Dinesh Bhugra ◽  
Antonio Ventriglio ◽  
Eric Y.H. Chen
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Mental Illness ◽  
Early Intervention ◽  
Community Mental Health ◽  
Social Care ◽  
Psychiatric Services ◽  
Early Interventions ◽  
Duration Of Untreated Illness

Early intervention treatments and approaches are reaching across the globe. There is no doubt though that these services are a low priority, especially in countries where adequate resources are not available. The practice of psychiatry has, in the last 50 years, moved from asylums, to community mental-health teams, to home treatments and early intervention. There appears to be an increasing body of evidence to suggest that early interventions can work in reducing the duration of untreated illness and aiding better recovery, but this needs to be researched in conditions other than psychoses, for which evidence is strong. This chapter provides recommendations for researchers, clinicians, and policymakers. All these recommendations are based on the principle of equity between physical and mental illness, and better integration between psychiatric services and social care and between primary care and psychiatric services.

scholarly journals S130. REHOSPITALIZATION RATES FOLLOWING EARLY INTERVENTION TREATMENT FOR SERIOUS MENTAL ILLNESS

2019 ◽  
Vol 45 (Supplement_2) ◽  
pp. S356-S356
Author(s):  
Alia Warner ◽  
Jane Hamilton ◽  
Melissa Allen ◽  
Scott Lane
Keyword(s):  
Mental Illness ◽  
Early Intervention ◽  
Serious Mental Illness ◽  
Intervention Treatment

scholarly journals F71. EFFECTS OF EARLY INTERVENTION FOR SERIOUS MENTAL ILLNESS ON SEVERITY OF SYMPTOMATOLOGY

2019 ◽  
Vol 45 (Supplement_2) ◽  
pp. S281-S281
Author(s):  
Alia Warner ◽  
Jane Hamilton ◽  
Melissa Allen
Keyword(s):  
Mental Illness ◽  
Early Intervention ◽  
Serious Mental Illness
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