The physical health of young people experiencing first-episode psychosis: Mental health consumers’ experiences

2018 ◽  
Vol 28 (1) ◽  
pp. 330-338 ◽  
Author(s):  
Gin-Liang Chee ◽  
Dianne Wynaden ◽  
Karen Heslop
Keyword(s):  
Mental Health ◽  
Young People ◽  
Physical Health ◽  
First Episode Psychosis ◽  
First Episode ◽  
Mental Health Consumers ◽  
Episode Psychosis ◽  
Health Consumers

scholarly journals Fifteen years on – early intervention for a new generation

2016 ◽  
Vol 209 (3) ◽  
pp. 186-188 ◽  
Author(s):  
Steven Marwaha ◽  
Andrew Thompson ◽  
Rachel Upthegrove ◽  
Matthew R. Broome
Keyword(s):  
Mental Health ◽  
Early Intervention ◽  
Young People ◽  
Policy Implementation ◽  
First Episode Psychosis ◽  
First Episode ◽  
Ongoing Debate ◽  
Implementation Guideline ◽  
Episode Psychosis ◽  
New Generation

SummaryEarly intervention for psychosis (EIP) is a model of service delivery that aims to support young people with first-episode psychosis by providing the best available treatments, supporting recovery and preventing relapse. In this editorial, we review the evidence for EIP, how the model has developed since its inclusion in the NHS policy implementation guideline for mental health in 2001, challenges and areas of ongoing debate, and future development.

scholarly journals Parity of esteem begins at home: translating empirical psychiatric research into effective public mental health

2013 ◽  
Vol 44 (8) ◽  
pp. 1569-1576 ◽  
Author(s):  
J. B. Kirkbride ◽  
P. B. Jones
Keyword(s):  
Mental Health ◽  
Physical Health ◽  
First Episode Psychosis ◽  
Psychiatric Research ◽  
First Episode ◽  
Episode Psychosis ◽  
Different Populations ◽  
Health Disorders ◽  
Early Intervention In Psychosis ◽  
Mental And Physical Health

There is increasing recognition that parity of esteem between mental and physical health disorders is essential to improve the course, outcome and quality of life of individuals within different populations. Achieving this parity now underpins the objectives of several nations. Here, we argue that parity of esteem between mental and physical health can only be realized when parity of esteem also exists across mental health disorders, particularly in terms of service commissioning and planning. Using first-episode psychosis and early intervention in psychosis services as a motivating example, we demonstrate how carefully conducted psychiatric epidemiology can be translated to develop precise forecasts of the anticipated incidence of first-episode psychosis in different populations, based on an understanding of underlying local needs and inequalities. Open-access prediction tools such as PsyMaptic will allow commissioners of mental health services to more effectively allocate resources across services, based on empirical evidence and local need, thus reducing inequalities in access to mental health care.

scholarly journals Blended Digital and Face-to-Face Care for First-Episode Psychosis Treatment in Young People: Qualitative Study (Preprint)

2020 ◽  
Author(s):  
Lee Valentine ◽  
Carla McEnery ◽  
Imogen Bell ◽  
Shaunagh O'Sullivan ◽  
Ingrid Pryor ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Young People ◽  
First Episode Psychosis ◽  
First Episode ◽  
Model Of Care ◽  
Face To Face ◽  
Design And Implementation ◽  
Episode Psychosis ◽  
Blended Treatment

BACKGROUND A small number of studies have found that digital mental health interventions can be feasible and acceptable for young people experiencing first-episode psychosis; however, little research has examined how they might be blended with face-to-face approaches in order to enhance care. Blended treatment refers to the integration of digital and face-to-face mental health care. It has the potential to capitalize on the evidence-based features of both individual modalities, while also exceeding the sum of its parts. This integration could bridge the online–offline treatment divide and better reflect the interconnected, and often complementary, ways young people navigate their everyday digital and physical lives. OBJECTIVE This study aimed to gain young people’s perspectives on the design and implementation of a blended model of care in first-episode psychosis treatment. METHODS This qualitative study was underpinned by an end-user development framework and was based on semistructured interviews with 10 participants aged 19 to 28 (mean 23.4, SD 2.62). A thematic analysis was used to analyze the data. RESULTS Three superordinate themes emerged relating to young people’s perspectives on the design and implementation of a blended model of care in first-episode psychosis treatment: (1) blended features, (2) cautions, and (3) therapeutic alliance. CONCLUSIONS We found that young people were very enthusiastic about the prospect of blended models of mental health care, in so far as it was used to enhance their experience of traditional face-to-face treatment but not to replace it overall. Aspects of blended treatment that could enhance clinical care were readily identified by young people as increasing accessibility, continuity, and consolidation; accessing posttherapy support; strengthening the relationship between young person and clinician; and tracking personal data that could be used to better inform clinical decision making. Future research is needed to investigate the efficacy of blended models of care by evaluating its impact on the therapeutic alliance, clinical and social outcomes, cost-effectiveness, and engagement.

scholarly journals Blended Digital and Face-to-Face Care for First-Episode Psychosis Treatment in Young People: Qualitative Study

10.2196/18990 ◽  
2020 ◽  
Vol 7 (7) ◽  
pp. e18990 ◽  
Author(s):  
Lee Valentine ◽  
Carla McEnery ◽  
Imogen Bell ◽  
Shaunagh O'Sullivan ◽  
Ingrid Pryor ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Young People ◽  
First Episode Psychosis ◽  
First Episode ◽  
Model Of Care ◽  
Face To Face ◽  
Design And Implementation ◽  
Episode Psychosis ◽  
Blended Treatment

Background A small number of studies have found that digital mental health interventions can be feasible and acceptable for young people experiencing first-episode psychosis; however, little research has examined how they might be blended with face-to-face approaches in order to enhance care. Blended treatment refers to the integration of digital and face-to-face mental health care. It has the potential to capitalize on the evidence-based features of both individual modalities, while also exceeding the sum of its parts. This integration could bridge the online–offline treatment divide and better reflect the interconnected, and often complementary, ways young people navigate their everyday digital and physical lives. Objective This study aimed to gain young people’s perspectives on the design and implementation of a blended model of care in first-episode psychosis treatment. Methods This qualitative study was underpinned by an end-user development framework and was based on semistructured interviews with 10 participants aged 19 to 28 (mean 23.4, SD 2.62). A thematic analysis was used to analyze the data. Results Three superordinate themes emerged relating to young people’s perspectives on the design and implementation of a blended model of care in first-episode psychosis treatment: (1) blended features, (2) cautions, and (3) therapeutic alliance. Conclusions We found that young people were very enthusiastic about the prospect of blended models of mental health care, in so far as it was used to enhance their experience of traditional face-to-face treatment but not to replace it overall. Aspects of blended treatment that could enhance clinical care were readily identified by young people as increasing accessibility, continuity, and consolidation; accessing posttherapy support; strengthening the relationship between young person and clinician; and tracking personal data that could be used to better inform clinical decision making. Future research is needed to investigate the efficacy of blended models of care by evaluating its impact on the therapeutic alliance, clinical and social outcomes, cost-effectiveness, and engagement.

Improving outcomes: Factors influencing help-seeking behaviors in immigrants and ethnic minorities with first-episode psychosis

2016 ◽  
Vol 13 (03) ◽  
pp. 152-157
Author(s):  
A. O. Berg ◽  
K. Leopold ◽  
S. Zarafonitis-Müller ◽  
M. Nerhus ◽  
L. H. Stouten ◽  
...  
Keyword(s):  
Mental Health ◽  
Help Seeking ◽  
Service Use ◽  
First Episode Psychosis ◽  
Pathways To Care ◽  
First Episode ◽  
Factors Influencing ◽  
Increased Risk ◽  
Episode Psychosis ◽  
The Hague

Summary Background: Immigrants have increased risk of a poor recovery from first episode psychosis (FEP). Early treatment can improve prognosis, but having an immigrant background may influence pathways to care. Method: We present research of service use and factors influencing treatment outcome in immigrants with FEP. Service use was assessed in in-patients at an early intervention center in Berlin, Germany. Duration of untreated psychosis and beliefs about illness was assessed in a FEP study in Oslo, Norway and cognitive functioning in patients with FEP schizophrenia from the regular mental health services in The Hague, the Netherlands. The proportion of immigrants in Berlin and Oslo was at level with the local populations, while the proportion in The Hague appeared to be higher. Result: There were clear indications that mental health literacy, probably based in different cultural expectations, were lower in first generation immigrants (FGI). Findings regarding clinical insight were ambiguous. There were also indications that FGI had more cognitive problems, based in higher stress levels or in cognitive styles. Early psychosis services must take issues of immigration and ethnicity into consideration.

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