A Multidisciplinary First-Episode Psychosis Program

被引:0
作者
Schulz, S. Charles [1 ]
Murray, Aimee [1 ]
Silberschmidt, Amy [2 ]
Bond, David J. [1 ]
机构
[1] Univ Minnesota, Dept Psychiat, F282-2A West B,2450 Riverside Ave, Minneapolis, MN 55455 USA
[2] Univ Pittsburgh, Dept Psychiat, Pittsburgh, PA 15260 USA
关键词
TREATMENT OPTIMIZATION PROGRAM; PROSPECTIVE 12-MONTH DATA; 1ST MANIC EPISODE; BIPOLAR DISORDER; COGNITIVE REMEDIATION; ANTIPSYCHOTIC TREATMENT; TREATMENT RESPONSE; SCHIZOPHRENIA; METAANALYSIS; INTERVENTION;
D O I
10.3928/00485713-20151103-07
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Understanding that young patients with first-episode psychosis have many continuities with the characteristics of older patients was a step forward in the field and led to the development of initiating first-episode psychosis programs and reducing the duration of untreated psychosis. As programs have developed, so have strategies to develop initial evaluations to clarify the health of the young patient with psychosis. The next steps of treatment include medication, talk therapy, family therapy, and team work. Beyond starting treatment, there are significant emerging issues such as use of long-acting injectable medication and strategies for patients who do not respond to first-line treatments, such as using clozapine. The integration of cognitive-behavioral therapy, cognitive remediation, and a day treatment center for the first-episode psychosis program are integral.
引用
收藏
页码:561 / 568
页数:8
相关论文
共 59 条
  • [21] Neurocognitive effects of antipsychotic medications in patients with chronic schizophrenia in the CATIE trial
    Keefe, Richard S. E.
    Bilder, Robert M.
    Davis, Sonia M.
    Harvey, Philip D.
    Palmer, Barton W.
    Gold, James M.
    Meltzer, Herbert Y.
    Green, Michael F.
    Capuano, George
    Stroup, T. Scott
    McEvoy, Joseph P.
    Swartz, Marvin S.
    Roscnheck, Robert A.
    Perkins, Diana O.
    Davis, Clarence E.
    Hsiao, John K.
    Lieberman, Jcffrey A.
    [J]. ARCHIVES OF GENERAL PSYCHIATRY, 2007, 64 (06) : 633 - 647
  • [22] The Brief Assessment of Cognition in Schizophrenia: reliability, sensitivity, and comparison with a standard neurocognitive battery
    Keefe, RSE
    Goldberg, TE
    Harvey, PD
    Gold, JM
    Poe, MP
    Coughenour, L
    [J]. SCHIZOPHRENIA RESEARCH, 2004, 68 (2-3) : 283 - 297
  • [23] Cognitive impairment in adolescents with schizophrenia
    Kenny, JT
    Friedman, L
    Findling, RL
    Swales, TP
    Strauss, ME
    Jesberger, JA
    Schulz, SC
    [J]. AMERICAN JOURNAL OF PSYCHIATRY, 1997, 154 (11) : 1613 - 1615
  • [24] Kenny JT, 2002, EARLY STAGES SCHIZOP
  • [25] Treatment in a specialised out-patient mood disorder clinic v. standard out-patient treatment in the early course of bipolar disorder: randomised clinical trial
    Kessing, Lars Vedel
    Hansen, Hanne Vibe
    Hvenegaard, Anne
    Christensen, Ellen Margrethe
    Dam, Henrik
    Gluud, Christian
    Wetterslev, Jorn
    [J]. BRITISH JOURNAL OF PSYCHIATRY, 2013, 202 (03) : 212 - 219
  • [26] Comparison of neuropsychological effects of adjunctive risperidone or quetiapine in euthymic patients with bipolar I disorder
    Kozicky, Jan-Marie
    Torres, Ivan J.
    Bond, David J.
    Lam, Raymond W.
    Yatham, Lakshmi N.
    [J]. INTERNATIONAL CLINICAL PSYCHOPHARMACOLOGY, 2012, 27 (02) : 91 - 99
  • [27] A meta-analysis of cognitive remediation in schizophrenia
    McGurk, Susan R.
    Twamley, Elizabeth W.
    Sitzer, David I.
    McHugo, Gregory J.
    Mueser, Kim T.
    [J]. AMERICAN JOURNAL OF PSYCHIATRY, 2007, 164 (12) : 1791 - 1802
  • [28] Medalia A., 2009, Cognitive Remediation for Psychological Disorders: Therapist Guide
  • [29] Cognitive Remediation in Schizophrenia
    Medalia, Alice
    Choi, Jimmy
    [J]. NEUROPSYCHOLOGY REVIEW, 2009, 19 (03) : 353 - 364
  • [30] Medalia A, 2008, AM J PSYCHIATR REHAB, V11, P123, DOI 10.1080/15487760801963660