Best care in early psychosis intervention: global by Tom Ehmann, W. G. Honer, Bill MacEwan PDF

By Tom Ehmann, W. G. Honer, Bill MacEwan

The sector of early intervention in psychotic issues has swiftly complex some time past decade. medical perform is striving to include the unfolding examine findings and scientific suggestions which are taking place on a world scale. This booklet provides the main entire evaluation of top practices written so far. regrettably, scientific perform instructions usually fail to make an important effect as a result of adoption and implementation difficulties.

This publication assists frequent implementation through featuring perspectives on most sensible practises from around the globe. a wide selection of members talk about their specific efforts at enforcing the foundations of care espoused within the Intervention advisor. those discussions are via a chain of chapters on cutting-edge functions of particular intervention concerns by way of international leaders within the early psychosis box

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2. e. e. intensive case m a n a g e m e n t , which includes frequent contact a n d proactive o u t r e a c h ) . An individual case m a n a g e r directly provides the majority of servi c e s / t r e a t m e n t s . Referrals are m a d e to o t h e r services o n an as-needed basis. 3. Assertive c o m m u n i t y t r e a t m e n t Intensive s u p p o r t a n d rehabilitation are provided where the patient resides. S u p p o r t a n d t r e a t m e n t responsibilities for a case are shared by a team of mental health workers r a t h e r than by o n e individual case manager.

Integration of t r e a t m e n t s may b e necessary to address b o t h the lack of effectiveness a n d the o t h e r p r o b l e m s a p p a r e n t with these m e t h o d s of service p r o v i s i o n . 29,30,34 T h e National Institute of Mental H e a l t h in t h e U n i t e d States funded 13 10. c o m m u n i t y d e m o n s t r a t i o n projects to d e t e r m i n e if integrated t r e a t m e n t was feasible a n d effective. T h e evaluation c o n c l u d e d that integrated services can b e developed successfully in a n u m b e r of dif- 11.

41. Jorgensen P, Nordentoft M, Abel MB, et al. Early detection and assertive community treatment of young psychotics: the Opus Study Rationale and design of the trial. Soc Psychiatry Psychiatr Epidemiol 2000; 35(7):283-7. 42. Moscarelli M, Capri S, Neri L. Cost evaluation of chronic schizophrenic patients during the first 3 years after the first contact. Schizophr Bull 1991; 17(3):421-6. 43. Mihalopoulos C, McGorry PD, Carter RC. Is phasespecific, community-oriented treatment of early psychosis an economically viable method of improving outcome?

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