Treatment Adherence in Youth with First-Episode Psychosis: Impact of Family Support and Telehealth Delivery

被引：14
作者：
Alston, Marion [1 ]
Bennett, Carole Frances [2 ]
Rochani, Haresh [3 ]
机构：
[1] Gateway Behav Hlth Serv, Brunswick, GA USA
[2] Georgia Southern Univ, Coll Hlth & Human Sci, Dept Nursing, Statesboro, GA USA
[3] Georgia Southern Univ, KE Peace Ctr Biostat, Dept Publ Hlth, Statesboro, GA USA
来源：
ISSUES IN MENTAL HEALTH NURSING | 2019年 / 40卷 / 11期
关键词：
ECONOMIC BURDEN; 1ST EPISODE; SCHIZOPHRENIA; RECOVERY; WORK; DISORDERS; CARE;
D O I：
10.1080/01612840.2019.1630532
中图分类号：
R47 [护理学];
学科分类号：
1011 ;
摘要：
Mental health-care delivery to young people with first-episode schizophrenia presents significant challenges especially in underserved areas. This chart review reveals the importance of family support as a predictor for medication and treatment adherence with this vulnerable group. An unexpected disengagement rate of 47% was discovered. It was further discovered that receiving care with telehealth delivery was a significant predictor of lost to follow-up or treatment nonadherence. Recommendations include psychoeducation for families during the initial crisis, initiation of long-acting injectable antipsychotics early in care, a hybrid telehealth intervention with in-home medication delivery, and collaboration with educational, vocational county agencies for employment support. A system of care must be developed to support young people with this severe illness for optimum outcome and protection of long-term cognitive functioning.
引用
收藏
页码：951 / 956
页数：6
相关论文
共 28 条
[1]  
Alireza A., 2017, CASE REPORTS PSYCHIA, V2017, DOI 10.1155/2017/6296423
[2]   Health-Related Quality of Life and Overall Life Satisfaction in People with Serious Mental Illness [J].
Barnes, Amy L. ;
Murphy, Meghan E. ;
Fowler, Christopher A. ;
Rempfer, Melisa V. .
SCHIZOPHRENIA RESEARCH AND TREATMENT, 2012, 2012
[3]   Are mental disorders more common in urban than rural areas of the United States? [J].
Breslau, Joshua ;
Marshall, Grant N. ;
Pincus, Harold A. ;
Brown, Ryan A. .
JOURNAL OF PSYCHIATRIC RESEARCH, 2014, 56 :50-55
[4]   Optimal duration of an early intervention programme for first-episode psychosis: randomised controlled trial [J].
Chang, Wing Chung ;
Chan, Gloria Hoi Kei ;
Jim, Olivia Tsz Ting ;
Lau, Emily Sin Kei ;
Hui, Christy Lai Ming ;
Chan, Sherry Kit Wa ;
Lee, Edwin Ho Ming ;
Chen, Eric Yu Hai .
BRITISH JOURNAL OF PSYCHIATRY, 2015, 206 (06) :492-500
[5]   Current approaches to treatments for schizophrenia spectrum disorders, part II: psychosocial interventions and patient-focused perspectives in psychiatric care [J].
Chien, Wai Tong ;
Leung, Sau Fong ;
Yeung, Frederick K. K. ;
Wong, Wai Kit .
NEUROPSYCHIATRIC DISEASE AND TREATMENT, 2013, 9 :1463-1481
[6]   Global economic burden of schizophrenia: a systematic review [J].
Chong, Huey Yi ;
Teoh, Siew Li ;
Wu, David Bin-Chia ;
Kotirum, Surachai ;
Chiou, Chiun-Fang ;
Chaiyakunapruk, Nathorn .
NEUROPSYCHIATRIC DISEASE AND TREATMENT, 2016, 12 :357-373
[7]   The Meaning of Social Support for Persons With Serious Mental Illness [J].
Chronister, Julie ;
Chou, Chih-Chin ;
Kwan, Kwong-Liem Karl ;
Lawton, Melissa ;
Silver, Kurt .
REHABILITATION PSYCHOLOGY, 2015, 60 (03) :232-245
[8]   The Economic Burden of Schizophrenia in the United States in 2013 [J].
Cloutier, Martin ;
Aigbogun, Myrlene Sanon ;
Guerin, Annie ;
Nitulescu, Roy ;
Ramanakumar, Agnihotram V. ;
Kamat, Siddhesh A. ;
DeLucia, Michael ;
Duffy, Ruth ;
Legacy, Susan N. ;
Henderson, Crystal ;
Francois, Clement ;
Wu, Eric .
JOURNAL OF CLINICAL PSYCHIATRY, 2016, 77 (06) :764-+
[9]   Rates and predictors of 18-months remission in an epidemiological cohort of 661 patients with first-episode psychosis [J].
Conus, Philippe ;
Cotton, Sue ;
Schimmelmann, Benno G. ;
McGorry, Patrick D. ;
Lambert, Martin .
SOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY, 2017, 52 (09) :1089-1099
[10]  
Health Resources and Services Administration (HRSA), 2015, TEL PROGR
123