Psychosocial interventions for people with a first episode psychosis: between tradition and innovation
Affiliation
University of Warwick; Coventry and Warwickshire Partnership TrustPublication date
2021-09-01Subject
Mental health
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Show full item recordAbstract
Purpose of review: Assessing recent evidence on psychosocial interventions for people with first episode psychosis (FEP). Recent findings: Family interventions (FI) reduce relapse rates, whilst cognitive behavioural therapy (CBT) shows a moderate effect in improving positive psychotic symptoms. Vocational interventions (VI) appear to be worthy of implementation within early intervention for psychosis (EIP) teams, but it is still unclear what is the most cost-effective strategy for their delivery. Promising interventions, which need more careful evaluation, focus on substance misuse, physical health comorbidities, improvement of social participation, peer support and the potential of new technologies. Summary: The first five years after the onset of psychotic symptoms are a 'critical period' in which psychosocial interventions can be particularly influential in determining prognosis. Traditional EIP interventions have different effectiveness profiles, i.e., FI reduce relapse rates, CBT has a moderate effectiveness on overall and positive symptoms and VI can improve educational and employment-related functioning. Newer interventions show promise on important targets for FEP treatment but require higher-quality evaluations. Decisions on which interventions to implement within EIP teams should be informed by high-quality evidence, but difficult choices will have to be made based on costs, professionals and technologies available, and local priorities.Citation
Singh SP, Mohan M, Giacco D. Psychosocial interventions for people with a first episode psychosis: between tradition and innovation. Curr Opin Psychiatry. 2021 Sep 1;34(5):460-466. doi: 10.1097/YCO.0000000000000726. PMID: 34282104.Type
ArticleAdditional Links
https://pubmed.ncbi.nlm.nih.gov/34282104/PMID
34282104Journal
Current Opinion in PsychiatryPublisher
Lippincott, Williams & Wilkinsae974a485f413a2113503eed53cd6c53
10.1097/YCO.0000000000000726. PMID: 34282104